Residential Lease Application
COOPER LAND COMPANY
Residential Lease Application
Fields marked * are required. Questions? Call 214-714-5638 or email dan@cooperlandcompany.com.
1. Property & Lease
Each occupant or co-applicant who is 18 or older has to submit a separate application. You're strongly encouraged to see the property in person before you apply. The landlord makes no warranties about its condition.
Property Address *Anticipated Move-In Date *Monthly rent ($)Security deposit ($)Lease term (months)
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6
12
18
24
Other
Have you seen the property in person?
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Yes
No
How did you hear about it?
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Sign
Internet
Other
If Other, please describeRepairs or treatments you'd like the landlord to consider2. About YouFull legal name (as on ID) *Former last name (if any)Email *Mobile phone *Work phoneHome phoneOK to text you?
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Yes
No
Driver license / ID number Issuing state
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TX
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Date of birth HeightWeight (lbs)Eye Color
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Brown
Blue
Green
Hazel
Gray
Other
Hair Color
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Black
Brown
Blonde
Red
Gray
Other
3. Co-Applicants (If applicable)
Each co-applicant has to submit their own application. Need more than 2? List them under Additional Questions.
Co-applicant 1
NameRelationship
Co-applicant 2
NameRelationship4. Your Agent (If applicable)
Fill this in if a REALTOR® or other agent is representing you.
Agent NameAgent CompanyAgent EmailAgent Phone5. Rental History
Current address
Street address *Apt. No.City, state, zip *Landlord / property managerLandlord emailLandlord phoneMove-in dateMove-out dateRent ($)Reason for moving
Previous address (if applicable)
Street addressApt. No.City, state, zipLandlord / property managerLandlord emailLandlord phoneMove-in dateMove-out dateRent ($)Reason for moving6. Employment & Income
Current employer
EmployerPositionAddress (street, city, state, zip)Verification contactPhoneFaxEmailStart dateGross monthly income ($)
If you're self-employed, the landlord may ask for prior tax returns certified by a CPA, attorney, or other tax professional. Please make sure the employment verification contact info is correct.
Previous employer (if applicable)
EmployerPositionAddress (street, city, state, zip)Verification contactPhoneFaxEmailEmployed fromEmployed toGross monthly income ($)Other income you want considered7. Emergency Contact
Don't list an occupant or co-applicant here.
Name *RelationshipStreet addressCityState
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TX
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
ZipPhone *Email8. Other Occupants (If applicable)
Anyone who isn't a co-applicant but will live at the property.
Occupant 1
NameRelationshipDate of birth
Occupant 2
NameRelationshipDate of birth
Occupant 3
NameRelationshipDate of birth
Occupant 4
NameRelationshipDate of birth 9. Vehicles (If applicable)
Every vehicle to be parked at the property. State, local, or HOA rules may limit which vehicles you can park.
Vehicle 1
Type
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Car
Truck
SUV
Motorcycle
Boat
Trailer
RV
Other
YearMakeModelLicense platePlate state
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TX
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Monthly payment ($)
Vehicle 2
Type
Select…
Car
Truck
SUV
Motorcycle
Boat
Trailer
RV
Other
YearMakeModelLicense platePlate state
Select…
TX
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Monthly payment ($)
Vehicle 3
Type
Select…
Car
Truck
SUV
Motorcycle
Boat
Trailer
RV
Other
YearMakeModelLicense platePlate state
Select…
TX
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Monthly payment ($)10. Animals (If applicable)
Dogs, cats, birds, reptiles, fish, etc. More than 2? List them under Additional Questions. For an assistance animal, please include documentation with a reasonable accommodation request.
Will any animals be kept at the property?
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Yes
No
Animal 1
Type & breedNameColorWeight (lbs)Age (years)Gender
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Male
Female
Neutered/spayed?
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Yes
No
Rabies shots current?
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Yes
No
Bite history?
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Yes
No
Assistance animal?
