SCREENING FORM
Personal Information
Tenant History
Prev. Rental Information
Misc. Information
Thank you for your submission!
SCREENING FORM
Personal Information
Full Name
Date of Birth
Phone Number
Email
Current Employer & Occupation
Tenant History
Planned Move-in Date
Planned Move-Out Date
Have you declared bankruptcy in the past 7 years?
Yes
No
Have you ever been evicted from a rental residence?
Yes
No
Have you had two or more late rental payments in the past year?
Yes
No
Have you been convicted of a felony in the past 10 years?
Yes
No
Previous Rental Information
Current Landlord Reference Information
Current Address
Previous Address
Reason for Leaving Previous Address:
Misc. Information
What are some hobbies or interests that you currently have?
Are there any roommates?
Yes
No
Do you agree to hold renter's insurance while leasing?
Yes
No
For the Farmington property only:
Do you understand that the unit is a duplex (with separate entries, kitchens, and bathrooms) and that laundry is shared?
Yes
No
N/A
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