Virginia Rental Application
This application is designed for potential tenants seeking rental properties in the state of Virginia. It complies with Virginia’s rental laws, ensuring a smooth application process for both landlords and tenants.
Applicant Information
Please fill out the following personal details:
- Full Name: __________________________
- Date of Birth: _______________________
- Social Security Number: ______________
- Phone Number: ______________________
- Email Address: ______________________
- Current Address: _____________________
- City: ______________________________
- State: _____________________________
- Zip Code: _________________________
Rental History
Please provide your rental history for the past five years:
- Previous Landlord Name: ______________
- Address: _____________________________
- Phone Number: ______________________
- Dates of Residence: _________________
Employment Information
Employment details help verify financial stability:
- Current Employer: ___________________
- Position: __________________________
- Employer Address: __________________
- Phone Number: ______________________
- Monthly Income: ____________________
References
Provide two personal or professional references:
- Name: ______________________________
- Relationship: ______________________
- Phone Number: ____________________
- Name: ______________________________
- Relationship: ______________________
- Phone Number: ____________________
Additional Information
Please answer the following:
- Have you ever been evicted? Yes / No
- Do you have any pets? Yes / No
- Do you smoke? Yes / No
Consent
By signing below, you authorize the landlord to conduct background checks and verify the information provided:
Applicant Signature: _____________________
Date: __________________________