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

Desired move-in

Lease length

Monthly rent

Primary applicant

Full legal name

Date of birth

Phone

SSN / ITIN

Who will live here

Name

Relationship

Age

Jordan A. Whitfield

Applicant

Casey Whitfield

Spouse

Mabel Whitfield

Daughter

Pets (type / weight)

Vehicles parked here

Current housing & landlord reference

Current address

Years there

Current landlord

Landlord phone

Reason for moving

Employment & income

Employer

Position

Gross monthly income

Years there

Supervisor & phone

This will be our home — check all that apply

Non-smoking household Renter's insurance Lawn care welcome Long-term intent

Emergency contact & signature

Emergency contact

Their phone

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.

Applicant signature

Date

Co-applicant signature

Date

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