National Apartment Association (NAA) Rental Application for Residents and Occupants (Virginia) and Supplemental Rental Application for Units Under Government Regulated Affordable Housing Programs Instructions

Enter the monthly AFDC/TANF income for the applicant.

Enter the monthly AFDC/TANF income for the co-applicant.

Enter the total monthly AFDC/TANF income for all other household members.

Enter the total monthly AFDC/TANF income from all sources.

Enter the date the applicant signed the application.

Enter the applicant's full legal name exactly as it appears on their Driver's License or Government ID card.

Enter the applicant's Social Security Number.

Enter the applicant's gender, which is optional.

Enter the full address of the apartment the applicant is applying for.

Enter the applicant's former name, if applicable.

Enter the state where the applicant's Driver's License was issued.

Enter the applicant's date of birth.

Enter the applicant's Driver's License number.

Enter the applicant's Government Photo ID card number.

Enter the applicant's cell phone number.

Enter the applicant's work phone number.

Enter the applicant's home phone number.

Enter the date the co-applicant signed the application.

Enter the monthly commissions and fees income received by the applicant.

Enter the monthly commissions and fees income received by the co-applicant.

Enter the total monthly commissions and fees income received by other household members.

Enter the total monthly commissions and fees income for all household members.

Enter the monthly amount of court-ordered child support or alimony received by the applicant.

Enter the monthly amount of court-ordered child support or alimony received by the co-applicant.

Enter the total monthly amount of court-ordered child support or alimony received by all other household members.

Enter the total monthly amount of court-ordered child support or alimony received by all household members.

Provide a detailed explanation of any past credit problems you may have encountered.

Provide the name of the financial institution where the credit union account is held.

Enter the annual interest, dividends, or rent received from the credit union account.

Enter the account number for the credit union account.

Please provide your current street address, including any unit or apartment number.

Enter the city of your current home address.

Enter the state of your current home address.

Enter the zip code of your current home address.

Provide the start date of your residency at this address.

Provide the end date of your residency at this address, or leave blank if you currently reside here.

Enter the monthly payment amount for your current residency.

If applicable, enter the name of your apartment complex or building.

Enter the full name of your current landlord or mortgage lender.

Enter the phone number of your current landlord or mortgage lender.

Explain your reason for planning to leave or having left this residence.

Check this box if you rent your current home.

Check this box if you own your current home.

Provide the date on which this application is being completed.

Enter the date the form was filled out.

Please provide the full name of the emergency contact person.

Please specify the relationship of the emergency contact person to you.

Please enter the street address of the emergency contact person.

Please enter the city of the emergency contact person's address.

Please enter the state of the emergency contact person's address.

Please enter the zip code of the emergency contact person's address.

Please provide the home phone number of the emergency contact person.

Please provide the cell phone number of the emergency contact person.

Please provide the work phone number of the emergency contact person.

Please provide the email address of the emergency contact person.

Please enter the email address for the fifth co-applicant.

Please enter the full name of the fifth co-applicant.

Enter the fifth other occupant's Social Security Number.

Enter the fifth other occupant's driver's license number.

Enter the fifth other occupant's government photo ID card number.

Enter the fifth other occupant's full name as it appears on their driver's license or government ID card.

Enter the fifth other occupant's date of birth.

Enter the type of government photo ID card held by the fifth other occupant.

Enter the relationship of the fifth other occupant to the applicant.

Enter the state where the fifth other occupant's driver's license was issued.

Enter the type of the first additional income.

Enter the source of the first additional income.

Enter the gross monthly amount of the first additional income.

Provide the current cash value of the first checking account.

Enter the name of the financial institution where the first checking account is held or a brief description of the asset.

Provide the annual interest, dividends, or rent earned from the first checking account.

Enter the account number for the first checking account.

Enter the full name of the first co-applicant.

Enter the email address of the first co-applicant.

Please provide the full legal name of the first other occupant.

Please enter the Social Security Number of the first other occupant.

Please provide the driver's license number for the first other occupant.

Please provide the date of birth for the first other occupant.

Please specify the relationship of this occupant to the primary applicant.

Please specify the type of government-issued photo identification card for the first other occupant.

Please enter the state that issued the driver's license for the first other occupant.

