Mississippi Rental Application Form

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The Mississippi Rental Application Form provides some valuable relief to property managers who utilize this tool to implement a rental application process when seeking a new tenant. This form will organize the applicant’s information in a format that will be consistent throughout applications. It will also enable a candidate to follow a logical method for reporting their information for review. Landlords are also given the option to request credit and background checks for all their applicants. The application contains a consent line allowing an applicant the security of knowing precisely what is being consented to while enabling property managers to easily record the applicant’s consent with the application. These are just some of the considerations addressed with this application.

Application Fee (No Statute) – There is no state regulation regarding application fees.

Security Deposit (No Statute) – There is no limit set by Mississippi law on how much the landlord may request.

How to Write

Step 1 – The first section will be used to identify the applicants seeking a rental property. From left to right enter your Last Name, First Name, Middle Initial, Maiden Name, Social Security, and Date of Birth. If there is a Co-Applicant, then, on the second line, enter the Last Name, First Name, Middle Initial, Maiden Name, Social Security Number, and Date of Birth for a Co-Applicant. Then, on the third line, enter the email of the Applicant and Co-Applicant.

Step 2 – The next section, under the heading “Names of all other occupants to live in the property,” enter the Last Name, First Name, Middle Initial, and Relationship (to you) of any individual who will live on the property but has not signed the lease.

Step 3 – The third section, labeled “Pets,” requires you to report the total number of pets you plan on living on the property. The table below it will require you to enter the Name of your pet, the Type/Breed, Size/Weight, and Age. There will be two Yes/No boxes to indicate if the pet has been Spayed/Neutered and if the pet has been Declawed. Mark “yes” if they have had these procedures in the appropriate box and “no,” if they have not had the procedure being asked about.

Step 4 – The next section, under the heading “Present of Last Residence (Required),” enter the Address, Apt./Unit Number, City, State, and Zip Code of this residence. On the next line, you will also be required to enter your Home Phone Number, Work Number, and Cell Phone Number. On the third line, enter the Date you moved into this residence, and the Date you will be moving out next to the words “Resided From” and “Resided to” respectively. Then enter your Monthly Mortgage Payment and/or Monthly Rental Payment. The sixth line of this section shall require the name of the Mortgage Company or Landlord Name, Landlord’s Daytime Phone Number, and the Current Lease End Date. Below this state your reason for moving.

Step 5 – Under the heading “Previous Address,” several blank spaces are provided to report similar information to your current residence, if you have been there less than two years. Enter your Previous Address, Apt/Unit Number, City, State, Zip Code, the time period you lived there (next to the words “Resided From” and “Resided To”), the Monthly Mortgage Payment and/or Monthly Rental Payment, the Name of the Mortgage Company or Landlord you paid, the Landlord’s Phone Number, the Lease Date, and your Reason for Moving.

Step 6 – The next section requiring attention is “Employment History.” The first area of this section is labeled “Present Employment.: Here, on the first line enter your Employer’s Name in the box labeled “Employed By.” The next three boxes are applicable if you have served in the military. Here, enter your Rank/Rate, Branch served, and Length of Service.

Step 7 – Under the heading “Present Employment,” locate the box labeled “Business Address.” Here enter your job’s Business Address, the City it is located in, the State it is located in, and the Zip Code associated with that address.

Step 8 – Under the heading “Present Employment,” locate the line beginning with the word “Position.” Here enter the Position you hold with your employer, your Salary, the Number of Hours/Week you work, and your Employment Start Date.

Step 9 – Under the heading “Present Employment,” locate the line beginning with “Supervisor Name and Title. On this line, report the name of your Supervisor at work then, his/her Contact Number.

Step 10 – Locate the heading labeled “Previous Employment.” If you have worked for your current employer for under a year, then fill this area out. This section will ask for similar information as the previous information regarding your previous job. Starting with the box labeled “Employed by,” enter the name of your Employer, (if applicable) your previous military Rank/Rate, Branch, and Length of Service. On the next line enter this employer’s Business Address, City, State, and Zip Code. The next line shall require the Position you held there, Salary, the Number of Hours/Week you worked there, the Employment Start Date, your previous Supervisor’s Name and Title, and his/her Contact number.  If there is a co-applicant, they must provide the same information regarding their employment status under the headings “Co-Applicant Present Employment” and “Co-Applicant Previous Employment (if with present employer less than (1) year).

Step 11 – The next area is labeled “Additional Income.” There will be a brief table here requiring the Applicant and (if applicable) Co-Applicant report the Amount earned from the additional income, the Source of the additional income, and how often this income is received (under the column labeled “Per.”)

Step 12 – Locate the table labeled “Financial History.” This will be where you may list your financial status. The first table will establish the basics. In the first column, enter the name of your Financial institution. Then report the Type of Account you hold there, your Account Number, and your Current Balance.

Step 13 – The next section, labeled “Monthly Payments,” also contains a table regarding your finances. Here, in the first column, enter the names of companies, medical practitioners, etc. you make regular payments to. Then for each of these entities enter the Purpose of the Payment, Balance, and Monthly Payment Dollar Amount in the appropriate columns.

Step 14 – If other financial information must be reported and is attached to this document, check the box marked “Yes.” If not, check the box marked “No.” Then proceed to the box below this question. Answer each question accurately. If you answer “Yes” to any of these questions, you must provide an explanation.

Step 15 – The next section, “Vehicles,” is where you may report information regarding your Automobile, Motorcycle, Van, Truck, Trailer, Camper, RV, Boat, Commercial Vehicles, etc. In this table report the Make, Model, Year, Color, State, and License Number of your vehicles.

Step 16 – In the section labeled “Other Information,” place a checkmark in the box labeled “Yes,” if you own a waterbed. If not, place a checkmark in the box labeled “No.”

Step 17 – The next section, “Emergency Contact,” will require the name and contact information of an individual, who will not be living with you, that may be contacted in the case of an emergency. Use this table to report this individual’s Name, Contact Phone Number, Relationship to you on the first line. Then on the second line of this table enter this individual’s Address, City, State, and Zip Code.

Step 18 – Any contingencies (conditions), that must be agreed to or removed from a future agreement or this application itself should be listed in the area labeled “Contingencies.”

Step 19 – Below this table will be a couple of paragraphs stating the information presented is accurate and giving permission to the property manager to conduct any reference, background, and credit checks necessary.  The Applicant and, if applicable, Co-Applicant must sign their names and provide a date for the signature.