Virginia Commonwealth Realty requires all new tenants to provide a copy of their renter's insurance BEFORE signing a lease and obtaining keys to their new home.
Once this application has been submitted please provide a Picture ID of anyone over 18 and proof of income (2-3 pay stubs, LES or employment contract per person). You can send them to rentalsvcr@gmail.com , fax to 757-873-2167 or bring into our office.
*If the field does not apply to you then write not applicable or 0
Property You're Applying For:*
Move in date(m/d/yyyy)*
Applicant Name(First/Last)*
Applicant birth date(m/d/yyyy)*
Applicant current address(Street,City,State,Zip)*
Applicant Email Address:*
Applicant Home Phone (757-xxx-xxxx):*
Applicant Cell Phone (757-xxx-xxxx):*
Applicant Work Phone (757-xxx-xxxx):*
Emergency Contact Name(First/Last)*
Emergency Contact Relationship:*
Emergency Contact Email*
Emergency Contact Phone (757-xxx-xxxx):*
Enter the name of all people who you will be living with (they need to submit an application as well)*
Rental History
*If the field does not apply to you then write not applicable or 0
Rental Address:*
Rental Dates (m/d/yyyy to m/d/yyyy)*
Monthly Rent:*
Reason for Leaving:*
Landlord Name (First/Last)*
Landlord Phone Number (757-xxx-xxxx):*
Landlord Email (Optional)*
Have you ever been evicted from any tenancy?*
Have you ever willfully and intentionally refused to pay rent when due?*
Employment
*If the field does not apply to you then write not applicable or 0
*If you are self-employed, please provide additional proof of income. Ex: Tax return.
Employer name:*
Employer address (optional)
Employer phone number (757-xxx-xxxx):*
Position held:*
Employment dates (m/d/yyyy to m/d/yyyy)*
Monthly gross salary:*
Supervisor name(First/Last)*
Supervisor title*
Add any additional Employment History by adding the information in the box below
*If the field does not apply to you then write not applicable or 0
Additional Employment History:*
Other Income
*If the field does not apply to you then write not applicable or 0
Ex: Food stamps, disability, section 8, etc.
Amount 1*
Source 1*
Amount 2
Source 2
List Any Debts Outstanding:
*If the field does not apply to you then write not applicable or 0
Creditor 1 - Car Loan*
Balance 1*
Monthly Payment 1*
Creditor 2 - Student Loans*
Balance 2*
Monthly Payment 2*
Creditor 3 - Credit Cards*
Balance 3*
Monthly Payment 3*
Animals
*If the field does not apply to you then write not applicable or 0
Pet 1 Name: *
Type*
Breed*
Age*
Weight*
Pet 2 Name:
Type
Breed
Age
Weight
Vehicles
*If the field does not apply to you then write not applicable or 0
Vehicle make*
Vehicle model*
Vehicle color*
Vehicle year*
Vehicle license plate*
Vehicle 2 make
Vehicle model
Vehicle color
Vehicle year
Vehicle license plate
Have you ever filed for bankruptcy *
If so, Please give dates of filing and status of case*
Criminal History
*If the field does not apply to you then write not applicable or 0
Have you ever been convicted of, Plead guilt to, Or entered plea of No Contest to any Felony,or to any Misdemeanor involving a crime?*
If Yes, Provide details*
References
*If the field does not apply to you then write not applicable or 0
Reference name 1 (First/Last)*
Reference relationship*
Reference phone number (757-xxx-xxxx):*
Reference email (optional)
Reference name 2 (First/Last)
Reference relationship
Reference phone number (757-xxx-xxxx):
Reference email (optional)
Cosigners
*If the field does not apply to you then write not applicable or 0
Cosigner Name(First/Last)
Cosigner Relationship*
Cosigner social security number*
Cosigner phone number (757-xxx-xxxx):*
Cosigner email*
Terms and conditions
I understand that this is a routine application to establish credit, character, employment, and rental history. I also understand that this is NOT an agreement to rent and that all applications must be approved. I authorize verification of references given. I declare that the statements above are true and correct, and I agree that the landlord may terminate my agreement entered into in reliance on any misstatement made above.
Agreed To*
Agreed By*
Once this application has been submitted please provide a Picture ID of anyone over 18 and proof of income (2-3 pay stubs, LES or employment contract per person). You can send them to rentalsvcr@gmail.com , fax to 757-873-2167 or bring into our office.
*If you are self-employed, please provide additional proof of income. Ex: Tax return.
Yes, it's OK to email me updates on the local market, Newsletters & Seasonal Greetings.
* fields are required