Rental Application

How did you hear about us?*

Application Date*

Available Rental Locations*

Lincolnville Road Rental
Smart Road Rental

Move in Date*

Co-Applicant?*

Yes
No

Co-Applicant Name

Applicant Name*

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Previous Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth*

State of Identification*

For example (Maine)

State ID Number or DL Number

Home Phone

Cell Phone*

Email*

Minor 1*

Persons under 18 year of age who will be living in the house (Type "NA" if not applicable in boxes)

Minor 1 Date of Birth if under 18 years old

Minor 2*

Persons under 18 year of age who will be living in the house (Type "NA" if not applicable in boxes)

Minor 2 Date of Birth if under 18 years old

Minor 3*

Persons under 18 year of age who will be living in the house (Type "NA" if not applicable in boxes)

Minor 3 Date of Birth if under 18 years old

Are you currently renting?

Yes
No

If yes, please fill out landlord information below.

Landlord

Landlord best contact number

Reason for leaving?

Monthly Rent

Pets? (indoor/outdoor)*

0
1
2
3+

Describe all your pets (cat, dog, hamster, snake, etc)

Occupation*

Employer/Company*

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer Contact Number

Supervisor Name*

Supervisor Contact Number*

Start Date*

End Date or Current Date*

Monthly Net Salary

Years Employed with Current Employment?

Other Forms of Income?

Yes
No

Other Income Amount

Do you have a bank account?*

Yes
No

Bank Name

Bank Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Bank Contact Number

Do you plan to use this bank to pay Peak Market Homes?*

Yes
No

Do you want Peak Market Homes to Auto Draft your rent payment from your bank account when due?*

Yes
No

Do you have a credit card?*

Yes
No

Emergency Contact*

Emergency Contact Email Address*

Emergency Contact Phone*

Please provide any additional information about you that we should know about?

Agreement and Permission*

I recognize that as part of your procedure for processing my rental application, an investigative consumer credit report and a criminal report may be prepared whereby information is obtained through current and/or previous Landlords. By my signature below, I represent that all of the information that I have disclosed in this Rental Application is true, accurate, and complete. I acknowledge that all of the information I have disclosed is material and Landlord is relying on the information to decide whether to grant or deny this Application. I authorize to order and review my credit and criminal history and investigate the accuracy of all information contained in this Rental Application. I further authorize all banks, employers, and creditors to provide any and all information concerning my credit.

Yes, I do agree to the information above is true and accurate. I do authorize Peak Market Homes to conduct a criminal or credit history check.
No, I do not agree.

Security Check: Please solve the simple math question to continue*

7 + 9 =

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Peak Market Homes Rental Application