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Pre-screen Form
Please fill out the form below to move forward with this rental listing.
Property Information:
Desired Rental Property Information*
Briarwood
Briarwood III
Park Village
Pine Glen
Pine Grove
Summit
West Austin
Suite type*
Select One
Studio
1 Bedroom
2 Bedroom
3 Bedroom
Desired move-in date*
Applicant Information
First Applicant*
Name
Last Name
Email Address
Phone Number
Approximate Annual Household Income
Source of Income
Employed
Disability
Unemployed
Student
Retired
Social assistance
Other
Second Applicant:
Name
Last Name
Email Address
Phone Number
Approx household income
Source of Income
Employed
Disability
Unemployed
Student
Retired
Social assistance
Other
Other Occupants:
Name
Last Name
Age
Relationship
Select One
Spouse
Partner
Child
Friend
Roommate
Other
Name
Last Name
Age
Relationship
Select One
Spouse
Partner
Child
Friend
Roommate
Other
Name
Last Name
Age
Relationship
Select One
Spouse
Partner
Child
Friend
Roommate
Other
Current Employment*
Employer
Occupation
Length of employment in months
Employer reference
Employer phone #
Current Residency*
Current Address
Length of tenancy in months
Landlord Name
Landlord phone #
Reason for leaving
Select One
Job Change or Relocation
Size of Apartment
Maintenance Issues
Problems with Neighbours
Rent Prices
School
Other
Total number of pets
Parking spaces required
Describe pets
Additional Details*
Do you consent to a credit check?
Yes
No
Have you ever been evicted?
Yes
No
Have you given current notice to your landlord?
Yes
No
Do you smoke or vape?
Yes
No
Do you have a criminal Record?
Yes
No
How did you hear about us?
Social Media
Google Search
Internet Listing Site
Referral
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if other, please specify in the Additional Notes section below
Additional Questions or Comments
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