The Nice Home People
HOME
I WANT TO SELL MY HOME
CURRENT RESIDENTS
APPLICATION FOR HOUSING
This Application must be FULLY completed.
If an item does not apply to you, enter N/A in the space.
APPLICANT INFORMATION
*
Indicates required field
Full Name: First, Middle, Last
*
Other names you have used
*
Date of Birth
*
E-mail
*
Phone #
*
RESIDENCY - Go back at least 5 years (use "additional information" section if needed)
Current Address: Street, City, State, Zip
*
Dates lived here
*
Monthly Rent
*
Reason for Leaving
*
Landlord/Company name
*
Landlord's Phone #
*
Previous Address: Street, City, State, Zip
*
Dates lived there
*
Reason for leaving
*
Monthly rent
*
Previous Landlord/Company name
*
Previous Landlord's phone #
*
Employment - Go back at least 2 years (use "additional information" section if needed)
Current Employer/Source of Income
*
Employer's address
*
Supervisor's name
*
Employer's phone #
*
Your position
*
Date hired
*
Net Monthly pay
*
2nd Current Employer
*
If you don't have a second employer, put N/A in each box
2nd Employer's address
*
Supervisor's name
*
2nd Employer's phone #
*
Your position
*
Date hired
*
Net Monthly pay
*
How do you receive your income?
*
Direct Deposit
Cash
Prepaid Credit card
Paper check
Previous Employer
*
Previous Employer's address
*
Supervisor's name
*
Previous Employer's phone #
*
Your position
*
Dates worked there
*
Net monthly pay
*
BANKING / DEBTS
Bank/Credit Union name & location
*
List type & amount of monthly debts/payments (such as auto/other loans, credit cards, child support, etc)
*
Choose all that you have
*
Savings
Checking
Loan
Credit card / LOC
How much money do you have NOW for security / first week's Rent?
*
Have you ever: (Check All for which the answer is "Yes")
*
Had utilities/phone shut off or car repossessed for non-payment
Owned real estate
Been evicted or had a mortgage foreclosed
Declared bankruptcy
Had a landlord tell you to leave or START an eviction against you
Been convicted of a crime (list where, when & what)
Been late paying rent or left owing money to a landlord
Been incarcerated (when did you get out?)
Do you have any unpaid collection/judgement against you?
None of the Above
More information for anything checked on the left
*
MISCELLANEOUS
Describe your animals
*
Do you agree to smoke outside only?
*
Vehicle #1 (Year/Make/Model/Color)
*
State of Registration/ License Tag #
*
Vehicle #2 (Year/Make/Model/Color)
*
State of Registration/ License Tag #
*
List 2 people who do not live with you, to contact in the case of an emergency
1) Full Name
*
Address
*
Relationship
*
Phone #
*
E-mail
*
2) Full Name
*
Address
*
Relationship
*
Phone #
*
E-mail
*
Additional Information
*
This Application must be FULLY completed before scheduling a time to view the property. The following items MUST be brought to the viewing:
1. $30.00 cash or money order, non-refundable, application fee for each applicant
2. A government-issued photo ID
3. Proof of Employment/Income (copies of pay stubs/LES/ benefit statement for the last 2 months)
*************************************************The bottom section will be completed in person at the viewing*********
****************************************
I certify that all the information given in this application is correct and complete. I understand that my application will be denied and any application fee will be forfeited if I have made any false or incomplete statement in this application.
If I rent the residence, and it is later discovered that information given herein is false, it could be grounds for termination of tenancy and forfeiture of all money paid to the landlord/seller.
I understand the sensitive information on this form and rental agreement will be stored securely. I also understand and agree that pertinent information may be reported to credit and landlord databases at any time during or after tenancy.
I authorize The Nice Home People, LLC and it's employees/representatives to verify the information provided in this application from my credit sources, credit report, law enforcement agencies, court records, current and previous landlords and employers, and any other information source, and to do an in-home housekeeping check - all at any time.
Applicant's Printed Name:_____________________________________________________ Date of Birth:________________________
Signature:_________________________________________________________ Date: _________________________
Soc. Sec. #: ________________________________
Questions? email: dgreen.tnhp@gmail.com Phone v
oice message
: (757) 251-0814
ID Checked: ________________ App. Fee Paid: ______________ Request for Verification _____________
Submit
