Rental Application

Please complete all sections of the rental application. If you have any questions, please contact us via email at info@greenphillyrealty.com. You will be notified by our leasing department on the status of your application within 48-72 hours of submission (Mon-Fri, 9AM-5PM). We thank you for your interest in our property!

PLEASE BE REMINDED OF THE FOLLOWING:
$50.00 per adult for the application fee. You will be prompted to pay once the application is submitted. Applications will not be processed if full payment is not received.

Step 1 of 5

Rental Property Address*
Street Address Apt / Floor Number City State ZIP Code
Zoned*
Household Information
Complete the following information for each household member that will occupy the unit at time of move-in. Do not provide social security numbers for individuals under 18 years old.
Name*
First Last
Current Address*
Street Address Apt / Floor Number City State ZIP Code
Email*
Phone*
Alternate Phone
Relationship to Head of Household*
Gender*
Birth Date*
MM slash DD slash YYYY
Student*
Social Security Number*
Would you like to upload a photo ID now?*
Submitting your ID now with the application is optional. If you do not wish to upload it now, select one of the options above for you to provide the photo ID LATER.
Upload a copy of your ID*
Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.
Uploading your ID NOW is optional. If you do not wish to upload it now, select one of the options above for you to provide the ID LATER.
Do you have another household member to add to the application?*
Name*
First Last
Relationship to Head of Household*
Gender*
Birth Date*
MM slash DD slash YYYY
Student*
Social Security Number*
Do you have another household member to add to the application?*
Name*
First Last
Relationship to Head of Household*
Gender*
Birth Date*
MM slash DD slash YYYY
Student*
Social Security Number*
Do you have another household member to add to the application?*
Name*
First Last
Relationship to Head of Household*
Gender*
Birth Date*
MM slash DD slash YYYY
Student*
Social Security Number*
Do you have another household member to add to the application?*
Name*
First Last
Relationship to Head of Household*
Gender*
Birth Date*
MM slash DD slash YYYY
Student*
Social Security Number*
Do you have another household member to add to the application?*
Name*
First Last
Relationship to Head of Household*
Gender*
Birth Date*
MM slash DD slash YYYY
Student*
Social Security Number*

Save and Continue Later

Emergency Contacts
Name*
First Last
Relationship to You*
Phone*
Address*
Street Address Apt / Floor Number City State ZIP Code
Add Another Emergency Contact?*
Name
First Last
Relationship to You
Phone
Address
Street Address Apt / Floor Number City State ZIP Code
Housing References
List the past 3 years of housing references.
Did you Own or Rent?*
Your Address*
Street Address Apt / Floor Number City State ZIP Code
From Date*
MM slash DD slash YYYY
To Date*
MM slash DD slash YYYY
Landlord's Name*
First Last
Landlord's Phone*
Landlord's Address
Street Address City State ZIP Code
Add Another Housing Reference?*
Did you Own or Rent?*
Your Address*
Street Address Apt / Floor Number City State ZIP Code
From Date*
MM slash DD slash YYYY
To Date*
MM slash DD slash YYYY
Landlord's Name*
First Last
Landlord's Phone*
Landlord's Address
Street Address City State ZIP Code
Add Another Housing Reference?*
Did you Own or Rent?*
Your Address*
Street Address Apt / Floor Number City State ZIP Code
From Date*
MM slash DD slash YYYY
To Date*
MM slash DD slash YYYY
Landlord's Name*
First Last
Landlord's Phone*
Landlord's Address
Street Address City State ZIP Code

Save and Continue Later

Household Information
Will anyone else live in the unit on either a full-time or part-time basis, such as children temporarily absent, children in a joint custody arrangement, children away at school, unborn children, children in the process of being adopted, or temporarily absent family members?*
Please explain.*
Do you expect the number of household members to change in the future?*
Please explain how many members will be added or reduced, and when that change will take place.*
Have any of the household members used names or a social security number other than the names and numbers used in this rental application?*
Please explain.*
Have you or any member of your household ever been convicted of, plead guilty to or been placed on probation for any crime?*
Date of Crime*
MM slash DD slash YYYY
City*
County*
State*
Please provide the nature of the crime(s).*
Are any of the above convictions a felony?*
Please explain.*
Are you or any members of your household subject to a lifetime registration requirement under a state sex offender registration program?*
Please explain.*
Are there any criminal charges pending now?*
Please explain.*
Have you or your spouse/co-applicant ever been evicted or otherwise involuntarily removed from rental housing due to fraud, non-payment of rent, failure to cooperate with recertification procedures, or for any other reason?*
Please explain.*
Have you ever filed or are you currently filing for bankruptcy?*
Date of Filing*
MM slash DD slash YYYY
Please give the reason.*
Why do you want to move from your current residence?*
How did you hear about us?*

