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Virginia Rental Application Form

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Virginia Rental Application Form Page 2
Virginia Rental Application Form
NVAR – K1008 – rev. 05/08 Page 2 of 4
APPLICANTS AGREE AND UNDERSTAND THAT:
1. This Application, each occupant and each pet are subject to acceptance and approval by the Landlord.
2. The Listing Company is obligated to present all Applications to the Landlord until the Lease is signed.
3. Landlord and Landlord’s Agent may rescind acceptance and resume marketing the Premises at any time until
the Lease is signed.
4. Proof of current income is required. For example:
Latest Pay Statements/Stubs
Last 2 years’ Form W-2 for hourly or weekly pay persons
Last 2 years’ Form 1040 and Schedule C (if applicable) of self-employed or persons with tip income
Copy of LES and orders for military
5. This Application consists of four pages which must be completed in full. Incomplete or missing information
will result in delay of a decision. Willful misrepresentation may be grounds for invalidating a Lease.
6. A draft of the proposed Lease may be reviewed through the Listing Broker. If Landlord and Applicant cannot
agree on terms, the deposit will be refunded.
7. Applicant must present valid photo identification or 2 forms of ID before signing the Lease.
8. The Applicant is responsible for obtaining property and liability insurance (Renter’s Insurance) and assuming
utility accounts where required before occupying the Premises.
9. Any move-in fees and utility deposits are the responsibility of the Applicant.
10. Only those persons listed in the Application are to live in the premises.
11. The Premises are not to be used for business except with full knowledge and consent of the Landlord and in
conformity with all applicable laws and regulations.
12. Applicant has no Leasehold interest until the Lease is signed.
I/we agree to the above conditions and authorize the firm processing this Application to verify any
information contained herein and to perform any credit or investigative inquiries necessary in
properly evaluating this Application, and any renewal. If any information is found to be false or
misleading, the Application may be summarily rejected.
Signed Applicant 1 Date Signed Applicant 2 Date
APPLICANT 1
Name
Date of Birth Social Security Number
Current Street Address
City State Zip
From: To: $
Dates of Occupancy Rent Mortgage
Landlord/Management/Mortgage Co. Name
Phone # Fax #
Reason for Moving
APPLICANT 2
Name
Date of Birth Social Security Number
Current Street Address
City State Zip
From: To: $
Dates of Occupancy Rent Mortgage
Landlord/Management/Mortgage Co. Name
Phone # Fax #
Reason for Moving
Virginia Rental Application Form