Rent-to-Own Application

Complete all sections below. Fields marked * are required.

Applicant Information

First Name *

Last Name *

Date of Birth

Cell Phone *

Email Address *

Current Address *

City

State

ZIP

How long have you lived at this address?

Do you have a co-applicant?

YesNo

Adults who will live in the home

Children who will live in the home

Do you have any pets?

YesNo

How did you hear about us?

Housing History

Do you currently rent or own?

Current monthly housing payment ($)

Current landlord or mortgage company

Their phone number

Why are you moving?

Have you had an eviction filed against you in the past 7 years?

YesNo

Have you had a foreclosure or bankruptcy in the past 7 years?

YesNo

Employment & Income

Current employer

Position / type of work

How long have you been employed there?

Gross monthly income ($) *

Are you self-employed?

YesNo

Other verifiable monthly income ($) (Social Security, child support, etc.)

Financial Qualification

Available down payment ($) *

Source of down payment funds

Comfortable monthly payment ($)

Total monthly debt payments ($)

Are there any judgments or liens that could affect your ability to purchase?

YesNo

Document Uploads

Proof of Income (recent pay stubs or tax returns)

PDF, JPG, or PNG — max 10MB

Government-issued ID (driver's license, passport, etc.)

PDF, JPG, or PNG — max 10MB

I authorize Rent and Own Casa to obtain a credit report and background check as part of this application.

Property Details

Which property are you interested in?

Will this be your primary residence?

YesNo

When would you like to move in?

I certify that all information provided is true and accurate to the best of my knowledge. I understand that submitting this application does not guarantee approval or create a binding agreement.