House for Rent
1645 McCauley Ave.
Salem, VA  24153

     3 Bedrooms   2 Full Baths
         Wrap-Around Decks
             Salem Schools
   $850 per month

Security Deposit
$850

Tenant pays all utilities

Pets require written approval from Owner with NonRefundable Deposit and monthly addition to rent of $50.
Rental Application Separate Form
Required by Each Applicant


Name:
Other Adult that will be occupying the
Single Family Dwelling:
Current Address:
Current Landlord's Name:
Current Landlord's Address:
Current Landlord's Phone
Current Rent or House Payment:
Total Number People to occupy Home:
Pets, Type, Age, and Weight:
Requires Written Approval and Nonrefundable Deposit per pet.
Monthly Income and Source:
Employer's Name and Phone:
Have you ever had an Unlawful Detainer
served against you?:
Have you ever received 5-Day
Pay or Quit Notices?:
Telephone and Mobile Phone:
Previous Address:
Previous Landlord's Name:
Previous Landlord's Address:
Previous Landlord's Phone:
Additional Comments
Date desired to move in:
Contact Form

Please fill in the contact information to set up an appointment.


Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Have you ever had an Unlawful Detainer filed against you?:
How many people would occupy the property?
Source of Income?:
An Application may be submitted before viewing for faster consideration.:
Desired Move-In Date if interested in property and Application approved by Landlord?:
Email:
Comments: