Current rentals

RXC Management Co

Sample rental application

Reference copy only. This page shows the sections of our rental application so you can gather what you need before you apply. It is not a way to apply.

Current rentals Application standards

Interest

Property address
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 entered only in the secure online application.

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.

Applicant signature
Date
Co-applicant signature
Date