Rent-to-Own Application Form

Personal Information

Full Name Date of Birth Phone Number Email Address Current Address

Employment Information

Employer Occupation Monthly Income Length of Employment

Rental History

Current Landlord Landlord Phone Reason for Leaving Previous Address

Desired Property Details

Property Address Desired Move-in Date Desired Lease Term 1 Year 2 Years 3 Years

References

Reference Name Reference Phone Reference Name Reference Phone

Additional Information

Comments