Rental Application You are here: Home / Background & Screening Services / Rental Application If you need to finish the application later – please use the ‘save and continue’ link at the bottom of the form. "*" indicates required fields Are you a property manager or other agent completing this form for an applicant?* Yes No Your Property and/or Company (property manager or other agent)* Email (property manager or other agent)* Today's Date* MM slash DD slash YYYY Name* First Middle Last Are you 18 years of age or older?* yes no Email* Check your email regularly throughout the application process. Several communications will be sent to you via email to expedite processing. Phone*Do You Currently Rent or Own?* Rent Own Not Paying Rent. Staying with Friends/Family Rental History and Verification will be conducted.Current Monthly Rent*Have you ever paid rent?* I have paid rent before I have never paid rent Last Address You Paid Rent* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Property Applying ForName of Complex, Subdivision, or Mobile Home Park Move in Date requested?* MM slash DD slash YYYY Address of the rental home you are applying for:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Property Manager* Do you know the email address of the Property manager?* yes no Property Manager Email Address* If you do not know the email address, please leave this blank and set the question above to 'no'. Please note, knowing the email address can speed up the application process.Did a realtor assist you with finding this rental home?* yes no Name of Realtor* First Last Business Name of Realtor* Have you ever had an eviction filed against you or been asked to move from a rental property?* Yes No Have you ever been charged with a felony, had an injunction filed against you, or been charged with a crime of dishonesty?* Yes No Are you a smoker Yes No Income & EmploymentYour Monthly Income (Verification is Required)*Are you currently employed?* Yes No Retired Student Other If not employed, what is your source of income?OccupancyAre you applying with a co-applicant?* Yes No Each applicant must complete their own tenant application and pay a separate application fee.Children to occupy?* Yes No Other's Occupying Residence (Include Children)*First nameLast NameAgeRelationship to tenantCo-applicantEmail Add RemoveAll applicants over the age of 18 will need to complete their own rental application and pay a separate application fee.Vehicles owned by Applicant?* Yes No Vehicles to be Parked at ResidenceMakeModelYearTag Number Add RemovePet’s owned by Applicant?* Yes No If Yes please list all pets:*Type of petBreedWeightDate of VaccinationService Animal? Add RemoveProof of vaccinations are required. Service animal must have certificates.Emergency contactEmergency Contact Name Emergency Contact PhoneTell us about your circumstances and why you are moving*Files for applicationYou can upload copies of files ( Pay Stubs, State Identification, Residency Verification etc ) or fax them to 1-866-639-0581. Uploading files now can speed up the processing of your application.Drag And Drop Pay Stubs, State Identification, Residency Verification here: Drop files here or Select files Max. file size: 2 MB, Max. files: 5. Is the application fee being paid to the property manager or to CLC Screenings?* Property Manager CLC Screenings Terms and Conditions*I understand that the above information provided is only the first step in the application process. This application will be forwarded to the property manager you listed on the application. Once the property manager confirms that the property is still available, and that minimum qualifications have been met, you will be receiving a second email requiring your authorization to run the background and credit check. Application fees paid to the property manager or CLC Screenings ARE NOT REFUNDABLE. Please continue to check your email for the next step in the application process. Yes, I agree and authorize CAPTCHANameThis field is for validation purposes and should be left unchanged.