VBG Rentals Property Rental Applicant

Location You Are Interested In
Personal Information
Applicant Name

Date of Birth

Mobile Phone

Other Phone

Email Address

Drivers License Number
Emergency Contact Information
Emergency Contact

Phone

Relationship
Spouse Occupant Information
Spouse/Partner Name

Date Of Birth

Mobile Phone

Other Phone

Email

Drivers License Number

Other OccupantsOccupant #1

Occupant #2

Occupant #3

Occupant #4
Vehicle Information
Vehicle #1 Make/Model/Year

Tag #

Vehicle #2 Make/Model/Year

Tag #
Current & Previous Address Information
Present Address/Apartment

City

State

Zip

Occupied Dates From

To

Monthly Rent Amount

Owner/Manager's Name

Phone

Reason For Moving

Previous Address/Apartment

City

State

Zip

Occupied Dates From

To

Monthly Rent Amount

Owner/Manager's Name

Phone

Reason For Moving
Questionnaire

Has any civil judgement been entered against you for the collection of a debt in the past 10 years? Yes No
Have you filed for bankruptcy in the past 10 years? Yes No
Have you ever been evicted or refused to pay rent for any reason? Yes No
Have you, or do you intend to possess, sell or use illicit drugs or narcotics in your residence? Yes No
Have you ever been arrested for a felony or convicted of a misdemeanor? Yes No
Have you ever rented from VBG Rentals before? Do you know any VBG renters? Yes No
Do you hav any water-filled furniture or fish tank, or do you plan to get any? Yes No

If the answer to any of these questions is Yes, please explain