North Carolina Rental Application
This rental application is designed in accordance with North Carolina state laws. Please provide accurate information to facilitate the processing of your application.
Applicant Information
Full Name: ______________________________________
Date of Birth: ____________________________________
Social Security Number: __________________________
Phone Number: ___________________________________
Email Address: ____________________________________
Current Address
Street Address: ___________________________________
City: _____________________________________________
State: North Carolina
Zip Code: ________________________________________
Length of Time at This Address: ____________________
Previous Address (if less than 2 years at current address)
Street Address: ___________________________________
City: _____________________________________________
State: ___________________________________________
Zip Code: ________________________________________
Length of Time at This Address: ____________________
Employment Information
Employer Name: ___________________________________
Position: _________________________________________
Duration of Employment: _____________________________
Monthly Income: ____________________________________
Employer Phone Number: _____________________________
References
- Reference Name: _______________________________
- Relationship: _________________________________
- Phone Number: ________________________________
- Reference Name: _______________________________
- Relationship: _________________________________
- Phone Number: ________________________________
Additional Information
Have you ever been evicted? (Yes/No) _________________
If yes, please explain: _____________________________
Do you have any pets? (Yes/No) _____________________
If yes, please provide details: ______________________
By signing below, I affirm that the information provided in this application is true and accurate to the best of my knowledge.
Applicant Signature: _______________________________
Date: ____________________________________________