1. Rent -To -Own FULL Application
(Complete One Application Per Adult 18 +yrs who is to reside in the home)
Address applying for:____ _________________________
Desired M ove -In Date: ____________________________
Full Name: _______________________ _ Email: ______________________________________
Dat e of Birth: __________ Drivers License #: _____ _______ ____ ____ State Issued : ______
Day Phone: (_____)____ __ _____________ Evening Phone: (___ ___)______ ___ ___________
How Much of a Down Payme nt 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 T his Address?_________ Current Rent Payment $__ __________________
Landlord/Manager’s Name_________ _______________ ______ __.
Landlord/Manager’s Phone: (_____)_________________ Lease E xpires 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 Nam e:__ ____________________ Phone Number: (_____)_________

2. Employer’s Name: _______________________ Phone Number: (_____)_________________
Employer’s Address: ____________________________ _______________________________
Current Position/Job Title: _ ________ _________ Gross Monthly Salary $_____________
How Long at Present J ob/Line of Work? _________
Other Monthly Income (US Dollars) $___________ Source: _______________________
Have You Ever….? (Check All That Apply)
( ) Yes ( ) No - Ha d 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 Re ference #1: _______________________________ Relationship_______________
Phone: (_____)_________________
Personal Reference #2: _______________________________ Re lationship_______________
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 BuyLittleRockProperties.com m 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: ________________________