RGI RENTALS, LLC

PO Box 2092
Hotchkiss, CO 81419
(970) 985-9716

Rental Application

Property _____________________________________________________ Date __________________

General Information
Name _______________________________________________________ DOB __________________
SSN _______________________________________Drivers License # __________________________
Email address________________________________________________________________________

Home Phone __________________________ Work Phone ______________________________

Cell Phone _____________________________ Other Phone _____________________________

Car Make & Model ____________________________ Car Color ________________________________
Car Year ____________________________________ License Plate ____________________________
Any Pets? ___________________________________ Smoker? ________________________________
List people to occupy unit _______________________________________________________________
____________________________________________________________________________________

Name of Co-Tenant ____________________________________________ DOB __________________

SSN _______________________________________Drivers License # __________________________
Email address________________________________________________________________________

Home Phone __________________________ Work Phone ______________________________

Cell Phone _____________________________ Other Phone _____________________________

Car Make & Model ____________________________ Car Color ________________________________
Car Year ____________________________________ License Plate ____________________________
Any Pets? ___________________________________ Smoker? ________________________________
Rental History
Tenant’s Present Address ______________________________________________________________
City/State/Zip ________________________________________________________________________
How long at present address?___________________ Amount Rent _____________________________

Current Landlord _____________________________ Landlord Phone _______________________

Tenant’s Previous Address _____________________________________________________________
City/State/Zip ________________________________________________________________________
How long at previous address?__________________ Amount Rent _____________________________

Prior Landlord _____________________________ Landlord Phone _______________________

Have you ever been evicted from a residence? ___________________________
Co-Tenant’s Present Address ____________________________________________________________
City/State/Zip ________________________________________________________________________
How long at present address?___________________ Amount Rent _____________________________

Current Landlord ______________________________ Landlord Phone _______________________

Co-Tenant’s Previous Address ___________________________________________________________
City/State/Zip ________________________________________________________________________
How long at previous address?__________________ Amount Rent _____________________________

Prior Landlord ________________________________ Landlord Phone _______________________

Have you ever been evicted from a residence?____________________________
Employment History
Present Employer _____________________________________________________________________
Job Description _______________________________________________________________________
Business Address _____________________________________________________________________

Supervisor _________________________________ Supervisor’s Phone ____________________

How long employed? _________________________ Monthly Gross Income ______________________
If employed less than two years, give same information on previous employer:
Previous Employer ____________________________________________________________________
Job Description _______________________________________________________________________
Business Address _____________________________________________________________________

Supervisor _________________________________ Supervisor’s Phone ____________________

How long employed? _________________________ Monthly Gross Income ______________________
If you are approved as a tenant, a copy of your most recent paystub is required.
Co-Tenant’s Present Employer ___________________________________________________________
Job Description _______________________________________________________________________
Business Address _____________________________________________________________________

Supervisor _________________________________ Supervisor’s Phone ____________________

How long employed? _________________________ Monthly Gross Income ______________________
If employed less than two years, give same information on previous employer:
Co-Tenant’s Previous Employer __________________________________________________________
Job Description _______________________________________________________________________
Business Address _____________________________________________________________________

Supervisor _________________________________ Supervisor’s Phone ____________________

How long employed? _________________________ Monthly Gross Income ______________________
If you are approved as a tenant, a copy of your most recent paystub is required.
Banking
Name of Bank _______________________________________________________________________

Bank Phone ____________________________ Type of Account ___________________________

How long at this bank? ________________________ Account # ________________________________
Name of Co-Tenant’s Bank _____________________________________________________________

Bank Phone ____________________________ Type of Account ___________________________

How long at this bank? ________________________ Account #________________________________
References
Tenant Personal Reference #1
Name______________________________________________________
Address ___________________________________ City/State/Zip ______________________________

Phone ________________________________ Length of Acquaintance _____________________

Occupation _________________________________ Relationship ______________________________

Personal Reference #2 Name ___________________________________________________________

Address ___________________________________ City/State/Zip ______________________________

Phone _______________________________ Length of Acquaintance _____________________

Occupation _________________________________ Relationship ______________________________

Nearest Relative Name _________________________________________________________________

Address ___________________________________ City/State/Zip ______________________________
 Phone ________________________________ Relationship ______________________________
Co-Tenant’s Personal Reference #1 Name
_________________________________________________
Address ___________________________________ City/State/Zip ______________________________

