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Rental Application

Click to download rental applicationIn order to rent a Greenamyre residential or commercial property, a rental application and screening process must be completed. Please fill out and submit the form below. You can also download this form, complete it and fax or mail it in to the Greenamyre Rentals office. Click here to download a PDF version. Our address and fax number are located at the bottom of this page.

Applicant Information
Applicant 1 First Name:
Applicant 1 Last Name:
Applicant 1 SS#:
Applicant 2 First Name:
Applicant 2 Last Name:
Applicant 2 SS#:
Contact Phone:
Contact E-mail:
Do the above listed people live together currently?      
Address:
City:
State:  Zip:
Current Landlord Name:
Landlord Phone:
 

Requested Household Member Information
Name: Relationship: DOB:
Name: Relationship: DOB:
Name: Relationship: DOB:
Name: Relationship: DOB:
Name: Relationship: DOB:
   

Rental History
Previous Address 1:
Rental Duration: From:
  To:
Landlord Name:
Landlord Phone:
Reason for Leaving:
   
Previous Address 2:
Rental Duration: From:
  To:
Landlord Name:
Landlord Phone:
Reason for Leaving:
   

Employment
Employer 1:
Business Address:
Your Title or Department:
Employment Duration: From:
  To:
  
Monthly Income:
Supervisor Name:
Supervisor Phone:
   
Employer 2:
Business Address:
Your Title or Department:
Employment Duration: From:
  To:
Monthly Income:
Supervisor Name:
Supervisor Phone:
Other Income Sources:
   

Financial Information
Bank 1 Name:   Acct. #:
Bank 2 Name:  Acct. #:
Creditor 1 Name:
Account Number:   Current Balance:
Creditor 2 Name:
Account Number:   Current Balance:
Creditor 3 Name:
Account Number:   Current Balance:
   

Character References (list only those you've known at least 1 year, no relatives)
Reference 1 Name:   
Phone #:
Address:   
Occupation:
Reference 2 Name:   
Phone #:
Address:   
Occupation:
Reference 3 Name:   
Phone #:
Address:   
Occupation:
   

Criminal History

Have you or any member of your household been convicted of a felony within the last 5 years? If yes, please describe the conviction:
 

   

Pets
Type of Pet/Description:   
Weight: lbs.
Type of Pet/Description:   
Weight: lbs.
   

Vehicles
Vehicle 1 Make/Model:  
  Year:  Tag #:
Vehicle 2 Make/Model:  
  Year:  Tag #:
Vehicle 3 Make/Model:  
  Year:  Tag #:
   

In Case of Emergency, Contact:
Emergency Contact 1:
Relationship:   Phone Number:
Emergency Contact 2:
Relationship:   Phone Number:
Emergency Contact 3:
Relationship:   Phone Number:
   

Application Terms
By checking this box, I/we certify that the above information is true to the best of our knowledge and that we are the person/s who will reside in the residence. I/we are giving permission to confirm all information on the application. This may include a credit report and examination of Tenant References list to confirm tenancy as listed on the application. I/We agree to allow Greenamyre Rentals, Inc. and/or its agents authorization to investigate any personal, financial, and credit records, through investigative or credit checking means of the landlord’s choice for the purpose of determining my/our acceptability to rent property.
   

How/Where Did You Hear About Us?
(check only one)











 

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