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Rental Application for MyHomeFlyer.com
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Address of place you want to rent:
Your answer
Desired Move in Date
Your answer
Full Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Date of Birth
MM
/
DD
/
YYYY
Social Security #
Your answer
What is your Credit Score?
Give number or approximate number if you know it. Leave blank if you don't know your score. We will get it from the credit report.
Your answer
Number of Dependents (under age 18)
Your answer
Pets: Number and Type of Pets you want to have at the rental house:
Your answer
Do you or anyone that will be living in the home smoke?
Yes
No
Clear selection
Have you declared bankruptcy in the past 7 years?
Yes
No
Clear selection
Have you ever been evicted from a rental residence?
Yes
No
Clear selection
Been convicted of a crime? (if yes, give details)
Your answer
Employment Status
Full Time
Part Time
Student
Unemployed
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Employer
Your answer
How long have you been employed with this company/person?
Your answer
Income from this job:
Your answer
Other Income: (list child support, SS or Disability, etc.)
Your answer
Current Address
Your answer
How long have you been at this address?
Your answer
Reason for Moving?
Your answer
Owner/Agent Name:
Your answer
Owner/Agent Phone Number:
Your answer
Personal Reference or Emergency Contact - Name
Your answer
Personal Reference or Emergency Contact - Phone
Your answer
Personal Reference or Emergency Contact - Address
Your answer
Personal Reference or Emergency Contact - Relationship to you
Your answer
I authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers and personal references.
Yes
No
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There is a Nonrefundable Rental Application fee of $35.00 per applicant due at the time this form is submitted. Deposit can be mailed to: Emerald Spring LLC, PO Box 35, Afton, VA 22920. We can also accept Venmo and PayPal (ask for details).
I understand and will send my $35 so my credit report can be ordered.
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