North Carolina Rental Application
This rental application form is provided in accordance with North Carolina laws governing residential rental agreements.
Applicant Information
Please provide the following details to process your application.
- Full Name: ______________________________________
- Current Address: ______________________________________
- City: _____________________ State: _________ Zip Code: ________
- Phone Number: ______________________________________
- Email Address: ______________________________________
- Date of Birth: ______________________________________
Rental History
List your last two places of residence.
-
Address: ______________________________________
Landlord's Name: _______________________________
Phone Number: ________________________________
Dates of Residency: ___________________________
-
Address: ______________________________________
Landlord's Name: _______________________________
Phone Number: ________________________________
Dates of Residency: ___________________________
Employment Information
Provide your current employment details.
- Employer Name: ______________________________________
- Job Title: ______________________________________
- Monthly Income: ______________________________________
- Supervisor's Name: ______________________________________
- Employer Phone Number: ______________________________________
References
Please provide two personal references who can speak to your character.
-
Name: ______________________________________
Relationship: _______________________________
Phone Number: ________________________________
-
Name: ______________________________________
Relationship: _______________________________
Phone Number: ________________________________
Authorization
By signing below, you authorize the landlord to conduct a background and credit check.
Signature: ______________________________________ Date: ________________
Thank you for your interest in renting a property in North Carolina. Your application will be reviewed promptly.