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Home Rental Application

To apply for a home rental with Newland Rentals, please carefully follow these steps to complete the application form:

 


Step 1: Applicant Information

  1. Full Name: Enter your legal first and last name.
  2. Email Address: Provide a valid email address where we can contact you.
  3. Phone Number: Enter your primary phone number in the format (XXX) XXX-XXXX.
  4. Date of Birth: Use the date picker to select your birthdate.

Step 2: Current Address

  1. Street Address: Input the full address of your current residence (e.g., 123 Main Street).
  2. City, State, ZIP: Include the city, state, and ZIP code of your current residence.

Step 3: Rental Information

  1. Property Address Interested In: Specify the address of the property you are applying for.
  2. Move-In Date: Use the date picker to select your desired move-in date.
  3. Lease Term Requested: Choose from the dropdown menu the lease term you prefer (e.g., 6 months, 12 months).

Step 4: Employment Information

  1. Employer Name: Enter the name of your current employer.
  2. Job Title: Provide your current job title or role.
  3. Monthly Income: Enter your gross monthly income in USD.
  4. Employer Contact Information: Include a phone number or email address where we can verify your employment details.

Step 5: References

  1. Personal Reference Name: Provide the name of a personal reference who can vouch for you.
  2. Phone Number: Enter their contact number in the format (XXX) XXX-XXXX.
  3. Relationship to Applicant: Specify how you know this reference (e.g., coworker, friend, family).

Step 6: Additional Questions

  1. Do You Have Pets?: Select “Yes” or “No.” If “Yes,” you may be asked to provide additional details about your pet(s).
  2. Have You Ever Been Evicted?: Select “Yes” or “No.”
  3. Do You Consent to a Credit and Background Check?: Check the box to confirm your consent. This is required to proceed with the application.

Step 7: Review and Submit

  1. Review Your Information: Double-check all fields to ensure accuracy.
  2. Submit Application: Click the Submit Application button at the bottom of the form.

Additional Notes

  • All fields marked with a red asterisk (*) are required.
  • Incomplete applications may result in delays or rejection.
  • If you have any questions or encounter issues while filling out the form, please contact us at applications@newlandrental.com or call us at (540) 476-1199.

We look forward to reviewing your application! Thank you for choosing Newland Rentals.

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Do You Have Pets?
Have You Ever Been Evicted?
Do You Consent to a Credit and Background Check?
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Have Questions?

Call us at 540-476-1199 or use this form, we’re here to help. A member of our team will respond promptly.

Newland Rentals

7164 Simmers Valley Road, Harrisonburg, VA 22802
(540) 476-1199
Copyright © 2025 Kay Newland Rentals. All Rights Reserved.