Credit Report Request Form
Applicant Info:
Name:
SSN:
DOB:
Home #:
Work or Cell #:
Current Address:
City:
Zip:
Email Address:
Employer:
Title:
Length of Employment:
Hours/Week:
Salary:
Per:
Hr. Wk. Mo. Yr.
Additional Income:
Amount:
Per:
Wk. Mo. Yr.
Co-Applicant Info:
Name:
SSN:
DOB:
Home #:
Work or Cell #:
Current Address:
City:
Zip:
Email Address:
Employer:
Title:
Length of Employment:
Hours/Week:
Salary:
Per:
Hr. Wk. Mo. Yr.
Additional Income:
Amount:
Per:
Wk. Mo. Yr.
References:
Current Landlord:
Phone:
Rental Amount:
Reason for Leaving:
Have you had any late payments in the last 12 months?
Yes No
How Many?:
Personal Reference:
Phone #:
Relationship:
How long have you known them:
Other:
How many people will be moving into the home?
Do you have any pets?
Yes No
How Many?
Type:
Do you know anybody who has rented from Cornerstone before?
Yes No
Who?
Which Property are you interested in?
How Did You Find Out About This Property?:
Do you have the funds available for security deposit and 1st month's rent?
Yes No
Are you interested in a land contract?
Yes No
Do you have funds for down payment?
Yes No


Please read thoroughly:
  • Cornerstone Homes Inc. is a private business and reserves the right to rent or sell to whom is the best applicant for the property. The applicant will be chosen based on financial information and references.
  • Cornerstone Homes Inc. has two move-in dates per month, the 15th and the 30th. WE DO NOT ALLOW EARLY ACCESS TO THE PROPERTY!
  • Any information given on the application gives Cornerstone Homes Inc. the right to call references and places of employment for verification purposes.
  • All funds will be due at the time of signing the lease including security deposit and 1st month's rent. If the funds are not available at the time of the signing, the property will be forfeited and Cornerstone Homes Inc. will rent to the next applicant in line.
  • Cornerstone Homes Inc. does allow pets however you will be charged a $25 pet fee per month per animal. Please note: Some breeds of dogs are NOT ALLOWED on any of our properties!
  • Cornerstone Homes Inc. only does 12 month leases, which state that if you should break the lease before the 12 months are up, you WILL be responsible for any remaining rent for the year.
I/We hereby give authorization to Cornerstone Homes, Inc. to run an in-house credit report and the information I/We give on this report can be used for any future attempts for collections. Therefore, the above information is supplied to Cornerstone.
I/We hereby certify that the information provided is correct to the best of my/our knowledge and will provide proof of it at the signing of the rental agreement.
** Please fill in all required fields.