
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
- Full Name: Enter your legal first and last name.
- Email Address: Provide a valid email address where we can contact you.
- Phone Number: Enter your primary phone number in the format
(XXX) XXX-XXXX
. - Date of Birth: Use the date picker to select your birthdate.
Step 2: Current Address
- Street Address: Input the full address of your current residence (e.g., 123 Main Street).
- City, State, ZIP: Include the city, state, and ZIP code of your current residence.
Step 3: Rental Information
- Property Address Interested In: Specify the address of the property you are applying for.
- Move-In Date: Use the date picker to select your desired move-in date.
- Lease Term Requested: Choose from the dropdown menu the lease term you prefer (e.g., 6 months, 12 months).
Step 4: Employment Information
- Employer Name: Enter the name of your current employer.
- Job Title: Provide your current job title or role.
- Monthly Income: Enter your gross monthly income in USD.
- Employer Contact Information: Include a phone number or email address where we can verify your employment details.
Step 5: References
- Personal Reference Name: Provide the name of a personal reference who can vouch for you.
- Phone Number: Enter their contact number in the format
(XXX) XXX-XXXX
. - Relationship to Applicant: Specify how you know this reference (e.g., coworker, friend, family).
Step 6: Additional Questions
- Do You Have Pets?: Select “Yes” or “No.” If “Yes,” you may be asked to provide additional details about your pet(s).
- Have You Ever Been Evicted?: Select “Yes” or “No.”
- 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
- Review Your Information: Double-check all fields to ensure accuracy.
- 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.
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.