North Carolina Rental Application
This Rental Application is designed to comply with applicable North Carolina state laws and regulations. It is intended to gather necessary information from prospective tenants. By completing this application, the applicant agrees to a background and credit check as permitted under North Carolina law.
Please complete all sections of this application. Incomplete applications may not be considered.
Applicant Information
Full Name: ___________________________________________________
Date of Birth: ________________________
Social Security Number: _______________________________________
Phone Number: _________________________
Email Address: _______________________________________________
Current Address: ______________________________________________
City: ______________________ State: ____ Zip Code: _____________
How long at current address: ___________________________________
Reason for moving: ____________________________________________
Employment Information
Current Employer: _____________________________________________
Employer Address: _____________________________________________
City: ______________________ State: ____ Zip Code: _____________
Job Title: _______________________
Supervisor Name: _____________________________________________
Phone Number: _________________________
Monthly Income: $_____________________________________________
How long with this employer: ___________________________________
Additional Occupants
List all additional occupants who will reside in the unit. Include all children and adults.
- Name: ___________________________________ Age: ______ Relationship: _______________
- Name: ___________________________________ Age: ______ Relationship: _______________
- Name: ___________________________________ Age: ______ Relationship: _______________
Rental History
Please list your rental history for the past 3 years.
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Address: ___________________________________________________
Landlord/Management Company: ______________________________
Phone Number: _______________________
Monthly Rent: $__________________
Dates of Residency: From ____________ To ________________
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Address: ___________________________________________________
Landlord/Management Company: ______________________________
Phone Number: _______________________
Monthly Rent: $__________________
Dates of Residency: From ____________ To ________________
References
Provide at least two references who are not relatives.
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Name: ______________________________________________________
Relationship: _______________________
Phone Number: _______________________
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Name: ______________________________________________________
Relationship: _______________________
Phone Number: _______________________
Authorization
By signing below, I authorize the verification of the information provided on this form as to my credit and employment. I understand that this is a preliminary application and does not guarantee lease or rental of property. I hereby declare that the information provided in this application is true and correct to the best of my knowledge.
Applicant Signature: ___________________________________________
Date: ___________________________