New Renter Screening Questionnaire

Section 1:

General Information

First Name: *

Last Name: *

Date of inquiry: *

Best Contact Phone: *

Section 2:
Rental Property Address

Address *

Rental Property Street Address *

City: *

State: *

Postal code: *

Section 3:
Rental Preferences:

Desired Bedrooms: (choose one) *

0/1

2

3

4+

Preferred Move-In Date: (choose one) *

1-15 Days

15-30 Days

30+ Days

Desired Duration of Stay: (choose one) *

6-12 Months

12 Months+

Financial Information:

Job Name & Description: (primary applicant) *

Length of Employment: (primary applicant) *

Monthly Household Income: (after tax) *

$

Household Information:

How Many Family Members: (excluding pets) *

Age of Family Members: (include all ages) *

Number of Pets: *

Type and Size of Pets: (if none, enter "NA") *

Credit and Background:

Credit Score: *

0 - 300

300 - 500

500 - 700

700+

Additional Details: (Credit)

Will Prior Evictions Appear on Background Check? *

Yes

No

Additional Details (Background):

Additional Information:

Current Property Address: *

Landlord's Contact Information: *

Other Information, Comments or Questions:

Follow-Up:

Best Time for Follow-Up Call: *

8am - 12pm

12pm - 4pm

4pm - 7pm

Preferred Contact Method: *

Phone

Email

Text

Additional Details:

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