North Carolina Rental Application Template
This Rental Application Template is designed to comply with the North Carolina Residential Rental Agreement Act. By filling out this application, you are taking the first step towards renting a property in North Carolina. Please provide detailed and accurate information to help the landlord assess your application fairly.
Applicant Information
Full Name: _________________________________________
Date of Birth: ______________________________________
SSN: _______________________________________________
Phone Number: ______________________________________
Email Address: _____________________________________
Current Address: ___________________________________
City, State, ZIP: ___________________________________
Drivers License or State ID #: _______________________
State of Issue: _____________________________________
Rental History
Current Landlord's Name: ____________________________
Current Landlord's Phone Number: ____________________
Previous Address: __________________________________
City, State, ZIP: ___________________________________
Previous Landlord's Name: ___________________________
Previous Landlord's Phone Number: ___________________
Employment Information
Current Employer: ___________________________________
Employer Address: ___________________________________
City, State, ZIP: ___________________________________
Position: ___________________________________________
Supervisor's Name: __________________________________
Supervisor's Phone Number: __________________________
Annual Income: $_____________________________________
Additional Occupants
Please list all additional occupants, including children, who will live in the rental unit.
Name: ________________________________________________
Relationship to Applicant: __________________________
Date of Birth: ______________________________________
References
Please provide at least two personal references not related to you.
Reference #1
Name: _______________________________________________
Relationship: _______________________________________
Phone Number: _______________________________________
Reference #2
Name: _______________________________________________
Relationship: _______________________________________
Phone Number: _______________________________________
Consent for Background Check
By signing below, you authorize the landlord to conduct a comprehensive background check, including criminal history, credit check, and eviction history. You understand that this information will be used to determine your eligibility for renting the property under North Carolina state laws.
Signature: __________________________________________
Date: _______________________________________________