Rental Prospect Screening

This is NOT an application for rent and there is NO charge for this prescreening. This form MUST be completed prior to viewing any property managed by Walker Asset Management Realty, Inc. The information provided by you will be presented to the Landlord for consideration to view the requested property/properties. Please be accurate and honest with all answers as any major discrepancies between the prescreening form and the official application will be grounds for immediate denial. Please write legible so that we can read all information correctly.

Full name of prospect:

Last

First

Middle

Driver's License Number:

State:

Expiration Date:

Current Address:

Street

City

State

Zip

Current Phone Number:

Cell:

Home:

Email:

How long have you lived at this address?:

From:

To:

Current Rent Amount $:

Present Landlord:

Landlord Phone Number:

Current Employer:

Employer Phone Number:

Position(s) Held:

From:

To:

Monthly NET(after taxes) Income from employment $:

Additional Income $:

Sourcce of the additional income:

Which property/properties are you interested in viewing?:

When are you looking to move into the property?:

Why are you moving from your current home?:

How many people will be residing at the property?:

How many pets do you have?:

What kind of pets are they?:

Do you or anyone else, who will occupy the home, smoke?:

Have you ever been evicted from any tenancy?:

Have you ever willfully and/or intentionally refused to pay rent when due?:

Do you have knowledge of anything that may inhibit income or ability to pay rent when due?:

If Yes, please explain:

*We do suggest that you become aware of your credit score(s) prior to paying the $50 non-refundable application fee and filling out the officcial application. It is always a good idea to ensure your credit report is correct and up to date. While there is no specific credit score, your score will have an impact on the decision-making proccess.

Have you ever filed for Bankruptcy?:

If Yes, when did you file?:

Have you ever been convicted or do you have charges pending for misdemeanor or felony?:

If Yes, please explain:

How long do you plan on staying in the area?:

Prospect Signature [signature rps-signature color:#000000 backcolor:transparent width:300 height:100]

Date: