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Missouri Rental Application
Complete Request Form Below (1 form per applicant)
Select Property Location
*
Select
410 Cherokee Ave, Seneca (brick)
412 Cherokee Ave, Seneca (red)
340 Cherokee Ave, Seneca
911 S. Main Street, Joplin
909 1/2 S. Main Street, Joplin
2816 S. Main Street, Joplin
223 E. Main Street, Neosho
THE APPLICANT/BUSINESS
Applicant's Full Name
*
First
Last
SSN
*
Phone Number
*
Date of Birth (mm/dd/yyyy)
*
Email Address
*
Photo ID
*
Select One
Driver's License
Passport
Other
Business Name
*
Business EIN#
*
Additional Occupants
*
Yes
No
ID#
*
If yes, describe:
*
CURRENT RESIDENCE/COMPANY LOCATION
Property Type
*
Select One
Apartment
Condominium
Home
Other
Property Address
*
Monthly Rent ($)
*
Bedrooms (#)
*
Lease Start (mm/dd/yyyy)
*
Baths (#)
*
Square Feet (SF)
*
Lease End (mm/dd/yyyy)
*
Reason For Moving
*
Landlord's Name
*
Landlord's Phone Number
*
Landlord's Email Address
*
PREVIOUS RESIDENCE/LOCATION - 1
Property Type
*
Select One
Apartment
Condominium
Home
Other
Monthy Rent ($)
*
Bedrooms (#)
*
Property Address
*
Baths (#)
*
Square Feet (SF)
*
Lease start (mm/dd/yyyy)
*
Lease End (mm/dd/yyyy)
*
Reason For Moving
*
Landlord's Name
*
Landlord's Phone Number
*
Landlord's Email Address
*
PREVIOUS RESIDENCE/LOCATION - 2
Property Type
*
Select One
Apartment
Condiminium
House
Other
Monthly Rent ($)
*
Bedrooms (#)
*
Lease Start (mm/dd/yyyy)
*
Reason For Moving
*
Property Address
*
Baths (#)
*
Square Feet (SF)
*
Lease End (mm/dd/yyyy)
*
Landlord's Name
*
Landlord's Phone Number
*
Landlord's Email Address
*
CURRENT EMPLOYER
Company Name
*
Title/Occupation
*
Start Date (mm/dd/yyyy)
*
Supervisor's Phone Number
*
Employer's Address
*
Gross Monthly Income ($)
*
Supervisor's Name
*
Supervisor's Email Address
*
PREVIOUS EMPLOYER
Company Name
*
Title/Occupation
*
Start Date (mm/dd/yyyy)
*
Supervisor's Phone Number
*
Employer's Address
*
Gross Monthly Income ($)
*
Supervisor's Name
*
Supervisor's Email Address
*
VEHICLE(S)
Do you own a vehicle?
*
Yes
No
Year
*
Make
*
Plate #
*
Color
*
Do you own a second vehicle?
*
Yes
No
Make
*
Plate #
*
Color
*
Model
*
State
*
Year
*
Model
*
State
*
REFERENCES
Full Name #1
*
Email Address
*
Full Name #2
*
Email Address
*
Full Name #3
*
Email Address
*
Relationship
*
Phone Number
*
Relationship
*
Phone Number
*
Relationship
*
Phone Number
*
BACKGROUND INFORMATION
HAVE YOU EVER BEEN EVICTED OR A DEFENDANT IN AN EVICTION ACTION?
*
Yes
No
Have you ever filed, or are you in the process of filing bankruptcy?
*
Yes
No
If yes, describe:
*
Do you have any outstanding balances with past landlords?
*
Yes
No
If yes, Describe:
*
Have you ever been convicted of a crime?
*
Yes
No
If yes, describe:
*
If yes, Describe:
*
Have you ever been asked to move for a lease violation of any kind?
*
Yes
No
If yes, describe:
*
CONSENT & ACKNOWLEDGEMENT
I hereby certify that I am at least 18 years of age and that all information given on this application is true and correct. I authorize the Landlord and its agents to obtain an investigative consumer credit report including, but not limited to, credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords, employers, bank representatives, and personal references. I agree to furnish additional credit and/or personal references upon request. I understand incomplete or incorrect information provided in this application may cause a delay in processing, which may result in denial of tenancy. This investigation is for resident screening purposes only and is strictly confidential. I hereby hold the Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information.
Important information about your rights under the Fair Credit Reporting Act:
You have a right to request disclosure of the nature and scope of the investigation.
You must be told if information in your file has been used against you.
You have a right to know what is in your file, and this disclosure may be free.
You have the right to ask for a credit score (there may be a fee for this service).
You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete, or unverifiable information.
Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington D.C. 20580.
In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting agencies:
Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111
Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA, 92631, (714) 738-3800
Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397-3742
These consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general reputation, personal characteristics, and mode of living. In connection with my application for housing, I authorize owner/agent to obtain a consumer report from the consumer reporting agencies listed above.
APPLICANT'S SIGNATURE: _________________________________ Date:
_________________________________
Printed Name:
_________________________________
Submit application
Home
About Us
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>
Plan Action COVID-19
Privacy
Services
Advertising
Creative
E-Marketing
Internet Sales
Social Media
Videos
Web Design
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Company Swag
Venue
Seneca Venue
Suites Vacation Rental
Cedar Vacation Rental
Executive VAZZO Suites
Den VAZZO Suites
Suites Local Guidebook
Chair and Table Rentals
Venue Preferred Partners
Promo Products
Our Reviews
Venue Survey
Hour Survey
PeeWee Motocross Book
Take Action
Localiqordering
Platinum Capital Renovations
MO Rental Application
Shop Our Products
UA-90405019-1