West Virginia Rental Application
This rental application is designed for potential tenants seeking to lease a property in West Virginia. Please fill out all sections completely. This document adheres to state rental laws to ensure a fair application process.
Applicant Information
Full Name: _________________________________________
Date of Birth: _______________________________________
Social Security Number: _____________________________
Phone Number: _______________________________________
Email Address: ______________________________________
Current Address
Street Address: _____________________________________
City: _______________________________________________
State: West Virginia
Zip Code: __________________________________________
Rental History
Current Landlord's Name: ____________________________
Landlord's Phone Number: ___________________________
Duration of Stay: ____________________________________
Reason for Leaving: __________________________________
Employment Information
Current Employer: ____________________________________
Job Title: __________________________________________
Employer's Address: _________________________________
Phone Number: _______________________________________
Monthly Income: ______________________________________
Additional Information
Please answer the following questions:
- Have you ever been evicted? (Yes/No) ___________
- Do you have any pets? (Yes/No) ________________
- Are you a smoker? (Yes/No) ____________________
Emergency Contact
Name: ___________________________________________
Relationship: ______________________________________
Phone Number: ______________________________________
Consent
By signing below, you give permission to the landlord to conduct a background check and verify the information provided in this application.
Signature: ____________________________ Date: ____________
Thank You!
Your application will be reviewed promptly. If you have any questions, feel free to reach out. We look forward to the possibility of you becoming a resident!