Riner Rentals Application

Fill out our SIMPLE online lease application!

Whether you are an individual or family looking to rent one of our residential properties, or a student looking to rent a room or property near JMU, EMU, Blue Ridge Community College, or Bridgewater College, our simple online application will speed the process along in finding your next home.

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Application Information

* Application Type

* Email Address

* Property of Interest

* Desired Rent Amount

* Desired Move In Date

Applicant Information

* First Name

Middle Initial

* Last Name

* Social Security #

* Date of Birth

* Phone

Co-Applicants & Occupants (including children)

Please be sure to add all other proposed occupants (adults and children) to this section. Screening reports (such as credit, criminal, or eviction reports) will only be processed for the primary applicant listed earlier (if necessary). Each adult co-applicant that is to be considered as a lease-holder must complete a separate application.

Current Address

* Address Line 1

APT.# / Line 2

* City

* State

* ZIP

* Dates of Residence

* Rent Amount

Landlord

Landlord Phone

Landlord Email

If no landlord, explain:

* Reason for Leaving

Previous Address

Address Line 1

APT.# / Line 2

City

State

ZIP

Dates of Residence

Rent Amount

Landlord

Landlord Phone

Landlord Email

If no landlord, explain:

Reason for Leaving

Vehicles

List any vehicles you have.

Pets

List any pets you have.

Emergency Contact

* First Name

* Last Name

* Relationship

* Phone

* Email

Other Information

* Have you ever been convicted of a crime?

* Have you ever filed for bankruptcy?

* Do you smoke?

* Have you ever been evicted from a tenancy or left owing money?

* Is there anything else we should know? Please explain any YES answers above.

Acknowledgement

By checking below and submitting this form, I affirm I am the applicant named on this application.

* I have read, understand, and accept the above text.

* Full Name

Applicant authorizes Riner Rentals to contact landlords and any other sources deemed necessary to investigate applicant. All information is true, accurate, and complete to the best of the applicant’s knowledge. Riner Rentals reserves the right to disqualify the tenant if information is not as represented. Any person or firm is authorized to release information about the undersigned upon presentation of this form or a photocopy of this form at any time. Real Estate licensee in Virginia who have entered into brokerage relationships required by law to make prompt written disclosure of those brokerage relationships to those they work with, but not represent in the real estate transaction. The undersigned do herby acknowledge that Riner Rentals represents the Owner in this transaction. Property will be shown and made available to all persons without regard to race, color creed, religion, national origin, sex, familial status, handicap, or elderliness in compliance with all applicable federal, state, and local fair housing laws and regulations.

* I have read, understand, and accept the above text.

By checking this box below applicant(s) hereby declares that they have reviewed the Rental Qualifications located at rinerrentals.com/apply. If it is found that an applicant(s) does not qualify for the property of interest based on one of the Rental Qualifications, the $30.00 application fee will not be refunded.

* I have read, understand, and accept the above text.

* Full Name

* Date

* Type the letters shown

Parental and/or Guarantor Information

* Year in School

* Guarantor First Name

* Guarantor Last Name

* Guarantor Phone

* Guarantor Email

* Guarantor Relationship

* Guarantor Street Address

* Guarantor City

* Guarantor State

* Guarantor ZIP

Present Employer

* Employer

* Position

* Employed Since (Month/Year)

* Supervisor Name

* Supervisor Phone

* Business Address (Street, City, State, ZIP)

Previous Employer

Employer

Position

Employment Dates (Start and End)

Supervisor Name

Supervisor Phone

Business Address (Street, City, State, ZIP)

Other Information

* Gross Annual Salary (before deductions)

* Alternative Income?

Co-applicant's Gross Total Income, if applicable

* Total Income (annual amount)

Riner Rentals Application

Fill out our SIMPLE online lease application!

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