Please enter the government-issued photo identification card number for the first other occupant.

Please provide the name of the first pet.

Please specify the type or species of the first pet, such as 'Dog' or 'Cat'.

Please provide the breed of the first pet.

Please specify the gender of the first pet.

Please provide the weight of the first pet.

Please specify the color of the first pet.

Please provide the age of the first pet.

Enter the current cash value of the first savings account.

Enter the annual interest, dividends, or rent received from the first savings account.

Enter the name of the financial institution where the first savings account is held or a description of the asset.

Enter the account number for the first savings account.

Enter the specific model of the first vehicle.

Enter the color of the first vehicle.

Enter the manufacturing year of the first vehicle.

Enter the license plate number of the first vehicle.

Enter the state where the first vehicle is registered.

Enter the full name of the fourth co-applicant.

Enter the email address of the fourth co-applicant.

Please provide the Social Security number for the fourth occupant.

Please provide the driver's license number for the fourth occupant.

Please enter the date of birth for the fourth occupant.

Please provide the government-issued photo identification card number for the fourth occupant.

Please describe the fourth occupant's relationship to the applicant.

Please enter the full legal name of the fourth occupant.

Please enter the state that issued the fourth occupant's driver's license.

Please specify the type of government-issued photo identification provided for the fourth occupant.

Check this box if the first pet listed is an assistance animal.

Check this box if the first pet listed is not an assistance animal.

Check this box if the second pet listed is an assistance animal.

Check this box if the second pet listed is not an assistance animal.

Check this box if the Head of Household (1st person listed) is a part-time student.

Check this box if student status is not applicable for the Head of Household (1st person listed).

Check this box if the second person listed is a full-time student.

Check this box if the second person listed is a part-time student.

Check this box if student status is not applicable for the second person listed.

Check this box if the third person listed is a full-time student.

Check this box if the third person listed is a part-time student.

Check this box if student status is not applicable for the third person listed.

Check this box if the fourth person listed is a full-time student.

Check this box if the fourth person listed is a part-time student.

Check this box if student status is not applicable for the fourth person listed.

Check this box if the fifth person listed is a full-time student.

Check this box if the fifth person listed is a part-time student.

Check this box if student status is not applicable for the fifth person listed.

Check this box if there is anyone currently living with you who is not listed in the household composition.

Check this box if there is no one currently living with you who is not listed in the household composition.

Check this box if anyone plans to live with you in the future who is not listed in the household composition.

Check this box if no one plans to live with you in the future who is not listed in the household composition.

Check this box if any of the household members are foster children.

Check this box if none of the household members are foster children.

Check this box if there are any live-in attendants among the household members.

Check this box if there are no live-in attendants among the household members.

Check this box if anyone in the household receives income from salary.

Check this box if no one in the household receives income from salary.

Check this box if anyone in the household receives income from overtime pay.

Check this box if no one in the household receives income from overtime pay.

Check this box if anyone in the household receives income from commissions and fees.

Check this box if no one in the household receives income from commissions and fees.

Check this box if anyone in the household receives income from tips and bonuses.

Check this box if no one in the household receives income from tips and bonuses.

Check this box if anyone in the household receives income from interest and/or dividends.

Check this box if no one in the household receives income from interest and/or dividends.

Check this box if anyone in the household receives net income from a business.

Check this box if no one in the household receives net income from a business.

Check this box if anyone in the household receives net rental income.

Check this box if no one in the household receives net rental income.

Check this box if anyone in the household receives income from Social Security, pensions, or retirement funds periodically.

Check this box if no one in the household receives income from Social Security, pensions, or retirement funds periodically.

Check this box if anyone in the household receives income from support from parents or relatives.

Check this box if no one in the household receives income from support from parents or relatives.

Check this box if anyone in the household receives unemployment benefits.

Check this box if no one in the household receives unemployment benefits.

Check this box if anyone in the household receives workers' compensation.

Check this box if no one in the household receives workers' compensation.

Check this box if anyone in the household receives court ordered child support or alimony.

Check this box if no one in the household receives court ordered child support or alimony.

Check this box if anyone in the household receives income from AFDC/TANF.

Check this box if no one in the household receives income from AFDC/TANF.

