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Town of Angier NC
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Rental Application
Town of Angier NC
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Rental Application
Town of Angier NC
Contact Us

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Rental ApplicationMrunal Shivarkar2023-09-27T14:32:25+00:00

Rental Application

Address of Unit Applied For:
Earliest date you can accept unit:
DD slash MM slash YYYY
Latest date:
DD slash MM slash YYYY
Maximum rent desired: $
Name:
Date of Birth:
DD slash MM slash YYYY
Social Security #:
Current Street Address:
City:
State:
Zip:
E-mail address:
Cell phone:
Are you employed? (check one):
- Yes
- No
Are you a student? (check one):
- Yes
- No
If student: Who will pay your rent?
Relationship to you
*If you are a student, you must provide financial documentation supporting your ability to pay rent. Supporting documents include the Letter of Endorsement (available on our website, completed by your parent or guardian), a financial aid award letter, a bank statement, or any other proof of income.
If employed: Name of employer:
Supervisor:
Address:
Phone:
Length of employment:
Income: $
per
Full-time? (check one):
- Yes
- No
Part-time? (check one):
- Yes
- No
Hours per week?
Other income:
Spouse’s name:
Date of Birth:
DD slash MM slash YYYY
Social Security #:
Cell phone:
E-mail address:
Is spouse employed? (check one):
- Yes
- No
Is spouse a student? (check one):
- Yes
- No
If employed: Name of employer:
Supervisor:
Address:
Phone:
Length of employment:
Income: $
per
Full-time? (check one):
- Yes
- No
Part-time? (check one):
- Yes
- No
Hours per week?
Present landlord (if renting):
Phone number:
Previous landlord:
Phone number:
Address:
Do you have pets?
- Yes
- No
If yes, complete the following:
Cat(s) #
Age(s)
Weight(s)
Declawed (check one):
- Yes
- No
Dog(s) #
Age(s)
Weight(s)
Breed(s)
Other pets? (check one):
- Yes
- No
Type of pet(s)
NOTE: For the duration of your occupancy, you must obtain written permission from LBP before obtaining a pet of any kind. Additional deposits, fees, or increase in monthly rent may apply.
Are you a smoker? (check one):
- Yes
- No
If yes (check one)
- Inside
- Outside
Number of persons to occupy unit: Adults
Children (list ages):
Names of persons to occupy unit:
Vehicles: Make/Model:
Year:
Color:
License Plate #
State:
Make/Model:
Year:
Color:
License Plate #
State:
In case of emergency, please notify:
Relationship:
Street Address:
City:
State:
Zip:
Phone:
Please answer the following questions with yes or no:
Do you understand that no pets are allowed unless agreed to in the Lease Agreement?*
Do you understand that if the lease consists of more than one person, you are all jointly responsible for the rent payments and all other terms of the lease?*
Do you understand that if one roommate moves or defaults, the others become totally responsible for the rent and the terms of the lease?*
Do you understand that the security deposit is a damage deposit and returnable only if lease period and terms are fulfilled and unit is left in good, clean condition?*
Do you understand that the security deposit is not to be used as the last month’s rent?*
Do you understand that each applicant must fill out a separate application, unless married, and each applicant will be placed on the lease?*
I acknowledge that the above statements are true and complete and further authorize verification of such statements including release of any police records, if needed during your tenancy. I verify that I am of legal age (18 years or older).

I authorize a check on my credit history, and rental references.
I authorize a check on my credit history, and rental references.*
- Yes
- No
Date (for applicant)*
DD slash MM slash YYYY
Date (for spouse)*
DD slash MM slash YYYY

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