Rental Application – Modern Hut Properties

First Name

Last Name

Phone

Email Address

Birthday

Rent Property Located At

Desired Move-In Date

Current Address City / State/ Postal Code

Landlord's Name & Phone Number

Current Month Rent

Date Moved In

Date Move Out

Reason For Moving?

Present Occupation

Employers Name & Phone Number

Position & Salary

Duration of Employment

Who Will Be Occupying The Unit? How Many People In Total?

How Did You Hear About This Rental?

Have You Ever Been Sued For Non-Payment Of Rent?

Yes No

Have You Ever Been Sued For Damages To A Rental Property?

Yes No

Have You Ever Broken A Rental Agreement Or Lease?

Yes No

Have You Ever Declared Bankruptcy? (Required)

Yes No

Have You Ever Been Evicted, Served With An Eviction Note Or Asked To Move Out?

Yes No

Do You Have Any Pets?

Yes No

Please Give Any Information That Might Help In Evaluating Our Application

Emergency Contact

I declare that the above information, to the best of my knowledge is true and correct. I hereby authorize Lang Property Management to obtain a consumer credit and/or investigative report on myself consisting of, but not limited to, rental and employment verification, criminal, eviction, check scan, drivers' license verification, and academic verification. I understand that such information may be derived in whole or in part from Equifax, TransUnion, Driving Records, AppFolio Inc. and/or other resources.*

Modern Hut Properties Rental Application Form