A blue image in the shape of a star with text that says 'Apply'.

Application to Rent

Application to Rent from Jim McNeely Real Estate & Property Management, Inc.

(In the event of co-tenants other than spouse or anyone 18 yrs of age + use separate application)

Co-Signer W/Current Tenant Move in Special Other

Manager

Who Showed you the property?

Application Fee $45 per applicant

PROPERTY INFORMATION

Property address for which you are applying?

Unit Rent$

Anticipated move-in-date

Have you given legal notice where you currently live?

How did you hear about our property?

Have you seen the interior of the property?

PERSONAL INFORMATION

Property address for which you are applying?

States and counties in which you have lived as an adult: (If more than one applicant clarify which belongs to who)

Home Number

Mobile Number

Alternate Number

Please provide the additional documents in order for us to process your application in a timely manor.

We need a copy of an ID for all adults applying.
Also, income verification for the past two months (paycheck stub, etc.)

Applicants

Last Name

First name

Middle

Birthdate

Driver's License # and State

Soc. Sec. #

Photo ID Verification:

Spouse's

Last Name

First Name

Middle

Birthdate

Driver's License # and State

Soc. Sec. #

Names and birth dates of other occupants

Photo ID Verification:

Do you have waterbed Insurance? Yes No

Do you have pets? Yes No

Type/Breed/Quantity/Description of pet(s)

CURRENT RESIDENCE

Applicants Address

Present Street Address (include apt #)

City

State

Zip

Why are you vacating your current residence?

Monthly Payment$

Move-In-Date

Own Rent

Email Address

Name of

Landlord Phone Number

Landlord Night Phone

PREVIOUS RESIDENCES

Applicants #1

Previous Street Address (include apt #)

City

State

Zip

Move-In-Date

Move-Out-Date

Own Rent

Monthly Payment$

Name of

Landlord Phone Number

Landlord Night Phone

Reason for vacating property

Applicants #2

Previous Street Address (include apt #)

City

State

Zip

Move-In-Date Month & Year

Move-Out-Date Month & Year

Own Rent

Monthly Payment$

Name of

Landlord Phone Number

Landlord Night Phone

Reason for vacating property

Spouse's #1

Previous Street Address (include apt #)

City

State

Zip

Move-In-Date Month & Year

Move-Out-Date Month & Year

Own Rent

Monthly Payment$

Name of

Landlord Phone Number

Landlord Night Phone

Reason for vacating property

Spouse's #2
Previous Street Address (include apt #)

City

State

Zip

Move-In-Date Month & Year

Move-Out-Date Month & Year

Own Rent

Monthly Payment$

Name of

Landlord Night Phone

Reason for vacating property

Position Held

Salary/Hourly Wage

EMPLOYMENT HISTORY

Applicant - Employed By

Name

Address

City

State

Zip

Phone

Hire Date

Position Held

Salary/Hourly Wage

Income Verification:

Spouse - Employed By

Name

Address

City

State

Zip

Phone

Hire Date

Position Held

Salary/Hourly Wage

Income Verification:

ADDITIONAL INCOME SOURCE

Amount

Frequency

Income Verification:

ADDITIONAL INCOME SOURCE #2

Amount

Frequency

Income Verification:

CREDIT & LOAN REFERENCES

Auto #1(Make & Model)

License Plate

State

Monthly Payment $

Auto #2(Make & Model)

License Plate

State

Monthly Payment$

Bank or Savings and Loan

Branch

Savings Account #

Checking Account #

ADDITIONAL INFORMATION

Applicant

Have you ever filed for bankruptcy OR had a foreclosure? Yes No

Describe

Has an eviction ever been filed against you? Yes No

State

Country

Describe

Have you ever pleaded guilty to, been convicted of, or have pending against you, a criminal charge? Yes No

Date

State

Country

Describe

SPOUSE

Have you ever filed for bankruptcy OR had a foreclosure? Yes No

Describe

Has an eviction ever been filed against you? Yes No

State

Country

Describe

Have you ever pleaded guilty to, been convicted of, or have pending against you, a criminal charge? Yes No

Date

State

Country

Describe

Feel free to elaborate regarding any bankruptcy/credit, eviction, or criminal history here?

Describe

By checking this box you are agreeing with our disclosure agreement and that the above information is true I Agree