James Johnson | Premier Real Estate

Property Details

Property ID * Enter the Property ID from the listing you're interested in

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Last 4 of SSN * For background check only

Current Street Address *

City *

State *

ZIP Code *

Current Landlord Name

Landlord Phone

Current Monthly Rent ($) *

Length of Stay (years) *

Employment History

Current Employer *

Job Title *

Years Employed *

Annual Income ($) *

Employer Phone

Previous Employer (if less than 2 years)

Rental History

Please list your previous rental (if applicable)

Previous Address

Previous Landlord

Previous Landlord Phone

Reason for Moving

Personal References

Provide two non-family references

Reference #1

Full Name *

Phone *

Relationship *

Reference #2

Full Name *

Phone *

Relationship *

Emergency Contact

Full Name *

Phone *

Relationship *

Additional Information

Do you have pets? *

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Please describe (type, breed, weight)

Do you smoke? *

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Number of vehicles *

Anything else we should know?

Consent and Authorization

Full Name (Electronic Signature) * Typing your name constitutes electronic signature

Date *

Payment Details

Your card will be charged $49.99 upon submission

Apply for Your Dream Home

Property Details

Personal Information

Employment History

Rental History

Personal References

Reference #1

Reference #2

Emergency Contact

Additional Information

Consent and Authorization

Payment Details