No Place Like Home Rental Application and Screening Form 2020
Please take the time to fill out the information as fully as possible and use NA for Not Applicable when necessary. By submitting this application you are giving No Place Like Home Real Estate permission to run a background check on you and any cosigners or additional occupants. The application fee is $35 per person over 18 years of age. To arrange payment or if you have any questions, please contact Rita Parker, No Place Like Home Real Estate, Inc. at 307-247-0963!
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First and Last Name *
Phone Number *
Email Address *
Date of Birth
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What is your marital status?
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Social Security Number
Drivers License Number
Which rental/s are you interested in?
Which Rental/s Are You interested In? *
Required
What is your rent price range desired? *
Required
Anyone else who would be renting with you?
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If yes, please tell me the names of the other people who would live in the unit. Tell me more about their Ages and their Relationship to You, too. Please note, anyone over 18 needs to fill out an application prior to renting.
Do you work or have an income source?
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Approximately how much money do you take home a month?
How is Your Credit
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What is your current address?
Why are you moving?
How much do you currently pay?
Are you current on rents now?
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Please tell me your Landlord's name and number.
Can you provide references from your former landlord?
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How long were you at your last place?
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What is your ideal Move-in Date?
What is the length of lease are you looking for?
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Will you have the security deposit and first month's rent upon move-in?
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How many people will live in the unit?
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How many people who would live in the unit smoke or vape?
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Where do you work?  (If applicable
Please tell me the name and phone number for your supervisor.
Can you provide references from your employer?
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Do you have any pets?
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If yes, please tell me about your pets. In particular age, breed/s, female or male, shot record comments and if he/she is fixed or not. Thank you!
Please tell me your vehicle information. Make, model, year, approximate value and any loan amount is helpful. Share if comfortable. Thank you!
Have you ever been evicted?
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Have you ever been foreclosed?
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Have you ever filed for bankruptcy?
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Have you ever been convicted of a crime, felony or misdemeanor?
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If you answered Yes to Eviction Foreclosure, Bankruptcy or Crime, please share what you are comfortable sharing about it.
Please tell me about your monthly debts. Common debts are car loans, student loans, credit cards and cell phone bills. Tell me what you are comfortable sharing.
Who is Your Emergency Contact and their Contact Information?
Who is Your Personal Reference 1 and their Contact Information?
Who is Your Personal Reference 2 and their Contact Information?
Every person over 18 years of age will be charged a background fee of $35. Please tell us how you want to pay?  
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Does Applicant represents that statements above made are true and correct to the best of their knowledge and ability?
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Does applicant authorize No Place Like Home Real Estate, Inc. to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant?
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Does applicant understand that if they have any questions about the interpretation or legality of this form they are directed to consult the attorney of their choice?
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Agreed to By (Your Name)
Do you have any questions for me?
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