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RXC Management Co

Sample rental application

Printable sample for the Sterling, Colorado NECO portfolio. This page is a document, not an online submit. Use it to see the sections of a full application, or print and complete by hand.

Interest form Application standards

Interest

No street addresses are listed until a unit is vacant and listable. Mark one:

Coming soon Waitlist
Desired move-in
Bedrooms
Bathrooms
Square footage
Pets (preference only): No Yes
If yes, type / count

Applicant information

Full legal name
Date of birth
Phone
Email
Photo ID type / state
Current city
Current ZIP

Do not write a Social Security number on this sample. Identification numbers are collected only through a secure screening step if a unit is offered.

Household

List every person who would live in the home. Adults typically complete their own application.

Occupant 1 / age
Occupant 2 / age
Occupant 3 / age
Co-applicant name
Relationship

Current and prior housing

Current address
Dates there
Landlord / owner
Phone
Reason for leaving
Prior address
Dates / landlord

Employment and income

Employer
Position
Length of work
Supervisor / phone
Other income source

Do not write bank account numbers on this sample. Income is verified if a unit is offered; there is no published dollar cutoff on this page.

Vehicles

Make / model / year
Plate / state
Second vehicle

Parking, if any, is confirmed with the specific unit at offer.

References

Personal reference
Phone / relation
Housing reference
Phone
Emergency contact
Phone / relation

Notes

Move-in timing, household details, or anything else we should know.

Authorization

I certify that the information on this application is true and complete. I understand this is not a lease and does not reserve a home. I authorize RXC Management Co and the property owner to verify this information and to obtain consumer reports as permitted by law for housing. I understand that rent, deposits, and screening costs — if any — are unit-specific and confirmed at offer. Applications are for the Sterling, Colorado / NECO rental portfolio only.

Applicant signature
Date
Co-applicant signature
Date