Secure Rent Application

Complete the secure rental pre-qualification form below. Required fields are clearly marked.

Secure Web Form

The information below is submitted to your existing secure form handler.

817-238-0000

Secure Rent Application

This form submits to your existing secure form handler. Required fields are marked with a red asterisk. At least one borrower/renter phone number is required.

Renter's Information

Renter First Name

Renter First Name is required.

Renter Last Name

Renter Last Name is required.

Renter Address

Renter Address is required.

Renter Email

Renter Email is required.

City

City is required.

State

State is required.

ZIP Code

ZIP Code is required.

Daytime Phone Enter as 817-238-0000, 8172380000, or (817) 238-0000.

Please enter a complete 10 digit phone number.

Evening Phone Enter as 817-238-0000, 8172380000, or (817) 238-0000.

Please enter a complete 10 digit phone number.

Cell Phone Enter as 817-238-0000, 8172380000, or (817) 238-0000.

Please enter a complete 10 digit phone number.

Do you currently own or rent? Own Rent

How long at your current address?

Please choose an option.

How long on your current job?

Please choose an option.

Total Monthly Income Before Taxes

Total Monthly Income Before Taxes is required.

Credit Score, if known

Credit Score, if known is required.

Date of Birth

Date of Birth is required.

Social Security Number

Social Security Number is required.

Co-Renter's Information (optional unless applying jointly)

Co-Renter First Name

Co-Renter First Name is required.

Co-Renter Last Name

Co-Renter Last Name is required.

Co-Renter Address

Co-Renter Address is required.

Co-Renter Email

Co-Renter Email is required.

City

City is required.

State

State is required.

ZIP Code

ZIP Code is required.

Co-Applicant Daytime Phone Enter as 817-238-0000, 8172380000, or (817) 238-0000.

Please enter a complete 10 digit phone number.

Co-Applicant Evening Phone Enter as 817-238-0000, 8172380000, or (817) 238-0000.

Please enter a complete 10 digit phone number.

Co-Applicant Cell Phone Enter as 817-238-0000, 8172380000, or (817) 238-0000.

Please enter a complete 10 digit phone number.

Does co-applicant currently own or rent? Own Rent

How long at current address?

Please choose an option.

How long on current job?

Please choose an option.

Total Monthly Income Before Taxes

Total Monthly Income Before Taxes is required.

Credit Score, if known

Credit Score, if known is required.

Date of Birth

Date of Birth is required.

Social Security Number

Social Security Number is required.

Authorization and Electronic Signature

For security, the form requires an electronic signature before it can be submitted. Type your full legal name in the signature field.

Authorization Text

Thank you for choosing Alan B. Cash - Real Estate Direct for your real estate needs. Please read and agree to the following before you click on "Submit". I/we hereby authorize Alan B. Cash - Real Estate Direct, or designee, to obtain a consumer credit report for the purpose of pre-qualifying me/us for a home rental. This information is to determine if I/we qualify for a home rental with no warranty of approval guaranteed or implied. To obtain formal, written, unconditional approval, a formal, written loan application must be completed with the landlord and must be processed and underwritten to the landlord's guidelines. Privacy Act Notice: The information to be obtained will be used by Alan B. Cash - Real Estate Direct, or its designee to determine whether you qualify as a prospective tenant under the landlord's underwriting standards. The information will not be disclosed outside the landlord without your consent except for the person or company verifying the information including, but not limited to, employer, and any other credit reference as needed to verify other credit information as permitted by law. You do not have to give us this information, but if you elect not to, your application may be delayed or rejected for lack of information. You may fill in this form on line and then print the form to send by mail or fax. (Please call 817-238-0000 for our fax number or mailing address) ---- OR ---- You may electronically sign the form and submit it directly via E-Mail by clicking on the "Submit" button below This information will be delivered by our 128 bit encrypted secure web server.

Please review the authorization text above before signing below.

Borrower Electronic Signature

Borrower Electronic Signature is required.

Signature Date

Signature Date is required.

Co-Applicant Electronic Signature

Co-Applicant Electronic Signature is required.

Co-Applicant Signature Date

Co-Applicant Signature Date is required.

Notes or Comments Optional. Tell us anything else you want us to know.

Notes or Comments is required.

Secure Rental Application

Secure Rent Application

Secure Web Form

Secure Rent Application

Renter's Information

Co-Renter's Information (optional unless applying jointly)

Authorization and Electronic Signature

Security Check

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