Rental Application | RentVerified

👤 Primary Applicant

Your full legal name and contact info as it appears on your government-issued ID.

First Name * Please enter your first name.

Last Name * Please enter your last name.

Middle Name

Date of Birth * Please enter your date of birth.

Social Security # * Enter full 9-digit SSN.

Gov't ID Type * Please select your ID type.

ID Number * Please enter your ID number.

🤖 AI Auto-Fill (Optional)

Upload a photo of your Driver's License or Passport — we'll try to auto-fill your name and ID number.

📷 Upload ID Photo

Email Address * Please enter a valid email.

Phone Number * Please enter your phone number.

Current Address

Street Address * Please enter your street address.

City * Please enter city.

State * Please select state.

ZIP * Please enter ZIP.

Monthly Rent Paid * Please enter current rent amount.

How long at this address? * Please enter duration.

👥 Co-Applicant

Optional. Add a co-applicant who will share financial responsibility for the lease.

Add a Co-Applicant

Spouse, partner, roommate, or co-signer

First Name *

Last Name *

Date of Birth *

SSN *

Relationship *

Email *

Phone *

Gov't ID Type *

ID Number *

Monthly Gross Income *

🏘️ Residential History

List your previous addresses (up to 3). Include landlord contact info if available.

💼 Employment & Income

Current employment and income. Monthly gross income = before taxes.

Employment Status * Please select employment status.

Monthly Gross Income * Please enter your monthly income.

🤖 AI Pay Stub Scanner (Optional)

Upload a photo or scan of your most recent pay stub — we'll auto-fill your income and employer details.

📄 Upload Pay Stub

Employer Details

Employer Name

Job Title / Position

Start Date

Supervisor Name

Supervisor Phone

Work Address

Additional Income (Optional)

Source

Monthly Amount ($)

👨‍👩‍👧 Occupants & Pets

List everyone who will live in the unit. Adults 18+ must submit their own application.

Pets

List all pets. Unauthorized pets may result in lease termination. Pet deposit or pet rent may apply.

💳 Financial Background

Answer honestly. False statements may result in immediate disqualification.

Estimated Credit Score Range

Have you ever filed for bankruptcy?

No Yes

Type (Ch. 7, 11, 13)

Discharge Date

Explain

Have you ever been evicted or asked to vacate?

No Yes

Year

City / State

Explain

Do you have outstanding judgments, liens, or unpaid rent owed to a landlord?

No Yes

Explain

⚖️ Criminal Disclosure

Utah law requires disclosure. A criminal history does not automatically disqualify applicants — context matters.

Have you been convicted of a felony in the last 7 years?

No Yes

Offense

Year

Explain

Have you been convicted of a misdemeanor involving violence, theft, or property damage in the last 5 years?

No Yes

Offense

Year

Explain

Are you currently listed on a sex offender registry?

No Yes

🆘 Emergency Contact

Someone we can reach if you are unreachable. This person does not live in the unit.

Full Name * Please enter emergency contact name.

Relationship * Please select relationship.

Phone Number * Please enter phone number.

Email Address

Address

✍️ Authorization & Signature

Read carefully and sign to submit your application.

⚠️ Application & Screening Fee: $45.00
A non-refundable fee covers your background and credit check via TransUnion SmartMove. You will be redirected to a secure payment page after submission.

Please confirm each of the following:

Please check all boxes above before signing.

Your Signature

Draw with mouse or finger

Please provide your signature before submitting.

Print Full Legal Name * Please enter your printed name.

Date * Please enter today's date.

🎉

Application Submitted!

Your application has been received and is under review. You'll receive a confirmation email shortly.

APP-2026-XXXX

The landlord typically responds within 1–2 business days. Check your email for updates.

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🏠 Rental Application

Property

Add a Co-Applicant

Application Submitted!