Hazelwood Homes
Single-Family Rentals

Rental Application

For the home at 1428 Hazelwood Ln

We're glad you're considering making 1428 Hazelwood Lane your home. Please tell us about yourself and everyone who'll live here. We read every application personally and aim to respond within three business days.

The home you'd like
Property
1428 Hazelwood Ln
Desired move-in
Sept 1, 2026
Lease length
12 months
Monthly rent
$ 2,650
Primary applicant
Jordan A. Whitfield
07/22/1988
[email protected]
(555) 318-2204
XXX-XX-2207
Who will live here
Name
Relationship
Age
Jordan A. Whitfield
Applicant
37
Casey Whitfield
Spouse
35
Mabel Whitfield
Daughter
6
1 dog, 45 lbs, neutered
2 — sedan + pickup
Current housing & landlord reference
903 Linden Ct, Apt B
3 yrs
Pinewood Properties
(555) 770-4412
Need more space
Employment & income
Cedar Valley Schools
Teacher
$ 5,400
6 yrs
L. Park · (555) 222-1190
Non-smoking household Renter's insurance Lawn care welcome Long-term intent
Emergency contact & signature
Renee Whitfield — mother
(555) 640-8821
Authorization to verify & screen

I certify that everything in this application is true and complete. I authorize Hazelwood Homes to verify my income and employment, to contact my current and prior landlords, and to obtain a credit report, rental-history report, and background report in order to evaluate my application. I understand that providing false information is grounds for denial or for ending any tenancy that results.

Jordan A. Whitfield
Applicant signature
June 17, 2026
Date
Chloe Vandenberg
Co-applicant signature
June 17, 2026
Date

Hazelwood Homes · Equal Housing Opportunity · We welcome applicants of every background.