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Attach additional pages if necessary. Submit to Landlord/Property Manager Name by Submission deadline e.g. , MM/DD/YYYY  \nApplicant Information Full Name  \n\n| Date of Birth |\n| --- |\n| Social Security Number |\n| Driver’s License |\n| State ID |\n| Current Address |\n\nContact Information  \n\n| Phone | Email |\n| --- | --- |\n\nVehicle Information (if applicable)  \n\n| Make/Model |  |  |\n| --- | --- | --- |\n| Year |  |  |\n| License Number |  |  |\n| Parking Space Required? | Yes | No |\n| Pets and Smoking |  |  |\n| Do you have pets? | Yes | No |\n| If yes, please specify |  |  |\n\n\n| Do you smoke? | Yes | No |\n| --- | --- | --- |\n\nVirginia Rental Application Form 01  \nRental Name  \nCompany Address City, State ZIP Code  \nCompany Phone Number  \nCompany Email Address  \n\n| Rental History | Current Landlord Name |  |  |\n| --- | --- | --- | --- |\n|  | Landlord Contact |  |  |\n|  | Current Address |  |  |\n|  | Move-In Date |  |  |\n|  | Move-Out Date (if applicable) |  |  |\n|  | Reason for Leaving |  |  |\n|  | Monthly Rent | $ |  |\n|  |  |  |  |\n| Background Information | Do you consent to a background check? | Yes | No |\n|  | Have you ever been evicted? | Yes | No |\n|  | If yes, please explain |  |  |\n|  |  |  |  |\n|  | Do you have a criminal record? | Yes | No |\n|  | If yes, please explain |  |  |\n|  |  |  |  |\n\nEmployment Information  \nCurrent Employer  \n\n| Employer Address |\n| --- |\n| Employer Contact |\n| Position |\n| Employment Duration |\n| Monthly Income $ |\n\nVirginia Rental Application Form 02  \nRental Name  \nCompany Phone Number  \nCompany Email Address  \nCompany Address City, State ZIP Code  \n\n| Emergency Contact | Name |\n| --- | --- |\n|  | Relationship |\n|  | Contact |\n|  |  |\n| Reference | Name |\n|  | Relationship |\n|  | Contact |\n|  |  |\n\nConsent and Acknowledgment  \nBy signing below, I affirm that the information provided is true and accurate to the best of my knowledge. I authorize Landlord/Property Manager Name to verify all information, including contacting employers, landlords and references.  \nInitial here:  \nI consent to a background and credit check as part of the application process.  \nApplicant  \n\n| Signature |  |\n| --- | --- |\n| Date | MM/DD/YYYY |\n\nVirginia Rental Application Form 03  \nRental Name  \nCompany Email Address  \nCompany Phone Number  \nCompany Address City, State ZIP Code  \nFor Landlord Use Only Application Received  \nNotes/Verification Results  \nApplication Status  \nMM/DD/YYYY  \nApproved Denied  \nMM/DD/YYYY  \nVirginia Rental Application Form 04","cbCaihEXrBvjwjPg","https://ap.wps.com/l/cbCaihEXrBvjwjPg","pdf",127856,"English","# Rental Details\n## Applicant Information\n## Contact Information\n## Vehicle Information\n# Rental History\n## Background Information\n# Employment Information\n# Emergency & References\n# Consent & Acknowledgment\n# Landlord Use Only","[{\"question\":\"What information is required in the Virginia rental application form?\",\"answer\":\"The form requires applicant full name, date of birth, Social Security number, driver’s license or state ID, current address, and rental details such as property address, unit number (if applicable), lease term, and expected move-in date.\"},{\"question\":\"Does the form ask for consent to a background check and credit check?\",\"answer\":\"Yes. The applicant must provide initials confirming consent to a background and credit check as part of the application process.\"},{\"question\":\"What does the landlord section include?\",\"answer\":\"The form includes a landlord-use-only area for application received date, notes/verification results, application status (approved/denied), and additional dates.\"}]","Virginia Rental Application Form 01 - Form details | PDF",1789833123]