Rental Application Form

Rental Application

Click here to download a PDF form, fill out the form and scan it back or mail to us. You can find contact information below

Please have all the information ready before you work on the application, and it will take roughly 20 mins to submit the application form.

Property Address

Monthly Rent

Security Deposit

Application Fee

Anticipated Moving-in Date

Applicants information

Date of Birth

Phone

Driver License Number

State issued

Vehicle Information

Vehicle information - Year

License Plate

SSN

Co-Applicant Name

Co-Applicant Birthday

Co-Applicant's SSN

Phone

Is any of the applicants currently in military service?

Name of Dependents

Dependents Date of Birth

List all pets if applicable

Please Provide Residential History - Last Three Years

Month/Year Moved In

Landlord/Agent Name

Landlord/Agent Phone Number

Previous Address (Last 3 years)

Credit History - Have you declared bankruptcy in the past seven years?

Have you ever been evicted from a rental residence?

Have you had two or more late rental payments in the past year?

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

Your Employment Status

Your Employment Information

Dates employed

Employed as

Salary ($ /per)

Supervisor's Name

Supervisor's Phone Number

If employment history above less than 12 months,

If you have other sources of income that you would like us to consider (Amount $ and Source / Contact)

Emergency Contact:

Address - Emergency Contact:

Phone - Emergency Contact:

Relationship

Message

AUTHORIZATION Release of Information

By submitting this application I am giving NCLady Realty LLC permission to run a background check on myself and any cosigners, which includes the credit, tenant history, banking and employment for the purposes of renting an apartment with this owner/manager.

Application documents: Please send the additional documents to xuejunli@ncladyrealty.com with property address on the subject line.

Copy of Drivers license.
Last two pay stub copies or recently two month bank statements which can show your income or last year tax return .
$50 application fee (Cash or check payable to: Xuejun Li);
Zelle: 919-579-9460

Contact Information:

phone 919-579-9460
E-mail: xuejunli@ncladyrealty.com
Mailing address:

11010 Lake Grove Blvd., 460#

Morrisville, NC 27560