Rental Application | Ashby Real Estate

Property Applied For

Building / Property *

Apartment / Unit *

Advertised Monthly Rent

Desired Move-In Date *

Applicant Information

Full Legal Name *

Date of Birth *

Email *

Phone *

Social Security number is not collected on this application.

Current Residence

Street Address *

City *

State / ZIP *

How Long at This Address?

Current Monthly Rent

Reason for Moving

Owner / Manager

Owner / Manager Phone

Previous Residence

Street Address

City

State / ZIP

How Long at This Address?

Previous Monthly Rent

Reason for Moving

Owner / Manager

Owner / Manager Phone

Proposed Occupants

Names of all persons who will occupy the rental *

Do not list relationships, marital status, pregnancy, or other protected-class information.

Employment and Income

Occupation / Position

Employer

Duration of Employment

Employer Phone

Supervisor / Contact

Gross Monthly Income

Other lawful income you want considered (optional)

You do not need to disclose protected information. Lawful public assistance or housing subsidies will not be treated unfavorably because of the source.

Rental and Criminal History

I have previously been evicted from rental housing.

Have you ever been convicted of a felony?

A “Yes” response does not automatically result in denial. Any criminal-history screening will be considered in accordance with applicable law and Ashby Real Estate’s screening criteria.

Pets and Smoking

Do you have any pets?

If yes, describe

Do you smoke?

Requests concerning service or assistance animals are handled separately when raised by an applicant.

Vehicles

Vehicle 1 — Make / Model / Year / Color

Vehicle 1 — License Plate

Vehicle 2 — Make / Model / Year / Color

Vehicle 2 — License Plate

References and Emergency Contact

Personal Reference #1 — Name

Phone

Personal Reference #2 — Name

Phone

Emergency Contact — Name

Phone

Reasonable Accommodation

Ashby Real Estate provides reasonable accommodations and reasonable modifications to qualified individuals with disabilities as required by applicable law. If you need an accommodation in completing this application or during the application process, please contact management.

Applicant Authorization and Certification

I authorize Ashby Real Estate, Ashby Team LLC, and their authorized representatives to verify information provided in this rental application, including contacting current and previous landlords, employers, references, and other appropriate sources. I authorize Ashby Real Estate and Ashby Team LLC to obtain consumer reports for legitimate rental-housing purposes, which may include credit, rental-history, eviction-record and criminal-background information, as permitted by applicable law.

I certify that the information I have provided is true and complete to the best of my knowledge. I understand that materially false or misleading information may be grounds for denial of my application or, where permitted by law, termination of a tenancy obtained through material misrepresentation.

I have read and agree to the Applicant Authorization and Certification above and authorize the screening and verification described. *

Electronic Signature

Type Your Full Legal Name *

Signature Date

I intend my typed name above to serve as my electronic signature for this rental application. *

Identity Verification

Photo identification is not collected with this initial rental application. If identity verification is needed later in the application process, Ashby Real Estate will provide separate secure instructions.