Rent Protectors Application

Required fields are marked with a red *

Estimated New Rent Amount:*
 Applicant 1
Current Address:*
How long at this residence?*
Current Rent:*
Rent Paid Timely?
Manager's Name*
Manager's Phone*
Manager's Email
Your Info
Main Phone:*
Secondary Phone:
Social Security #:*
License, Passport, or State ID #:*
Have you ever been evicted?*
Have you ever filed Bankruptcy?*
 Previous Rental
Manager's Name(P)*
Manager's Phone(P)*
Manager's Email(P)
How long at this residence?(P)*
Rent Paid Timely?(P)
Current Employer
Company Name*
Supervisor's Name*
Supervisor's Phone:*
Supervisor's E-mail:
Length of time at current employer*
Monthly Income:*
Please upload a copy/picture of your latest pay-stub or two months bank statements if self-employed:
File Upload(jpg, jpeg, png, gif, doc, docx, xls, or xlsx):
Previous Employer (If current employment is less than one year)
Company Name(P)
Supervisor's Name(P)
Supervisor's Phone:(P)
Supervisor's E-mail(P):
Applicant 2 (Optional)
Current Address(2):
How long at this residence?(2)
Current Rent(2):
Rent Paid Timely?(2)
Manager's Name(2):
Manager's Phone(2):
Manager's Email(2):
Applicant 2 Info
Main Phone(2):
Secondary Phone(2):
Social Security#(2):
License, Passport, or State ID #(2):
Have you ever been evicted?(2)
Have you ever filed Bankruptcy?(2)
 Previous Rental
Manager's Name(P2):
Manager's Phone(P2):
Manager's Email(P2):
How long at this residence?(P2):
Rent Paid Timely?(P2):
Current Employer
Company Name(2):
Supervisor's Name(2)
Supervisor's Phone:(2)
Supervisor's E-mail(2):
Length of time at current employer(2)
Monthly Income(2):

Please upload a copy of your latest pay-stub or two months bank statements if self employed:

File Upload(2):
Previous Employer (If current employment less than one year)
Company Name(P2)
Supervisor's Name(P2)
Supervisor's Phone(P2)
Supervisor's E-mail(P2):
Family Member Name*
Family Phone #:*
2nd Reference Name:*
2nd Reference Phone #:*
I(We) agree to pay the rent due on a timely basis for the duration of my rental. I hereby authorize Rent Protectors to screen this application including obtaining credit report(s), information from third party sources, and contacting me regarding any late rental payments. I(We) understand that in the event that Rent Protectors pays my landlord under their rental screening program I will be liable for any unpaid rents, legal fees, and costs. If I am declined I will receive my fee back less $14 per person unless I have misrepresented any information, in which case, the fee is non-refundable. By clicking submit I am electronically signing that I agree to the above terms.*

Click "Submit" to connect to the secure PayPal site. (You are not required to create a PayPal account, there will be a button at the bottom to pay directly by credit card)