Peak Market Homes Rental Application

All persons over the age of 18 must complete a separate application

Application Date *
Application Date
Move in Date *
Move in Date
Co-Applicant? *
Co-Applicant Name
Co-Applicant Name
Applicant Name *
Applicant Name
Current Address
Current Address
Previous Address
Previous Address
Date of Birth *
Date of Birth
for example (Maine)
No Dashes
Home Phone
Home Phone
Cell Phone *
Cell Phone
Minor 1 *
Minor 1
Persons under 18 year of age who will be living in the house (Type "NA" if not applicable in boxes)
Minor 1 Date of Birth if under 18 years old
Minor 1 Date of Birth if under 18 years old
Minor 2 *
Minor 2
Persons under 18 year of age who will be living in the house (Type "NA" if not applicable in boxes)
Minor 2 Date of Birth if under 18 years old
Minor 2 Date of Birth if under 18 years old
Minor 3 *
Minor 3
Persons under 18 year of age who will be living in the house (Type "NA" if not applicable in boxes)
Minor 3 Date of Birth if under 18 years old
Minor 3 Date of Birth if under 18 years old
Are you currently renting? *
If yes, please fill out landlord information below.
Landlord
Landlord
Landlord best contact number
Landlord best contact number
$
Pets? (indoor/outdoor) *
Employer Address
Employer Address
Employer Contact Number
Employer Contact Number
Supervisor Name *
Supervisor Name
Supervisor Contact Number *
Supervisor Contact Number
Start Date *
Start Date
End Date or Current Date *
End Date or Current Date
$
Other Forms of Income?
$
Do you have a bank account? *
If yes, please complete additional information below.
Bank Address
Bank Address
Bank Contact Number
Bank Contact Number
Do you plan to use this bank to pay Peak Market Homes? *
Do you want Peak Market Homes to Auto Draft your rent payment from your bank account when due? *
Do you have a credit card? *
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Agreement and Permission *
I recognize that as part of your procedure for processing my rental application, an investigative consumer credit report and a criminal report may be prepared whereby information is obtained through current and/or previous Landlords. By my signature below, I represent that all of the information that I have disclosed in this Rental Application is true, accurate, and complete. I acknowledge that all of the information I have disclosed is material and Landlord is relying on the information to decide whether to grant or deny this Application. I authorize to order and review my credit and criminal history and investigate the accuracy of all information contained in this Rental Application. I further authorize all banks, employers, and creditors to provide any and all information concerning my credit.
 

Equal Opportunity Housing