Rental Application PropertyProperty Interested In:*Select PropertyGENERAL APPLICATION: Property address not listed5804 S. Ball St. Fayetteville, AR 72704ApplicantName* First Middle Last Social Security NumberDate of BirthEmail* Phone*Marital StatusSingleMarriedSeparatedDivorcedIs there a Co-Applicant?*YesNoWill there be other occupants?*YesNoCo-ApplicantName First Middle Last Social Security NumberDate of BirthEmail PhoneOther OccupantsNameDOBSSNRelationshipNameDOBSSNRelationshipCurrent/Previous AddressesCurrent Address Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Reason for MovingRentHow LongMove in DateLandlord's NameLandlord's PhonePrevious Address Previous Address (If less than 2 years) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country RentHow LongMove in DateLandlord's NameLandlord's PhoneRental HistoryHave you ever made a LATE rental payment?YesNoIf yes, why:Have you ever been EVICTED from a previous residence?YesNoIf yes, why:Have you ever BROKEN or NOT FULFILLED the terms of a LEASE CONTRACT?YesNoIf yes, why:EmploymentApplicant Employment EmployerEmployer Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer PhoneLength of EmploymentAnnual IncomeCo-Applicant Employment EmployerEmployer Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer PhoneLength of EmploymentAnnual IncomeEmergency ContactName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneRelationshipPet Information(An additional Pet Deposit and Pet Policy Addendum will be required when applicable. All pets must be Pre-approved. Certain restrictions apply.)Do you have a pet(s)?YesNoType of AnimalBreed of AnimalWeightAgeNameIs the animal housebroken?YesNoHas the Pet ever been known to attack or cause an injury to a person?YesNoVehicle InformationVehicle #1 MakeModelState AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Tag NumberColor Vehicle #2 MakeModelState AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Tag NumberColorTerms and ConditionsAPPLICATION FEE: $25 per person: A credit report. Background Check and Rental History verification on Applicant(s) may be obtained by Agent on behalf of Owner prior to execution of a lease. Applicant(s) consents to the obtaining of such reports. The application fee is non-refundable. SECURITY DEPOSIT: All money deposited with this application including the first month's rent, will be held as a security deposit. This security deposit and first month's rent will NOT be refunded if the Owner/Agent approves Applicant's credit and references and Applicant(s) decides, jointly or severally, not to rent the house applied for by Applicant. All of the security deposit and first month's rent will be refunded if Owner/Agent does not approve Applicant's credit or references. LEASE EXECUTION: Upon approval of the Rental Application by RC Properties, parties agree to execute the RC Properties Lease for the applied for property within five (5) business days. If Lease is not executed within five (5) business days, RC Properties reserves the right to cancel the Application. In such an event, the Applicant(s) will forfeit the Security Deposit and RC Properties may immediately rent the property to another party. VERIFICATION: I represent that all of the information in this rental Application is true and accurate to the best of my knowledge, and I acknowledge that the Owner/Agent will rely on this information in considering this application. Furthermore, in the event that the Owner/Agent determines that any of the foregoing information is false, I waive any rights that I may have under applicable law to notice or the establishment of grounds for eviction without prior notice or the establishment of ground for eviction. CERTIFICATION: For the purpose of allowing Owner/Agent to evaluate my application and determine my suitability as a resident, I hereby certify that neither I nor any potential occupants of my home have ever been charged with or convicted of a felony or any crime involving theft, violence, fraud, illegal drugs, or a sexual offense of any kind whatsoever.CONFIRMATION OF ACCEPTANCE: I have read and understand the terms of this application as stated above. The application cannot be processed without this confirmation. Applicant* I ACCEPT Co-Applicant I ACCEPT PhoneThis field is for validation purposes and should be left unchanged.