Check this box if anyone in the household receives other types of income not listed.

Check this box if no one in the household receives other types of income not listed.

Check this box if anyone in the household owns checking account(s).

Check this box if no one in the household owns checking account(s).

Check this box if anyone in the household owns savings account(s).

Check this box if no one in the household owns savings account(s).

Check this box if anyone in the household owns credit union account(s).

Check this box if no one in the household owns credit union account(s).

Check this box if anyone in the household owns stocks, bonds, or mutual funds.

Check this box if no one in the household owns stocks, bonds, or mutual funds.

Check this box if anyone in the household owns real estate or a home.

Check this box if no one in the household owns real estate or a home.

Check this box if anyone in the household owns an IRA/Keough Account.

Check this box if no one in the household owns an IRA/Keough Account.

Check this box if anyone in the household owns a Retirement/Pension Fund.

Check this box if no one in the household owns a Retirement/Pension Fund.

Check this box if anyone in the household owns a Trust Fund.

Check this box if no one in the household owns a Trust Fund.

Check this box if anyone in the household holds a Mortgage Note.

Check this box if no one in the household holds a Mortgage Note.

Check this box if anyone in the household owns whole life insurance with cash value.

Check this box if no one in the household owns whole life insurance with cash value.

Check this box if anyone in the household owns other types of assets not listed.

Check this box if no one in the household owns other types of assets not listed.

Provide the first line of explanation regarding household composition changes or unlisted persons.

Provide the second line of explanation regarding household composition changes or unlisted persons.

Provide the third line of explanation regarding household composition changes or unlisted persons.

Enter the full name of the first household member (Head of Household).

Enter the relationship of the first household member to the other members of the household, such as 'Self' or 'Head'.

Enter the current age of the first household member.

Enter the full name of the second household member.

Enter the relationship of the second household member to the head of household.

Enter the age of the second household member.

Provide the full name of the third household member.

Provide the relationship of the third household member to the head of the household.

Provide the age of the third household member.

Enter the full name of the fourth household member.

Enter the relationship of the fourth household member to the head of household.

Enter the age of the fourth household member.

Enter the full name of household member 5.

Enter the relationship of household member 5 to the head of household.

Enter the age of household member 5.

Enter the full name of the 6th household member.

Enter the relationship of the 6th household member to the head of household.

Enter the age of the 6th household member.

Enter the gross monthly income received by the applicant from interest and/or dividends.

Enter the gross monthly income received by the co-applicant from interest and/or dividends.

Enter the total gross monthly income received by other household members from interest and/or dividends.

Enter the total gross monthly income received by all household members from interest and/or dividends.

Enter the current cash value of the IRA/Keough account.

Provide the name of the financial institution holding the IRA/Keough account or a description of the asset.

Enter the annual interest, dividends, or rent received from the IRA/Keough account.

Enter the account number for the IRA/Keough account.

Enter the current cash value of the mortgage note held asset.

Provide the name of the financial institution or a detailed description of the mortgage note held asset.

Enter the annual interest, dividends, or rent received from the mortgage note held asset.

Enter the account number associated with the mortgage note held asset.

Enter the net income from business for the applicant.

Enter the net income from business for the co-applicant.

Enter the total net income from business for all other household members.

Enter the total net income from business for all household members.

Enter the net rental income received by the applicant.

Enter the net rental income received by the co-applicant.

Enter the net rental income received by other household members.

Enter the total net rental income from all household members.

Provide a description of the other asset not explicitly listed.

Enter the cash value of the other asset.

Provide the name of the financial institution or a detailed description of the other asset.

Enter the annual interest, dividends, or rent received from the other asset.

Enter the account number associated with the other asset.

Provide a detailed explanation for any other income not listed above.

Enter the amount of other income received by the applicant.

Enter the amount of other income received by the co-applicant.

Enter the total amount of other income received by other household members.

Enter the total amount of other income from all applicants and household members.

Enter the monthly overtime pay income received by the applicant.

Enter the monthly overtime pay income received by the co-applicant.

Enter the total monthly overtime pay income received by other household members.

Enter the total monthly overtime pay income from all household members.

Please provide the date the applicant signed this form.

Enter the full legal name of your current employer.

Provide the street address of your current employer.

