Secure Online Lease Application

Secure Online Application

You can apply to rent an R Rentals house or apartment over the internet, right from the comfort of your home or office! All information is safe and secure because it is sent over a SSL secured internet connection between your computer and our webserver. After submitting your application our staff will do standard credit and reference checks and then contact you to discuss your application.

If you would prefer, you can always print a paper application for this property and mail, fax or drop it off at our office.
Download Application (pdf)

1. Applicant Information

First Name

Middle Name

Last Name

Mobile Phone

Date of Birth

Current Living Arrangements (most recent)

Current Address

Apt #

City

State

Zip Code

Phone

Current Landlord

Phone

Current Rent

Date From

Date To

2. Household Composition

Person 1

Person 2

Name

Age

Relationship

Person 3

Person 4

Name

Age

Relationship

3. Employment Income

Current Employer

Phone

Job/Position

Supervisor's Name

Monthly Income

Date From

Date To

4. Pets?

Will there be pets?

If yes, how many?

Details: Type, Age, Weight, etc.

5. Your Rental History

Have you ever... (please check all that apply)

Do you currently have any unpaid rent?

Are you under 18 years of age?

Have you ever been asked to leave a property?

Have you ever been evicted from a property or had a lease terminated?

Do you have any civil judgements against you that require you to make ongoing monthly payments?

Have you been sued for nonpayment of bills, rent or damange to rental property?

Have you ever filed for bankruptcy?

Have you ever had a residence application denied by any landlord?

Please tell us about any "yes" answers above

6. Your Vehicle

Vehicle 1

Vehicle 2

Year

Make

Model

License Plate

State

7. Emergency Contacts

Emergency Contact 1

Emergency Contact 2

Name

Relationship

Address

City

State

Zip Code

Phone

8. Notes, Comments, Additional info

Comments