Online Rental Application
Applicant Personal Information
Full Name
*
Date of Birth
Date of Birth
*
/
MM
/
DD
YYYY
Driver License #
Cell Phone
Cell Phone
-
###
-
###
####
Work Phone
Work Phone
-
###
-
###
####
Other Phone
Other Phone
-
###
-
###
####
Email
Marital Status
Marital Status
Single
Married
Divorced
Do you have any pets?
Do you have any pets?
Yes
No
If yes, what kind?
Co-Applicant Personal Information
Full Name
*
Date of Birth
Date of Birth
*
/
MM
/
DD
YYYY
Driver License #
Cell Phone
Cell Phone
-
###
-
###
####
Work Phone
Work Phone
-
###
-
###
####
Other Phone
Other Phone
-
###
-
###
####
Email
Marital Status
Marital Status
Single
Married
Divorced
Do you have any pets?
Do you have any pets?
Yes
No
If yes, what kind?
Names of All Intended Occupants
Name 1
Age 1
Relationship to Applicant 1
Name 2
Age 2
Relationship to Applicant 2
Name 3
Age 3
Relationship to Applicant 3
Name 4
Age 4
Relationship to Applicant 4
Name 5
Age 5
Relationship to Applicant 5
Name 6
Age 6
Relationship to Applicant 6
Rental History
Current Address
Length of time at this address?
Landlord Name
Landlord Phone
Landlord Phone
-
###
-
###
####
Reason For Leaving
Rent
Previous Address
Length of time at this address?
Landlord Name
Landlord Phone
Landlord Phone
-
###
-
###
####
Reason For Leaving
Rent
Co – Applicant Rental History
Current Address
Length of time at this address?
Landlord Name
Landlord Phone
Landlord Phone
-
###
-
###
####
Reason For Leaving
Rent
Previous Address
Length of time at this address?
Landlord Name
Landlord Phone
Landlord Phone
-
###
-
###
####
Reason For Leaving
Rent
Employment History
Current Employer
Gross Monthly Income $
Employer Address
Employer Phone
Employer Phone
-
###
-
###
####
Supervisor
Dates Employed From
Employed To
Other Sources of Income
Co - Applicant Employment History
Current Employer
Gross Monthly Income $
Employer Address
Employer Phone
Employer Phone
-
###
-
###
####
Supervisor
Dates Employed From
Employed To
Other Sources of Income
Vehicle Information
Make
Model
Year
Color
License Plate #
State
Co – Applicant Vehicle Information
Make
Model
Year
Color
License Plate #
State
References
Name
Relationship
Address
Phone #
Phone #
-
###
-
###
####
Co – Applicant References
Name
Relationship
Address
Phone #
Phone #
-
###
-
###
####
Emergency Contact Information
Name
Relationship
Address
Phone #
Phone #
-
###
-
###
####
Co – Applicant Emergency Contact Information
Name
Relationship
Address
Phone #
Phone #
-
###
-
###
####
Click to Acknowledge
*
Click to Acknowledge
I hereby certify that I am applying for tenancy with Starr Properties and that I have read and answered all questions completely and truthfully. I authorize Starr Properties or a representative appointed by Starr Properties to obtain a credit report, a criminal report, to contact past and present employers, landlords, or any other references listed on this application. Applicant also authorized Starr Properties to verify all information on this form including full criminal records check with the Columbia Police Department, State of Missouri, and Federal Databases. Starr Properties reserves the right to disqualify the applicant based upon the information provided on this application at the sole discretion of Starr Properties. Starr Properties also reserves the right to disqualify any tenant who refuses to supply the information requested on this application.
Applicant Signature
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Date
Date
/
MM
/
DD
YYYY
Co-Applicant Signature
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Date
Date
/
MM
/
DD
YYYY
Click to Acknowledge
*
Click to Acknowledge
I hereby certify that I am applying for tenancy with Starr Properties and I authorize Starr Properties or a representative appointed by Starr Properties to obtain the following information:
Credit Report
Criminal Report
Contact Past and Present Employers
Contact Past and Present Landlords
Contact References