Save and Continue Later

Income Section
Earned income is counted only for household members 18 or older and members who are legally emancipated. Unearned income such as a grant or benefit is counted for all household members, including minors. Include all GROSS income (before taxes) each household member expects to earn in the next 12 months.
Do YOU or ANYONE in your household receive OR expect to receive income from:
Employment wages or salaries? Self-employment? Regular pay as a member of the Armed Forces?*
(Include overtime, tips, bonuses, commission and payments received in cash.)
Household Member*
Name of Company*
Amount*
Add Another Income?*
Household Member*
Name of Company*
Amount*
Add Another Income?*
Household Member*
Name of Company*
Amount*
Add Another Income?*
Household Member*
Name of Company*
Amount*
Unemployment benefits or worker’s compensation?*
Household Member*
Name of Company*
Amount*
Add another unemployment benefits or worker’s compensation?*
Household Member*
Name of Company*
Amount*
Add another unemployment benefits or worker’s compensation?*
Household Member*
Name of Company*
Amount*
Public Assistance, General Relief or Temporary Aid to Needy Families (TANF)?*
Household Member*
Amount*
Add Another Aid?*
Household Member*
Amount*
Add Another Aid?*
Household Member*
Amount*
Child Support or Spousal Support (Alimony)?*
(We must count court ordered support whether or not it is received unless legal action has been taken to remedy. We must also count support that is not court-ordered, rather, received directly from the payer.)
Household Member*
Amount*
Add Another Child Support or Alimony?*
Household Member*
Amount*
Social Security, SSI or any other payments from the Social Security Administration?*
Household Member*
SSA Office*
Amount*
Add Another Social Security?*
Household Member*
SSA Office*
Amount*
Regular payments from a pension, retirement benefit, annuities, or Veteran’s benefits?*
Household Member*
Source of Benefit*
Amount*
Add Another Pension?*
Household Member*
Source of Benefit*
Amount*
Disability, death benefits, or life insurance dividends?*
Household Member*
Source of Benefit*
Amount*
Add another disability, death benefits, or life insurance dividends?*
Household Member*
Source of Benefit*
Amount*
Do you or any other household member expect any change in income in the next 12 months?*
Please explain.*
Are YOU or is ANY OTHER ADULT member of your household claiming zero income?*
Zero Income Verification.
Which household member is claiming zero income?*
Would you like to include proof of income now?*
Submitting documents now with the application is optional. If you do not wish to upload documents now, select one of the options above for you to provide the documents LATER.
Upload a copy of your proof of income.*
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 10.
Submitting proof of income right NOW is optional. If you do not wish to upload documents now, select one of the options above for you to provide the documents LATER.
Employment History
Household Member*
Name of Company*
Phone*
Add More Employment History?*
Household Member*
Name of Company*
Phone*
Add More Employment History?*
Household Member*
Name of Company*
Phone*
Add More Employment History?*
Household Member*
Name of Company*
Phone*
Add More Employment History?*
Household Member*
Name of Company*
Phone*
Add More Employment History?*
Household Member*
Name of Company*
Phone*
Asset Information
Include all assets held by all household members including minors.
Do you or anyone in your household hold a checking or savings account?*
Household Member*
Bank or Financial Institution*
Amount in Account*
Add Another Account?*
Household Member*
Bank or Financial Institution*
Amount in Account*
Add Another Account?*
Household Member*
Bank or Financial Institution*
Amount in Account*
Add Another Account?*
Household Member*
Bank or Financial Institution*
Amount in Account*
Do you or anyone in your household hold cash on hand?*
Household Member*
Source of Benefit*
Amount*
Add Another Accounting of Cash?*
Household Member*
Source of Benefit*
Amount*
Does anyone in your household own a vehicle?*
Make/Model/Year*
License #*
State Issued*
Add Another Car?*
Make/Model/Year*
License #*
State Issued*
All questions that were answered YES on this application will be verified through the appropriate third-party source. It will be your responsibility to provide management with all necessary information to properly process your application and verify your eligibility. This will include names, addresses, phone and fax numbers, account numbers (where applicable), and any other information required to expedite this process.

Save and Continue Later

Signature Clause
I/We understand that management is relying on this information to prove my household’s eligibility for housing. I/We certify that all information and answers to the questions are true and complete to the best of my knowledge. I/We consent to release the necessary information to determine my eligibility. I/We understand that providing false information or making false statements may be grounds for denial of my application. I/We also understand that such action may result in criminal penalties.

I/We consent to have management verify the information contained in this application for purposes of proving my eligibility for occupancy. I/We will provide all necessary information and expedite this process in any way possible. I/We understand that my occupancy is contingent on meeting management’s resident selection criteria.

I/We understand that in compliance with the FAIR CREDIT REPORTING ACT the processing of this application includes but is not limited to making any inquiries deemed necessary to verify the accuracy of the information I/We provided, including procuring consumer reports from consumer credit reporting agencies and obtaining credit information from other credit institutions.

I/We hereby grant this property owner and/or agent, Green Investment Group LLC, the right to process this application for the purpose of obtaining a Rental/Lease Agreement with this property. Additionally, I/We authorize all corporations, companies, law enforcement agencies, academic institutions, and current and former employers to release information they may have about me/us and release them from any liability and responsibility from doing so. A photographic or faxed copy of this authorization shall be as valid as the original.

I/We agree to pay $50.00 per adult for the application fee. This is a non refundable fee to cover our administrative costs. Completion of this application does not mean I/we will be guaranteed tenancy. I/We understand that in any information within this application is found to be untrue, it is grounds for termination of the tenancy. I/We also understand that any default in the payment of rent will affect any future application for tenancies, credit, or insurance.

If the application is not approved or accepted by the owner or agent, the security deposit, if any, will be refunded. I/We recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I/We may be acquainted. This inquiry includes information as to my/our character, general reputation, personal characteristics and mode of living as permitted by state law.

I/We agree that this application may be electronically signed, and that any electronic signatures appearing on this application are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

All household members 18 and over must sign below:
How many signatures do you need to complete the application?*
Date*
MM slash DD slash YYYY
Electronic Signature*
Electronic Signature*
Electronic Signature*
Electronic Signature*

Save and Continue Later

Rental Application

Step 1 of 5

Household Information

Emergency Contacts

Housing References

Household Information

Income Section

Employment History

Asset Information

Signature Clause