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Rental Application

 

How to Return:

 

  1. Fill out completely
  2. Sign and date
  3. Include the following with your application (we can copy for you)
  • copy of your ID
  • copy of ID of all adult occupants (if any)
  • copy of any and all income sources such as:

i. 4 most recent consecutive paycheck stubs

ii. Income print out of such as government, SSI, disability, food stamps, child support, etc.

*all income MUST be verifiable

  • $35 application fee per applicant
  • If you have Section 8 submit your payment standard form

4. Return application and documents to 1431 Portage Ave, South Bend, IN 46616

  • They can be dropped off in the dropbox on the side of the building

 

 

NOTES:

 

    1. Application fee is non-refundable.

*Your application will not be processed until this is paid.

  1. If your application is not complete it will delay the processing time and we will not be able to determine your eligibility until complete.
  2. Renters Insurance is a required before your lease can be signed.
  3. Your application will be automatically denied if you have one of the following:
  • an eviction within the past 2 years
  • a criminal conviction of drug distribution
  • a balance owed with your current landlord
  • if any information is found to be untrue or falsely represented

*This page MUST be returned along with the rest of the application and documentation.

House you are applying for?:

Applicant Information
Name:
Other names:

Date of birth:
SSN:
Phone:

Status: singlemarrieddivorced
Since

Divorced Since
Driver License #:
State:

Current Address:
City:

State:
Zip Code:
Email:

How did you hear about us?:
ownrent
Monthly payment or rent:

Are you up to date?               yn
How long?

Landlord:
Landlord Phone:
Landlord Fax:

Reason for leaving:

Previous Address
Previous Home Address:
City/State/Zip:

Landlord:
Landlord Phone:
How long have you resided here?

ownrent
Monthly payment or rent:
Were you up to date?                 yn

Reason for leaving:

Employment Information
Current employer:
How Long?:

Employer address:

Phone:
E-mail:
Fax:

City:
State:
Zip:

Position:
Hourly: $
Salary: $
Annual: $

Emergency Contact
Name of person not living with you:

Address:

Phone:
E-mail:
Fax:

City:
State:
Zip:

Relationship:
Telephone:

Applicant Vehicle Information
Year:
Make:
Model:
Color:
Plate #:
State:

ownleasepurchase
Monthly Payment:
Lien Holder:

Year:
Make:
Model:
Color:
Plate #:
State:

ownleasepurchase
Monthly Payment:
Lien Holder:

Applicant Income
Amount:$
weeklybiweeklymonthlyyearly
Source:
Proof of Income: yn

Amount:$
weeklybiweeklymonthlyyearly
Source:
Proof of Income: yn

Amount:$
weeklybiweeklymonthlyyearly
Source:
Proof of Income: yn

Applicant Financial Information
Credit Card Company:
Creditors Phone:
Monthly Payment:
Balance Owed:

Credit Card Company:
Creditors Phone:
Monthly Payment:
Balance Owed:

Child Support/ Wage Garnishment:
Creditors Phone:
Monthly Payment:
Balance Owed:

Personal Bank:
Account Number:
Monthly Payment:
Balance:

Co-Applicant Information
Name:
Other names:

Date of birth:
SSN:
Phone:

singlemarrieddivorced
Married Since:
Divorced Since:
Driver License #:

Current Address:
City:

State:
Zip Code:
Email:

ownrent
Monthly payment or rent:
Are you up to date? yn
How long?

Landlord:
Landlord Phone:
Landlord Fax:
Reason for leaving:

Co-Applicant Previous Address
Previous Home Address:
City/State/Zip:

Landlord:
Landlord Phone:
How Long?:

ownrent
Monthly payment or rent:
Were you up to date?          yn

Reason for leaving:

Co-Applicant Employment Information
Current employer:
How Long?

