APPLY NOWPlease Click Below to Fill Out The Application Form HUNTINGTON, WV APPLICATION HUNTINGTON, WV RENTALS Desired Date of Occupancy: * Desired Length of Occupancy * No. of Bedrooms / Size of Office or Retail Space Requested: * Reason for Moving: * The Following Deposits are Required: Security Deposit Equal to One Month's Rent. The deposit will be returned to the Applicant if the Premises are not rented to the Applicant. The Applicant understands that the Landlord may perform a credit check to verify the Applicant's credit references and credit history in connection with the processing of this Rental Application. APPLICANT INFORMATION Name * First Name Last Name Email Number of Occupants * Please List Number of Adults & Number of Children Smokers * Yes No Pets * Yes No Present Address * How Long At Present Address * Home Phone Number * (###) ### #### Landlord's Name * First Name Last Name Landlord's Phone Number * (###) ### #### Current Rent Payment * $ Prior Address * How Long At Prior Address * Home Phone Number * (###) ### #### Landlord's Name * First Name Last Name Landlord's Phone Number * (###) ### #### Prior Rent Payment * $ Reason for Moving * Social Security Number * Driver's License Number * Vehicle Model & Year * License Number SOURCES OF INCOME * Wages, Salary, Commission, Tips, Gov't Assistance, Child Support/Alimony, Other EMPLOYMENT Current Employer * How Long Have You Worked There Position Supervisor Business Phone (###) ### #### Annual Income $ Prior Employer How Long Have You Worked There NEAREST RELATIVE NOT LIVING WITH YOU Name * First Name Last Name Address * Phone Number * (###) ### #### Relationship * MORE QUESTIONS Do you own real estate? * Yes No Have you ever been convicted of a felony? * Yes No Have you ever willfully and intentionally refused to pay rent when due? * Yes No Are there any circumstances which may interrupt your income or ability to pay rent? * Yes No Have you ever been convicted of a felony? * Yes No IF A SECOND ADULT WILL BE RENTING THE PREMISES, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM. Please provide names of other tenants, including children and anyone who will live with you, even if on a temporary basis. Name First Name Last Name Present Address How long at present address? Phone Number (###) ### #### Please specify if this is an adult or a child. Please also list your relationship with this person. Occupation School Line PRIMARY APPLICANT: I represent that the information provided in this Application is true and correct to the best of my knowledge. Premier Properties, LLC is authorized to verify the references and employment information given in this Application and to request a credit check. * By Typing the Applicant's Name Below, You Agree to the Statement Above Date MM DD YYYY CO-APPLICANT: I represent that the information provided in this Application is true and correct to the best of my knowledge. Premier Properties, LLC is authorized to verify the references and employment information given in this Application and to request a credit check. * By Typing the Co-Applicant's Name Below, You Agree to the Statement Above Date MM DD YYYY IT IS AGAINST THE LAW TO DISCRIMINATE AGAINST PROSPECTIVE TENANTS ON THE BASIS OF RACE, RELIGION, NATIONAL ORIGIN, AGE, DISABILITY OR FAMILY STATUS. LOCAL OR STATE LAWS MAY INCLUDE ADDITIONAL CLASSES WHICH ARE PROTECTED FROM DISCRIMINATION IN HOUSING. The information provided by the prospective tenant(s) may be used by Premier Properties, LLC to determine whether to accept this Application. Upon written request within 60 days, Premier Properties, LLC will disclose to the Applicant in writing the nature and scope of any investigation Premier Properties, LLC has requested, and will, if the Application is refused, state in writing the reason for said refusal. Thank you!
