Virginia Rental Application Form

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The Virginia Rental Application is a document that is provided to any applicant for the purpose of furnishing information to a landlord, owner or management company to be verified and assessed for reliability as a tenant. The document requires an extensive amount of information to include rental history, employment history, account information, credit information and much more. All occupants over the age of 18 must complete the sections within the document applying to them.

Application Fee (§ 55.1-1203(C)) – Landlords may demand an application fee not exceeding $50; this cost does not include any extra expenses paid by the landlord for performing background checks, etc.

Security Deposit (§ 55.1-1226(A)) – Landlords may demand a security deposits not exceeding two (2) months’ rent.

How to Write

Step 1 – Applicant/Landlord Information – Enter the following

  • Date the document in dd/mm/yyyy format
  • The name of the applicant(s)
  • The name of the landlord, listing broker or agent
  • Enter the address of the dwelling
  • Enter the city and county
  • Enter the date of commencement if the applicant(s) is/are accepted
  • Provide the monthly rental payment

Step 2 – Applicant Information – Provide the following information:

  • Name
  • Date of Birth
  • Home Number
  • Work Number
  • Cell Phone Number
  • Present Address
  • Years
  • Landlord
  • Landlord Address
  • Landlord’s Phone Number
  • AND
  • Previous Address
  • Years
  • Landlord
  • Landlord’s Address
  • Landlord’s Phone

Step 2 – Applicant’s Employment Information

  • Presently Employed By
  • How long?
  • Position
  • Salary (Per Wk., Mo., Yr.)
  • Supervisor
  • Telephone Number
  • AND
  • Formerly Employed By
  • How long?
  • Supervisor
  • Other Occupants: Name/Age/Relationship
  • Email Address

Step 3 – Vehicle Information – Enter vehicle information for all applicants as follows:

  • Number of Vehicles
  • Make
  • Model
  • License Number

Step 4 – Pets – Provide the following:

  • Type
  • Breed
  • Color
  • Weight

Step 5 – If tenant is currently serving in the armed services –

  • Branch
  • Rank
  • Outfit
  • Telephone

Step 6 – Other Income Applicant Would Like to be Considered –

  • Amount  (Per Wk., Mo., Yr.)
  • Source

Step 7 – Bank and/or Savings Accounts – Provide all account information as follows:

  • Bank Name/Address
  • Account Number
  • Type of Account

Step 8 – Emergency Contact Information –

  • Name
  • Address
  • Phone
  • Relationship

Step 9 – Rental and Credit History

  • Reason for leaving current residence
  • Enter all credit information
  • Have you ever been rejected for tenancy?
  • If Yes, please explain
  • Have you ever refused to pay rent when due, been a defendant in an unlawful detainer action or eviction, or otherwise been sued by a landlord for matters related to a tenancy?
  • If so, please give details, and the status of any pending actions
  • Have you ever filed for bankruptcy?
  • If so, please give dates of filing and status of case
  • Provide the names and phone numbers for three references

Step 10 – Criminal History

  • Has any Applicant ever been convicted of, pleaded guilty to, or entered a plea of no contest to any felony, or to any misdemeanor for a crime that involved harm to any other person or property?
  • If the answer is Yes, please give all details, including the specific offense(s), date(s), sentence(s) and jurisdiction(s) in which the offenses occurred, as well as any information on the status of any current probation

Step 11 – If the applicant owns any other type of motor vehicle, check the appropriate line

Step 12 – Application Fee/Third Party Costs/Application Deposit –

  • Landlord must enter all of the fees in their appropriate lines in this section

Step 13 – Guaranty – Provide the following information if required:

  • Name of Guarantor
  • Relationship
  • Date of Birth
  • Address
  • Phone Number

Step 14 – Other Provisions –

  • If other provisions are necessary, enter them into the lines in this section

Step 15 – Signatures – All applicants must provide the following information:

  • Applicant Signature
  • Date
  • Type of ID
  • Copy of Photo ID
  • AND
  • Signature of any guarantors
  • Date the signatures

Step 16 – Enter the information regarding the recipient of funds –

  • Application fee
  • Check Number
  • or Cash
  • Third Party Costs
  • Check Number
  • or Cash
  • AND
  • Enter the amount of the application deposit, paid by check or cash
  • Provide signature of the recipient
  • Date the recipient’s signature
  • Leasing Broker’s address
  • Phone number
  • Cell number
  • Email