State your current job title or position at your employer.

Enter the city, state, and zip code of your current employer's address.

Provide the primary work phone number for your employer.

Please provide the name of your current employer.

Please enter the street address of your current employer.

Please enter the city where your current employer is located.

Please enter the state where your current employer is located.

Please enter the zip code of your current employer.

Please provide the work phone number for your current employer.

Please enter the date your employment with your current employer began.

Please enter the date your employment with your current employer ended, or leave blank if you are still employed.

Please provide your gross monthly income from your current employer.

Please enter your job title or position with your current employer.

Please enter the full name of your immediate supervisor at your current employer.

Please provide the phone number of your immediate supervisor at your current employer.

Enter the name of the first supervisor for this previous employment record.

Enter the phone number of the first supervisor for this previous employment record.

Enter the name of your previous employer.

Enter the street address of your previous employer.

Enter the state where your previous employer is located.

Enter the zip code of your previous employer.

Enter the start date of your previous employment.

Enter the end date of your previous employment.

Enter your gross monthly income from this previous employment.

Enter your job title or position held at this previous employment.

Enter the name of the second supervisor for this previous employment record.

Enter the phone number of the second supervisor for this previous employment record.

Please provide the street address for your previous home.

Please provide the state of your previous home address.

Please provide the zip code of your previous home address.

Please enter the date you started residing at this previous address.

Please enter the date you stopped residing at this previous address.

Please provide the monthly payment amount for your previous residence.

Please provide the name of your apartment or residential complex at your previous address.

Please provide the name of your landlord or lender for your previous residence.

Please provide the phone number of your landlord or lender for your previous residence.

Please provide the reason for leaving your previous residence.

Check this box if you rented your previous home.

Check this box if you owned your previous home.

Enter the cash value of the real estate or home asset.

Provide a description of the real estate or home asset, or the name of the financial institution holding it.

Enter the annual interest, dividends, or rent received from the real estate or home asset.

Enter the account number for the real estate or home asset.

Describe the method by which you found us if it's not listed above.

Enter the website address through which you found us via online search.

Provide the full name of the person who referred you.

Specify the social media platform on which you found us.

Provide details regarding any felony or misdemeanor convictions related to controlled substances, violence, destruction of property, or sex crimes, including the year, location, and type of conviction.

Check this box if you or any occupant listed in this Application has ever been evicted or asked to move out.

Check this box if you or any occupant listed in this Application has ever moved out of a dwelling before the end of the lease term without the owner's consent.

Check this box if you or any occupant listed in this Application has ever declared bankruptcy.

Check this box if you or any occupant listed in this Application has ever been sued for rent.

Check this box if you or any occupant listed in this Application has ever been sued for property damage.

Check this box if you or any occupant listed in this Application has ever been convicted (or received an alternative form of adjudication equivalent to conviction) of a felony or misdemeanor involving a controlled substance, violence to another person or destruction of property, or a sex crime.

Enter the current cash value of the retirement or pension fund.

Provide the name of the financial institution holding the retirement or pension fund, or a detailed description of the asset.

Enter the total annual interest, dividends, or rent received from the retirement or pension fund.

Enter the account number for the retirement or pension fund.

Please enter the gross monthly salary income for the applicant.

Please enter the gross monthly salary income for the co-applicant.

Please enter the combined gross monthly salary income for other household members.

Please enter the total gross monthly salary income from all sources listed.

Please enter the type of your second additional income.

Please enter the source of your second additional income.

Please enter the gross monthly amount for your second additional income.

Enter the name of the financial institution where the second checking account is held or a description of the asset.

Enter the current cash value of the second checking account.

Enter the annual interest, dividends, or rent received from the second checking account.

Enter the account number for the second checking account.

Enter the first email address for the second co-applicant.

Enter the second email address for the second co-applicant.

Please enter the second other occupant's Social Security number.

Please specify the second other occupant's relationship to the primary applicant.

Please provide the state that issued the second other occupant's driver's license.

Please provide the second other occupant's full legal name.

Please enter the second other occupant's date of birth.

Please provide the second other occupant's government-issued photo identification card number.

Enter the name of the second pet.

Enter the type or species of the second pet, such as 'dog' or 'cat'.

