Carolinas Dynamic Realty
1515 Shopton Road, Suite 103
Charlotte, NC 28217
704.523.7368 – Office
704.523.1253 – Fax
www.RentCharlotteProperty.com

Rental Application

 PRIMARY OCCUPANT INFORMATION:

Full Name:          Home Phone: 

Work Telephone:            Cell Phone:

Social Security Number:            Date of Birth:

Drivers License Number:         Issuing State:

E-Mail Address:

CO  OCCUPANT INFORMATION:

Full Name:         Home Phone:

Work Telephone:         Cell Phone:

Social Security Number:         Date of Birth:

Drivers License Number:         Issuing State:

E-Mail Address:

LIST ANY OTHER PEOPLE THAT WILL LIVE WITH YOU AT THE PROPERTY: -
            This area is only for those under the age of 18. Anyone over 18 must be an Occupant or Co-Occupant.

Name: Age: Relationship:

Name: Age: Relationship:

Name: Age: Relationship:

Name: Age: Relationship:

Do you have any pets?   Yes        No
                If Yes:
                                Number: Type: Weight:

EMERGENCY CONTACT INFORMATION:

Name:     Relationship:

Address:     City:     State:     Zip:

Home Phone :     Other Phone:

 CURRENT RESIDENCE INFORMATION:

Address:

City:     State:     Zip:

Time At Address: Years     Months                   Amount of Rent or Mortgage: $

Landlord or Mortgage Company:

Phone Number:         Fax Number:

Reason for Moving:

Lease Expiration Date:

PREVIOUS RESIDENCE INFORMATION:

Address:

City:     State:     Zip:

Time At Address: Years     Months                   Amount of Rent or Mortgage: $

Landlord or Mortgage Company:

Phone Number:     Fax Number:

Reason for Moving:

Lease Expiration Date:

 PRIMARY OCCUPANT EMPLOYMENT INFORMATION:

Employer:     Start Date:

Address:     City:     State:     Zip:

Job Title:             Gross Monthly Income: $

Supervisor Name:     Contact Number:

CO OCCUPANT EMPLOYMENT INFORMATION:

Employer:     Start Date:

Address:     City:     State:     Zip:

Job Title:         Gross Monthly Income: $

Supervisor Name:         Contact Number:

CREDIT INFORMATION:

Have you ever filed for bankruptcy?   Yes        No

If Yes, Please Explain:

Do you have any unpaid judgments?  Yes        No

If Yes, Please Explain:

PRIMARY OCCUPANT AUTOMOBILE INFORMATION:

Do you have an Auto Loan: Yes        No

If Yes, Monthly Payment: $    Automobile Make:

Model:     Year:     License Plate Number:     State:

CO OCCUPANT AUTOMOBILE INFORMATION:

Do you have an Auto Loan: Yes        No

If Yes, Monthly Payment: $    Automobile Make:

Model:     Year:     License Plate Number:     State:

APPLICATION REQUIREMENTS & INFORMATION:

$30 Non Refundable Application Fee Per Adult Paid By Certified Check or Money Order

No Property Will Be Held For Any Tenant Until An Application Has Been Approved and Security Deposit Has Been Paid.

Last Two Pay Stubs For Primary Occupant and Co Occupant

Copy of Drivers License For Primary Occupant and Co Occupant

Proof of Social Security Number For Primary Occupant and Co Occupant

Falsified Applications Will Result In Applicants Being Immediately Denied

Applications Take A Minimum of 48 Hours To Be Processed

Application Processing Can Take Longer If We Can Not Reach People Listed On Application

The applicants by electronically signing below authorize Carolinas Dynamic Realty to verify all information contained on this application including but not limited to contacting employers, present and past landlords, verifying credit information by obtaining a consumer credit report from a reporting agency, and by any other means necessary. Applicant also authorizes Carolinas Dynamic Realty to obtain criminal background checks, and to discuss anything on this application with the property owner. Applicant understands that Carolinas Dynamic Realty is a licensed Real Estate Firm in the States of North Carolina and exclusively represents the best interest of the property owner. 

Primary Occupant Electronic Signature - Type Name As It Appears On Your Drivers License        

Co Occupant Electronic Signature - Type Name As It Appears On Your Drivers License                   

Submit Application Now        Clear Entire Form

ONCE YOUR APPLICATION HAS BEEN SUBMITTED YOU MUST COMPLETE THE PAYMENT INFORMATION ON THE NEXT PAGE IN ORDER FOR YOUR APPLICATION TO BE PROCESSED.