Rental Application

Thank you for your interest in renting with Cash Land Buyer USA. Please complete all required fields below.

Applicant Information

Full Name *

Social Security Number

Required for background check

Date of Birth *

Phone Number *

Email Address *

Current Address *

City *

State *

ZIP Code *

Emergency Contact

Contact Name *

Relationship *

Phone Number *

Email Address

Rental History

Please provide information about your most recent rental. Leave blank if not applicable.

Previous Rental Address

City

State

ZIP Code

From Date

To Date

Monthly Rent

Reason for Leaving

Previous Landlord Information

Landlord Name

Landlord Phone

Landlord Email

Employment Information

Please provide your current or most recent employment information.

Employer Name

Employer Phone

Employer Address

City

State

ZIP Code

Position Held

Monthly Gross Salary

Employment Start Date

Employment End Date

Leave blank if currently employed

Supervisor Name

Supervisor Title

Terms and Conditions

I understand that this is a routine application to establish credit, character, employment, and rental history. I also understand that this is NOT an agreement to rent and that all applications must be approved.

I authorize verification of references given. I declare that the statements above are true and correct, and I agree that the landlord may terminate my agreement entered into in reliance on any misstatement made above.

By submitting this application, I am: (1) giving Cash Land Buyer USA permission to run a background check on me, which may include obtaining my credit report from a consumer reporting agency; and (2) agreeing to the Privacy Policy, Terms of Service, and Arbitration Agreement and Class Action Waiver.

I agree to the terms and conditions above *

Electronic Signature (Type your full legal name) *

By typing your name, you are electronically signing this application.

Fields marked with * are required.