Enter the breed of the second pet.

Enter the gender of the second pet.

Enter the weight of the second pet.

Enter the primary color or colors of the second pet.

Enter the age of the second pet.

Enter the current cash value of the second savings account.

Enter the annual interest, dividends, or rent received from the second savings account asset.

Enter the name of the financial institution where the second savings account is held or a description of the asset.

Enter the account number for the second savings account.

Enter the manufacturer or brand of the second vehicle.

Enter the specific model of the second vehicle.

Enter the primary exterior color of the second vehicle.

Enter the manufacturing year of the second vehicle.

Enter the license plate number of the second vehicle.

Enter the state where the second vehicle is registered.

Provide the Social Security number of the sixth other occupant.

Provide the driver's license number of the sixth other occupant.

Provide the type of government photo identification card for the sixth other occupant (e.g., Passport, State ID).

Provide the full name of the sixth other occupant.

Provide the relationship of the sixth other occupant to the primary applicant.

Provide the date of birth for the sixth other occupant.

Provide the state that issued the driver's license for the sixth other occupant.

Provide the government photo identification card number for the sixth other occupant.

Enter the total amount of Social Security, pensions, or retirement funds received periodically by the applicant.

Enter the total amount of Social Security, pensions, or retirement funds received periodically by the co-applicant.

Enter the total amount of Social Security, pensions, or retirement funds received periodically by other household members.

Enter the total amount of Social Security, pensions, or retirement funds received periodically from all household members.

Check this box if the Head of Household is a full-time student.

Check this box if the Head of Household is a part-time student.

Check this box if student status is not applicable for the Head of Household.

Check this box if the second household member is a full-time student.

Enter the total current cash value of all stocks, bonds, or mutual funds.

Provide the name of the financial institution where the stocks, bonds, or mutual funds are held, or a description of the asset.

Enter the total annual interest or dividends received from stocks, bonds, or mutual funds.

Enter the account number associated with the stocks, bonds, or mutual funds.

Enter the annual income received by the applicant from parents or relatives.

Enter the annual income received by the co-applicant from parents or relatives.

Enter the total annual income received by other household members from parents or relatives.

Enter the total annual income received by all household members from parents or relatives for this category.

Enter the email address for the third co-applicant.

Enter the full name of the third co-applicant.

Enter the full name of the third other occupant exactly as it appears on their Driver's License or Government ID card.

Enter the Social Security number of the third other occupant.

Enter the driver's license number of the third other occupant.

Enter the government photo identification card number for the third other occupant.

Enter the relationship of the third other occupant to the main applicant.

Enter the birth date of the third other occupant.

Enter the state that issued the driver's license for the third other occupant.

Enter the type of government photo identification card for the third other occupant (e.g., State ID, Passport).

Enter the color of the third vehicle.

Enter the model of the third vehicle.

Enter the state where the third vehicle is registered.

Enter the manufacturing year of the third vehicle.

Enter the make of the third vehicle.

Enter the license plate number of the third vehicle.

Enter the total monthly tips and bonuses income received by the applicant.

Enter the total monthly tips and bonuses income received by the co-applicant.

Enter the total monthly tips and bonuses income received by other household members.

Enter the total monthly tips and bonuses income for all household members.

Enter the total cash value of all assets for all adults and persons in your household.

Please provide the total cash value of the trust fund.

Please provide the name of the financial institution where the trust fund is held, or a description of the trust fund asset.

Please provide the total annual interest, dividends, or rent received from the trust fund.

Please provide the account number associated with the trust fund.

Enter the monthly unemployment benefits income received by the applicant.

Enter the monthly unemployment benefits income received by the co-applicant.

Enter the total monthly unemployment benefits income received by other household members.

Enter the total monthly unemployment benefits income from all household members.

Enter the current cash value of the whole life insurance policy.

Enter the name of the financial institution holding the whole life insurance policy or provide a description of the asset.

Enter the annual interest, dividends, or rent received from the whole life insurance policy.

Enter the account number associated with the whole life insurance policy.

Enter the annual workers' compensation income received by the applicant.

Enter the annual workers' compensation income received by the co-applicant.

Enter the total annual workers' compensation income received by other household members.

Enter the total annual workers' compensation income for all household members.