Virginia Rental Application - Form - Application for Rental Tenancy

Sep 19, 2026

Virginia rental application form collecting applicant identity, contact details, current and previous residence history, employment and income information, and landlord contact details. Includes a co-applicant section and sections for lease dates and moving reason. Applicant certification confirms age eligibility, authorizes consumer credit and background checks (including OFAC, court records, criminal records, and sex offender registry), and acknowledges confidentiality. Fair Credit Reporting Act rights are provided, along with disclosure, dispute, and access to consumer reports.

LanguageEnglish

CategoryForms

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Application Fee and Property Details

Applicant Information

Current Residence

Previous Residence

Employment

Each adult applicant must submit a separate application. VIRGINIA RENTAL APPLICATION Application Fee: $ Property Address: Monthly Rent: $ Landlord’s Name: Landlord’s Phone Number: Landlord’s E-mail Address: Are you co-applying with anyone else? ☐ Yes ☐ No If yes, enter their names: Date: _________ APPLICANT INFORMATION Applicant’s Full Name: Date of Birth: SSN: Driver's License \# : Phone Number: E-mail Address: CURRENT RESIDENCE Property Address: Monthly Rent: $ Lease Start: Lease End: Reason for Moving: Landlord’s Name: Landlord’s Phone: Landlord’s E-mail Address: PREVIOUS RESIDENCE Property Address: Monthly Rent: $ Lease Start: Lease End: Reason for Moving: Landlord’s Name: Landlord’s Phone: Landlord’s E-mail Address: EMPLOYMENT Occupation: Employer: Start Date: Gross Monthly Income: $ Supervisor’s Name: Supervisor’s Phone: I hereby certify that I am at least 18 years of age and that all information given on this application is true and correct. I authorize the Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search, and registered sex offender search. I authorize the release of information from previous or current landlords, employers, bank representatives, and personal references. I agree to furnish additional credit and/or personal references upon request. I understand incomplete or incorrect information provided in this application may cause a delay in processing which may result in denial of tenancy. This investigation is for resident screening purposes only and is strictly confidential. Important information about your rights under the Fair Credit Reporting Act: • You have a right to request disclosure of the nature and scope of the investigation. • You must be told if information in your file has been used against you. • You have a right to know what is in your file, and this disclosure may be free. • You have the right to ask for a credit score (there may be a fee for this service) . • You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete, or unverifiable information. Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W. , Washington D.C. 20580. In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These reports may contain information on my character, general reputation, personal characteristics, and mode of living. Applicant’s Signature: Date: Print Name: ___________________________

FAQs

What information must each adult applicant provide?

Each adult applicant must submit a separate application including personal details, residence history, and employment and income information, along with required landlord and lease details.

What checks does the applicant authorize?

The applicant authorizes the landlord and agents to obtain an investigative consumer credit report and related searches, including credit history, OFAC, landlord/tenant court records, criminal records, and registered sex offender search.

What rights are listed under the Fair Credit Reporting Act?

The form states applicants can request disclosure of the investigation’s nature and scope, learn when information is used against them, access what is in their file, ask for a credit score, and dispute incomplete or inaccurate information.

Sep 19, 2026

Upload by Mary Man