Phone ________________________________ Length of Acquaintance _____________________

Occupation _________________________________ Relationship ______________________________

Personal Reference #2 Name ___________________________________________________________

Address ___________________________________ City/State/Zip ______________________________

Phone ________________________________ Length of Acquaintance _____________________

Occupation _________________________________ Relationship ______________________________

Nearest Relative Name _________________________________________________________________

Address ___________________________________ City/State/Zip ______________________________

Phone ________________________________ Relationship ______________________________

Criminal History
Have you or a co-resident ever been convicted of a crime? Yes No
If yes, complete the following:
Name of Resident __________________________________________________________________
Date of Conviction _________________________________________________________________
Charge(s) ________________________________________________________________________
Place of Conviction _________________________________________________________________
Case Number _____________________________________________________________________
Are you or a co-resident on probation or parole? Yes No
If yes, complete the following:
Name of Resident __________________________________________________________________
Name of Supervising Officer _________________________________________________________
Officer’s Phone _______________________________________________________________
Officer’s Address __________________________________________________________________
Are there any charges pending against you or a co-resident? Yes No
If yes, complete the following:
Name of Resident __________________________________________________________________
Charges Pending __________________________________________________________________
Date of Charges ___________________________________________________________________
Place of Charges __________________________________________________________________
Case Numbers ____________________________________________________________________
Application Process
 Every adult over the age of 18 that will occupy the property must complete an application and
be approved.
 There is a non-refundable $20.00 application fee for each adult over the age of 18 that will be
living in the unit.
 This application must be filled out in its entirety to be submitted to an outside agency that
conducts background checks. If any part of this application is not filled out, the entire
application becomes void, and you forfeit your application fee.
 A Co-Signer is required if tenant(s) do not have 18 months or more of rental history and/or 2
years of employment history.
 Co-Signers must have an open, active bank account to be approved and the 18 months or
more of rental history/2 years of employment history.
 Application approval takes 2-3 business days.

Pet Process
 Some of our properties allow pets, but this is by Broker Approval only.
 Tenants with pets are required to show proof of vaccination and renters insurance.
 Any tenant wishing to harbor a pet must complete the Pet Application prior to bringing the pet
into the unit.
 There is a $200.00 non-refundable pet fee for the first pet, and $100.00 for each additional
pet.

Security Deposit Process

 The security deposit is the same amount as the rent.
 The security deposit does NOT count as your last month’s rent.
 In order to hold a property while your application is pending, you must pay the security
deposit. If you do this and your application is not approved, your deposit will be refunded to
you. If you do this and your application is approved, your security deposit becomes non-
refundable.
 If approved to move in, we require that you pay the first month’s rent and a security deposit
and sign the lease.
 When you pay the security deposit, you will be given a deposit slip to take to Wells Fargo
Bank to deposit your funds.

I declare that the foregoing is true and correct, and I authorize all
verification and the obtaining of a credit report and a background check. I
acknowledge that I understand the application process, pet process, and
security deposit process. I agree that the Landlord may terminate any
agreement entered into in reliance on any misstatement made above.

_____________________________________________________________________________
Applicant’s Signature Date

_____________________________________________________________________________
Co-Applicant’s Signature Date
 Receipt for Approval Processing Deposit

Application to rent unit #_______ located at

___________________________________ in the city of
____________________________________, Colorado, subject to approval by
the undersigned and vacating by the present tenants. Received the sum of
$_______________ as deposit and the sum of $_______________ as NON-
REFUNDABLE application fee for occupation by _______ occupants and
_______ pets. Occupancy, if approved, will begin on ______________________
and continue for _________ months. Applicant agrees to rent said premises at
$________________ per month, payable monthly in advance. In the event of
such approval and vacating of the premises, this application deposit shall be
applied to the Security, Damage and/or Cleaning deposit whose amount is
$_______________. If, after approval, applicant is unable or unwilling to take
possession on the date agreed to by both parties, or full rent and deposits are not
paid when due prior to move-in, all rights of applicant shall terminate and a
$400.00 application fee (or full deposit if less than $400) shall be retained by the
Landlord.

Applicant __________________________________________ Date ______________________

Co-Applicant ________________________________________ Date ______________________

Agent _____________________________________________ Date ______________________