Rent Applications

Interested in one of our available units for rent? Simply fill out the information below. For final verification, you’ll need to come to our office to sign the application and bring in a copy of your ID. For faster application processing, make sure to include full information such as your First, Middle Initial, and Last name with your current contact information. If you have questions regarding the rental application, please contact us at info@rodmanrealty.com or by phone at 360-425-3700

rental app

Click here for rent application

Admittance Policy

 Yes I read through and agree to the terms and conditions of the Admittance Policy above


Property you are applying for:

Personal Information

Applicant's Name:

Spouse's Name (or none):

Applicant:

Date of Birth

Driver's License #

Social Security #
Your social security number is not required now, but will be required at a later date in order to submit an application for a unit.

Spouse:

Date of Birth

Driver's License #

Social Security #

Other Occupants:

Name

Age

Name

Age

Name

Age

Name

Age

(For more occupants please use comment box at the bottom of this form.)

Employment

Applicant:

Employed by (or none)

Position

Supervisor


Date Employed

Income($)

Per

Phone

Spouse:

Employed by (or none)

Position

Supervisor


Date Employed

Income($)

Per

Phone


Additional Income (if any):

Income($)

Per

Source of Income

Rental History

Do you have pets?

YesNo

If so, how many?


How many people will occupy this unit?

# Occupants

Do any smoke?

 Yes No

Have you ever been party to an eviction?

 Yes No

Have you ever filed for bankruptcy?

 Yes No

Have you ever been convicted of a crime?

YesNo

Do you have renter's insurance?

YesNo

Current Address (or none)

Street

City


State

Zip

Phone

Move-in Date:

Date

Reason for Moving:

Specify


Current Landlord (or none):

Name

Phone

Rent ($)


Former Address (or none):

Street

City


State

Zip

Phone


Move-in Date:

Date

Move-out Date:

Date


Reason for Moving:

Specify


Former Landlord (or none):

Name

Phone

Rent($)

Vehicles

How many vehicles will be parked on the premises?

Cars

RV's

Boats

Other

Vehicle 1:

Specify

Make

Model


License Number

Year

Color

Vehicle 2:

Specify

Make

Model


License Number

Year

Color

Emergency Information

Nearest Relative:

Name

Relationship

Phone


Address:

Street

City


State

Zip

In case of emergency, notify:

Name

Relationship

Phone


Address:

Street

City


State

Zip

Additional

Email address:

Where did you find us?


Please specify:

Comments:

**Read carefully before submitting**

APPLICANT, AND SPOUSE IF APPLICABLE, ("UNDERSIGNED") HAS EXAMINED THE ABOVE INFORMATION AND AGREES IT IS TRUE AND THAT ANY INCORRECT OR FALSE STATEMENT MAY BE CAUSE FOR A REJECTION OF THIS APPLICATION. UNDERSIGNED FURTHER REPRESENTS THAT HIS/HER RENTAL AND CREDIT REPORT RECORDS ARE IN GOOD STANDING. UNDERSIGNED GIVES PERMISSION FOR RODMAN REALTY, INC. TO CHECK HIS/HER EMPLOYMENT HISTORY, OBTAIN A CRIMINAL RECORDS CHECK, CREDIT RECORD AND TO SUPPLY ANY INFORMATION TO CURRENT AND FORMER LANDLORDS IN ORDER TO OBTAIN PRIOR RENTAL INFORMATION. UNDERSIGNED AGREES THAT THE INFORMATION CONTAINED IS NOT PRIVILEGED NOR CONFIDENTIAL.