Blank Rent-To-Own Application

1. Rent-To-Own FULL Application
(Complete One Application Per Adult 18+yrs who is to reside in the home)
Address applying for:_____________________________
Desired Move-In Date: ____________________________
Full Name: ________________________ Email: ______________________________________
Date of Birth: __________ Drivers License #: ____________________ State Issued: ______
Day Phone: (_____)___________________ Evening Phone: (______)____________________
How Much of a Down Payment Can You Raise Prior to Move-In? $___________________
What is the Highest Monthly Payment You Are Comfortable Paying? $__________________
Is Your Credit…..? (Check One) ( ) Good ( ) Fair ( ) Ugly
Comments: ___________________________________________________________________
______________________________________________________________________________
List the Full Names & Ages of Children Under 18 Who Will Be Residing in the Property:
1) ___________________________________ 2) ______________________________________
3) ___________________________________ 4) ______________________________________
5) ___________________________________ 6) ______________________________________
Description of Any Pets (Type, Age, Weight): _______________________________________
______________________________________________________________________________
Do You Have Someone to Co-sign on the Lease? ( ) Yes ( ) No
Current Address: ______________________________________________________________
How Long at This Address?_________ Current Rent Payment $____________________
Landlord/Manager’s Name________________________________.
Landlord/Manager’s Phone: (_____)_________________ Lease Expires On: _____________
Why Are You Moving From Your Current Home? ____________________________________
______________________________________________________________________________
Any details regarding your current living situation that you’d like to share: ______________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Prior Rental Address:________________________________________________________
How Long at Prior Address?_____________ Prior Rent $________/month
Prior Landlord’s Name:______________________ Phone Number: (_____)_______________

2. Employer’s Name: _______________________ Phone Number: (_____)_________________
Employer’s Address: ___________________________________________________________
Current Position/Job Title: __________________ Gross Monthly Salary $_____________
How Long at Present Job/Line of Work? _________
Other Monthly Income (US Dollars) $___________ Source: ____________________________
Have You Ever….? (Check All That Apply)
( ) Yes ( ) No - Had Your Wages Garnished?
( ) Yes ( ) No - Declared Bankruptcy?
( ) Yes ( ) No - Been Summoned to Court for Failure to Pay Rent?
( ) Yes ( ) No - Been Evicted?
( ) Yes ( ) No - Been in Foreclosure?
( ) Yes ( ) No - Been Convicted of a Sex Crime?
If Yes to any please describe:_____________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Total Credit Cards Balance: $______________ Total Monthly Payments: $_____________
Car Loan Balance: $____________ Car Loan Monthly Payment: $___________
Total Other Debt (personal loans, mortgages, etc): $_______________ Payment $ ________
Personal Reference #1: _______________________________ Relationship_______________
Phone: (_____)_________________
Personal Reference #2: _______________________________ Relationship_______________
Phone: (_____)_________________
Additional References or Comments? _____________________________________________
______________________________________________________________________________
______________________________________________________________________________
How Did You Hear About Us?
By signing below you are attesting to the fact that you are the person named in the application data contained in
the fields above and that the information you have submitted is true and accurate to the best of your knowledge. You
also hereby authorize BuyBaltimoreProperties.com and/or its partners to conduct employment verification, rental
verification, back ground check, and to verify personal references. All information on this application is held strictly
confidential and will not be shared outside of BuyBaltimoreProperties.com and those listed on this document as
references or verification contacts. This does not apply to any information submitted that is found to be false,
purposefully incorrect, fraudulent, dishonest or misleading. Should my application require a credit check, I
understand there is a $25.00 (single report) OR $40.00 (2 individuals) credit report fee. I hereby grant authorization
for said credit report(s) to be pulled only upon submission & clearing of funds to pay for the credit report(s).
Applicant Signature: _____________________________________________ Date: ________________________
Co-Applicant Signature: _____________________________________________ Date: ________________________