Rental App | Safe Harbour Real Estate Group

Please download our Rental application from the link below or fill out the information on the below form and we will contact you.

Download Form

Separate application required for each applicant age 18 or older. By filling out form you certify that all the information given is true and correct and understand that my lease or rental agreement may be terminated if I have made and material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers and personal references.

Full name - include all names you use:

Email Address

Home Phone:

Work Phone:

Social Security number:

Date of birth:

Additional Occupants: List full names of everyone, including children, who will live with you at least 50% of the time:

Annual Income:

Gross monthly income (before deductions):

Average monthly amounts of other income (specify source below)

Total Income:

Sources of income:

Current Address (if rental property)

Dates lived at this address:

Reason for leaving:

Landlord/manager:

Landlord/manager's phone:

Current Occupation:

Name of current employer:

Address:

Phone:

Name of supervisor:

Supervisor's Phone:

Date employment start:

Date employment to:

Position or title:

What date are you looking to move by:

Do you own any pets:

What are your 3 Locations of Interest:

How is your credit:

Do you smoke:

Been evicted?

Been convicted of a crime?

Explain any "yes" answers from above:

What days/hours can you see places?

Personal Reference 1:

Personal Reference Relationship 1:

Personal Reference Address 1:

Personal Reference Phone 1:

Personal Reference Relationship 2:

Personal Relationship 2:

Personal Reference Address 2:

Personal Reference Phone 2: