Rental Application | Hughes Real Estate

1

Personal Information

All fields are required unless marked optional.

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Last 4 Digits of SSN (for credit check)

2

Current Housing

Tell us about where you currently live.

Current Street Address *

City

State

Current Monthly Rent/Mortgage

$

Reason for Moving *

3

Desired Property

Which property are you applying for?

Property Address or Listing *

Desired Move-In Date *

Preferred Lease Term

4

Employment & Income

We consider all verifiable income sources.

Employer / Income Source *

Job Title / Position

Employer Phone

Length of Employment

Gross Monthly Income *

$

5

Occupants & Pets

Who and what will be living in the property?

Number of Adults (18+)

Number of Children (under 18)

Do you have pets?

6

References

Please list two personal or professional references (not family members).

Reference 1 — Full Name

Reference 1 — Phone

Reference 2 — Full Name

Reference 2 — Phone

7

Disclosures

All applications are reviewed individually. A "yes" does not automatically disqualify you.

Have you ever been evicted or asked to vacate a rental property? *

No Yes

Have you been convicted of a felony within the past 7 years? *

No Yes

If you answered Yes to either question, please explain (optional):

8

Authorization & Certification

I authorize Hughes Real Estate, Inc. to verify the information provided in this application, including conducting a credit check and background check. *

I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any falsification may result in denial or termination of tenancy. *

I have read and understand the Fair Housing Notice. Hughes Real Estate does not discriminate based on race, color, national origin, religion, sex, disability, or familial status.

Your information is encrypted and kept strictly confidential. We are an Equal Opportunity Housing Provider.