Property Applying For
210 N. 29th Street Apt B Richmond, Virginia 23223
Personal Information
First Name
Last Name
Email
Home Phone
Work Phone
Cell Phone
SSN
Date of Birth    
Occupancy Date
Current Address
Address
Apt #
City
State
Zip
Years Occupied
Own or Rent?
Current Rent/Mortgage
Previous Address
Address
Apt #
City
State
Zip
Years Occupied
Own or Rent?
Previous Rent/Mortgage
Employment Info
Employer
Position
Years Worked
Gross Annual Salary/Income $
Supervisor Name
Supervisor Phone
Address
Other Income
Total Annual Amount $
Source(s)
Vehicle(s) Info
Number of Cars
Car Make(s)
Car Model(s)
Car Year(s)
License Plate(s)
Pet(s) Info
Number of Pets
Pet Type(s)
Pet Breed(s)
Pet Color(s)
Pet Weight(s)
Occupant(s) Info
Other Occupant(s)
Their relationship to you
Occupant Ages
Need Visual Smoke Detector?
Require handicapped accessible unit?
Do you have a criminal record?
If so, please explain.
Have you ever been evicted?
If so, please explain.
Why are you moving?
Emergency Info
Emergency Contact
Emergency Info
Electronic Signature
Electronic Signature
Bank Info
Name of Bank