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Yes
No
Animal 2
Type & breedNameColorWeight (lbs)Age (years)Gender
Select…
Male
Female
Neutered/spayed?
Select…
Yes
No
Rabies shots current?
Select…
Yes
No
Bite history?
Select…
Yes
No
Assistance animal?
Select…
Yes
No
11. Additional QuestionsWill there be any waterbeds or water-filled furniture? *
Select…
Yes
No
Does anyone who'll live there smoke or vape? *
Select…
Yes
No
Will you carry renter's insurance? *
Select…
Yes
No
Are you or your spouse (even if separated) in the military? *
Select…
Yes
No
If yes, do the military orders limit the stay to one year or less?
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Yes
No
Have you ever been evicted? *
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Yes
No
Have you ever been asked to move out by a landlord? *
Select…
Yes
No
Have you ever breached a lease or rental agreement? *
Select…
Yes
No
Have you ever filed for bankruptcy? *
Select…
Yes
No
Have you ever lost property in a foreclosure? *
Select…
Yes
No
Have you ever been convicted of a crime? *
Select…
Yes
No
Is any occupant a registered sex offender? *
Select…
Yes
No
Have you had any credit problems, slow pays, or delinquencies? *
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Yes
No
Is there additional information you'd like considered? *
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Yes
No
Details: location, year, and type of any conviction, plus any credit issues or anything else you'd like considered12. Fees
The deposit goes toward the security deposit once a lease is signed. If no lease is signed, it's refunded.
Non-refundable application fee ($)Fee paid to (entity or person)Submitting an application deposit?
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Yes
No
Application deposit ($), if yes13. Authorization & SignatureI authorize credit, criminal background, rental, and employment checks, and the release of information to Cooper Land Company. I understand the property stays on the market until a lease is signed. I've had the chance to review the tenant selection criteria. Everything I've provided is true and complete, inaccurate information can lead to rejection and loss of fees, and I'm responsible for any costs of obtaining information. I've read the Texas Property Code Ch. 5, Subch. H notice. *
View full terms
Authorization. Applicant authorizes Landlord and Landlord's authorized agent, at any time before, during, or after any tenancy, to: (1) obtain a copy of Applicant's credit report; (2) obtain a criminal background check related to Applicant and any occupant; and (3) verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.
Notice of Landlord's Right to Continue to Show the Property. Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.
Privacy Policy. Landlord's agent or property manager maintains a privacy policy that is available upon request.
Fees. Applicant submits a non-refundable fee for processing and reviewing this application. Any application deposit will be applied to the security deposit upon execution of a lease or returned to Applicant if a lease is not executed.
Notice. Pursuant to Texas Property Code Chapter 5, Subchapter H, certain buyers and renters may be prohibited from purchasing real property or entering into leases for one year or more. Buyers and renters who believe these restrictions may apply to them should consult an attorney before entering into the transaction.
Acknowledgement & Representation. (1) Signing this application indicates that Applicant has had the opportunity to review Landlord's tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income, and rental history. (2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign. (3) Applicant represents that the statements in this application are true and complete. (4) Applicant is responsible for any costs associated with obtaining information.
Authorization to Release Information. Landlord/Broker: Cooper Land Company, 2501 Greenspoint Lane, Prosper, TX 75078 · 214-714-5638 · dan@cooperlandcompany.com. I give my permission: (1) to my current and former employers to release any information about my employment history and income history to the above-named person; (2) to my current and former landlords to release any information about my rental history to the above-named person; (3) to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person; (4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and (5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me. Any broker gathering information about an applicant acts under specific instructions to verify some or all of the information described in this authorization. The broker maintains a privacy policy which is available upon request.
Based on TXR-2003 (Texas Association of REALTORS®).
Typed full name (this is your signature) *Date *I agree to sign electronically. My typed name counts as my legal signature on this application and the Authorization to Release Information. *Submit Application
Cooper Land Company · 2501 Greenspoint Lane, Prosper, TX 75078 · 214-714-5638
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