Virginia Rental Application
This application is designed to help landlords in Virginia evaluate prospective tenants.
Please complete all sections accurately and truthfully to expedite the approval process. This application complies with Virginia state laws governing rental agreements.
Applicant Information
- Full Name: ___________________________
- Date of Birth: ________________________
- Social Security Number: ______________
- Driver’s License Number: ______________
- Email Address: ______________________
- Phone Number: _______________________
- Current Address: ______________________
- City: ________________________________
- State: _______________________________
- Zip Code: ___________________________
Employment Information
- Employer Name: ______________________
- Position: ____________________________
- Salary: _____________________________
- Start Date: _________________________
- Employer Phone Number: ______________
Rental History
- Previous Address: ____________________
- City: ________________________________
- State: _______________________________
- Landlord/Property Manager Name: ______
- Landlord Phone Number: ______________
- Duration of Stay: ____________________
- Reason for Leaving: __________________
References
- Name: ________________________________
- Relationship: _________________________
- Phone Number: ________________________
Disclosure
By signing below, the applicant authorizes the landlord to verify all information provided in this application. This may include a credit check, criminal background check, and rental history verification.
Signature: ___________________________
Date: ________________________________
Please return this completed application to the landlord or property manager for review.