Employer address:

Phone:
E-mail:
Fax:

City:
State:
Zip:

Position:
Hourly: $
Salary: $
Annual: $

Co-Applicant Emergency Contact
Name of person not living with you:

Address:

City:
State:
Zip:

Relationship:
Telephone:

Co-Applicant Vehicle Information
Year:
Make:
Model:
Color:
Plate #:
State:

ownleasepurchase
Monthly Payment:
Lien Holder:

Year:
Make:
Model:
Color:
Plate #:
State:

ownleasepurchase
Monthly Payment:
Lien Holder:

Co-Applicant Income
Amount:$
weeklybiweeklymonthlyyearly
Source:
Proof of Income: yn

Amount:$
weeklybiweeklymonthlyyearly
Source:
Proof of Income: yn

Amount:$
weeklybiweeklymonthlyyearly
Source:
Proof of Income: yn

Co-Applicant Financial Information
Credit Card Company:
Creditors Phone:
Monthly Payment:
Balance Owed:

Credit Card Company:
Creditors Phone:
Monthly Payment:
Balance Owed:

Child Support/ Wage Garnishment:
Creditors Phone:
Monthly Payment:
Balance Owed:

Personal Bank:
Account Number:
Monthly Payment:
Balance:

Proposed Occupants
Name:
Relationship:
Occupation:
Age:

Name:
Relationship:
Occupation:
Age:

Name:
Relationship:
Occupation:
Age:

Name:
Relationship:
Occupation:
Age:

Name:
Relationship:
Occupation:
Age:

Name:
Relationship:
Occupation:
Age:

Name:
Relationship:
Occupation:
Age:

Name:
Relationship:
Occupation:
Age:

Proposed Pets
Name:
Type:
Breed:
indooroutdoor
Age:

Name:
Type:
Breed:
indooroutdoor
Age:

Name:
Type:
Breed:
indooroutdoor
Age:

Applicant Questionnaire
Have you ever been sued for bills? yn
Has the Sherriff ever locked you out of a property? yn

Have you ever been bankrupt?
yn
Have you ever been brought to court by a Landlord? yn

Have you ever broken a lease?             yn
Have you ever moved owing rent or left a property damaged? (Please explain)             yn

Have you ever been convicted of a felony? (Please explain)
yn
Do you have the total money for move in available now? yn
If No, how much do you have? $
When can you pay the rest?

Have you been evicted within last 2 years? yn
Have you been charged with Drug Distribution within the last 2 years? yn

References
Name:
City/State/ Zip:
Phone:

Name:
City/State/ Zip:
Phone:

Name:
City/State/ Zip:
Phone:

Applicant(s) authorize Val’s Property Management, LLC (VPM) to contact present and past landlords, employers, creditors, credit bureaus, the county, the state, run civil and criminal background checks and any other sources deemed necessary to investigate applicant(s). All information is true, accurate and complete to the best of my knowledge. VPM reserves the right to disqualify applicant(s) if information is not as represented on this form. All funds paid to VPM are non-refundable including application fees, holding fees and rent.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON REPRESENTATION OF THIS FORM OR PHOTOCOPY OF THIS FORM AT ANY TIME.

Applicant Signature
Date :

Co-Applicant Signature
Date :

VERIFICATION OF RENTAL HISTORY
Current Landlord:
Phone/Email:

We are requesting verification of rental history for the individual(s) named below who state they are a present or former tenant. Please complete the information and either email to: office@vpmpr.com or fax to 574-218-6690.

I hereby authorize you to release my information regarding my tenancy to the inquiring landlord.

TENANT SIGNATURE
DATE

ID PICTURE
*Allowed file format .jpg and .pdf
PAYCHECK STUBS
*Allowed file format .jpg and .pdf
PROOF OF INCOME
*Allowed file format .jpg and .pdf

Submit messages or work orders to the office here:

About Valerie

valsphtxValerie Swihart is the founder and managing broker on site...

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Contact Information

Office Locations

1431 Portage Avenue,
South Bend, IN 46616

See Location

Phones

  O.  574.334.8989
  F.  574.218.6690

Our Email

office@vpmpr.com
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