Rental Application

CHC Realty LLC

Property Interest

Which property are you interested in? * Desired Move-in Date

How did you hear about us?

Applicant Information

Primary Applicant

First Name * Last Name * Date of Birth Social Security Number Phone Number * Email

Current Address

Street Address City

State ZIP Code

Do you rent or own?

Rent Own

Monthly Rent How long at this address?

Landlord Name Landlord Phone

Reason for Moving

Previous Address

Street Address City

State ZIP Code

Landlord Name Landlord Phone

Employment Information

Income Source 1

Income Type

Employment Other Income (SSI, Disability, etc.)

Employer Name Position

Hourly Wage ($) Hours per Week

Employer Phone Employer Email

Employer Address How Long Employed?

Required Documents

Upload Required Documents

Uploaded Files (0/10 max) Total: 0 Bytes / 4 MB

No files uploaded yet

Upload Document

Need to share more documents? Email to info@chcrealty.xyz or deliver to our office.

Required documents:

Government-issued ID or Driver's License for each applicant
Proof of income (1 month of recent pay stubs, W-2, award letter, etc.) for each applicant
Additional supporting documents if applicable

Other Occupants (Under 18)

No additional occupants added

Important Note:

Anyone 18 years of age and older must be listed as an applicant and sign the lease. Having persons living in the residence other than those listed would be a breach of lease and may result in eviction.

Emergency Contact

Name Relationship

Phone Address

City State ZIP Code

Additional Information

Have you previously rented from CHC Realty?

Additional Notes or Information

By submitting this form:

I authorize the verification of the information provided on this form as to my credit and employment.
I understand that a background check may be performed.
I have received and read a copy of the rental criteria.
I certify that all information provided is accurate and complete to the best of my knowledge.

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