LEASE RENTAL APPLICATION Barnett Custom Homes Rental Application – Barnett Custom Homes Rentals Please complete all applicable sections. Each adult applicant age 18 or older must submit a separate application. Submission does not guarantee approval. Incomplete applications will not be accepted or reviewed. If you have any questions, please contact our office at (903) 213-8100 or info@barnettcustomhomes.com. 1. Rental Property Information Rental Property * Select PropertyUnion Grove Duplex- 2 Bed/3 Bath RentalUnion Grove Duplex- 3 Bed/2 Bath RentalEither Property Desired Move-In Date (MM-DD-YYYY) Desired Lease Term Select Lease Term12 Months24 MonthsOther 2. Applicant Information Full Legal Name * Former Name (if applicable) Date of Birth * (MM-DD-YYYY) Phone Number * Email Address * Marital Status SelectSingleMarriedOtherPrefer Not to Answer Are You a U.S. Citizen? YesNoPrefer Not to Answer Do You or Any Occupant Smoke? YesNo Will There Be a Co-Applicant? YesNo Co-Applicant Full Name (Optional) Co-Applicant Email (Optional) 3. Other Occupants List all additional occupants who will live in the property. Each adult applicant must complete a separate application. Occupant 1 – Full Name Occupant 1 – Relationship Occupant 2 – Full Name Occupant 2 – Relationship Occupant 3 – Full Name Occupant 3 – Relationship Occupant 4 – Full Name Occupant 4 – Relationship Additional Occupants 4. Current Residence Current Street Address * City * State * ZIP Code * Do You Rent or Own? RentOwnOther Date You Moved In (MM-DD-YYYY) Current Monthly Payment Apartment or Community Name Landlord or Property Manager Landlord Phone Number Reason for Leaving 5. Previous Residence Previous Street Address City State ZIP Code Did You Rent or Own? RentOwnOther Move-In Date (MM-DD-YYYY) Move-Out Date (MM-DD-YYYY) Previous Monthly Payment Previous Landlord Name Previous Landlord Phone Reason for Leaving 6. Current Employment Information Current Employer Employer Street Address Employer City Employer State Employer ZIP Employer Phone Position or Job Title Employment Start Date (MM-DD-YYYY) Gross Monthly Income Supervisor Name Supervisor Phone 7. Previous Employment Previous Employer Previous Employer Address Previous Employer Phone Previous Job Title Employment Start Date (MM-DD-YYYY) Employment End Date (MM-DD-YYYY) Previous Gross Monthly Income Previous Supervisor 8. Additional Income List additional income you want considered. Verification may be required. You do not need to disclose income you do not wish to have considered. Additional Income Type Income Source Gross Monthly Amount Second Income Source (if applicable) Second Income Monthly Amount 9. Credit and Rental History Have You Ever Been Evicted or Asked to Move? YesNo Have You Moved Out Before Your Lease Ended Without Owner Consent? YesNo Have You Declared Bankruptcy? YesNo Have You Ever Been Sued for Unpaid Rent? YesNo Have You Ever Been Sued for Property Damage? YesNo Have You Ever Been Convicted of or Received Probation for a Felony, Sex Crime, or Crime Against Persons or Property? YesNo Please Explain Any Yes Answers or Relevant Credit History 10. Vehicles Vehicle 1 Make Model Year Color License Plate and State Vehicle 2 Make Model Year Color License Plate and State Additional Vehicles 11. Animals and Pets Will You Have Any Animals? YesNo Animal 1 Animal Type Breed Age Weight in Pounds Animal 2 Animal Type Breed Age Weight in Pounds Animals may require management approval and applicable lease documentation. Assistance animals are handled in accordance with applicable fair housing requirements. 12. Emergency Contact Provide an emergency contact age 18 or older who will not reside in the rental property. Emergency Contact Full Name * Relationship * Emergency Contact Phone * Emergency Contact Email Emergency Contact Address Emergency Contact City Emergency Contact State Emergency Contact ZIP 13. How Did You Hear About Us? Google SearchFacebookFriend or FamilyDriving ByOther Referral Name or Additional Details 14. Additional Information Questions or Comments 15. Applicant Certification and Electronic Signature I certify that the information submitted in this application is true, accurate, and complete to the best of my knowledge. I understand that submitting this application does not guarantee rental approval or create a lease agreement. I understand that Barnett Custom Homes may request additional documentation to verify information provided in this application. Any application fees, screening authorizations, credit or background checks, and lease terms will be provided separately for review and authorization. Electronic Records and Signature Consent I consent to using electronic records and signatures for this rental application. I understand that my electronic signature represents my intention to sign this application. I agree to receive a copy electronically and understand that I may request a paper copy. Applicant Certification I certify that all information provided in this application is accurate and complete. I understand that materially false or misleading information may result in denial of my application, subject to applicable law. I agree to be contacted by Barnett Custom Homes regarding this rental application. Applicant Full Legal Name * Applicant Email Address * Application Date (Automatically Filled) By submitting this application, I confirm that the signature provided above is my electronic signature and that I intend to electronically sign this rental application. Δ
