Rental Application · Online Form

Rental Application

Angelo — this form replaces the PDF version. Fill in what you can, hit submit at the bottom, and Paul will see it instantly. Your responses save to a private review dashboard he checks — nothing is published.

❖ Preliminary approval — pending references and this completed application. Fill out the form below; once references check out we’ll move to lease signing.

The upstairs room: 180 Ladybug Lane, Cedar Creek, TX 78612 · $480/mo + utilities (~$140/mo, combined ≈ $620/mo) · month-to-month.

1. Applicant

Full legal name *

Date of birth

SSN (last 4)

Driver's license / state ID

Email *

Mobile phone *

Current address

How long at current address?

2. Move-in Details

Desired move-in date

Anticipated length of stay

Reason for moving

3. Employment

New employer

Position / role

Start date

Annual salary or hourly rate

Direct supervisor name

Supervisor phone or email

Offer letter on file?

Yes — can provide a copy No / verbal only

4. Previous Employment

Most recent prior employer.

Previous employer

Position

Dates of employment

Reason for leaving

Prev. supervisor name + phone (for reference check)

5. Military Service

Branch

Years of service

Discharge status (Honorable, etc.)

DD-214 available on request?

Yes No

6. Rental History

Most recent rental first. Skip if you owned your prior home.

Most recent rental

Address

Landlord / property mgr

Phone or email

Monthly rent

Dates of residence

Reason for leaving

Prior rental (optional)

Address

Landlord / property mgr

Phone or email

Monthly rent

Dates of residence

7. Pets

Any pets?

No Yes

If yes, please describe (type, count, ages, vaccination status)

8. Vehicles

Vehicle 1 — year/make/model

License plate / state

Vehicle 2 — year/make/model

License plate / state

9. Emergency Contact & References

Emergency contact

Name

Relationship

Phone or email

Personal reference #1 (not a relative)

Name

Relationship

Phone

Personal reference #2 (not a relative)

Name

Relationship

Phone

Personal reference #3 (not a relative)

Name

Relationship

Phone

10. Online Presence

Paste links to your public profiles so we can verify identity. Skip any you don't use.

Facebook URL

LinkedIn URL

X / Twitter URL

Instagram URL

TikTok URL

Personal website / portfolio / other

11. Background Questions

Ever been evicted or asked to leave a rental?

No Yes (explain in notes below)

Ever broken a lease?

No Yes

Ever filed for bankruptcy?

No Yes

Ever convicted of a felony?

No Yes (explain in notes below)

Smoke or vape?

No Yes (outdoor only on premises)

Anything to explain about the questions above? (optional)

12. Deposit & Payment

💸 What's due at signing / move-in

First month rent: $480.00

Utilities (combined estimate): $140.00

Total move-in cost: $620.00

Then monthly: $480 base + ~$140 utilities ≈ $620/mo combined.

Preferred payment: Zelle to 512.568.9333 or walhus@gmail.com, or PayPal to walhus@gmail.com. Memo: "Angelo Leo — upstairs room".

Anything you want to ask Paul or note about move-in? (optional)

13. Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I authorize Paul Walhus / Texas Coliving to verify any of the information provided, including by contacting employers, previous landlords, references, and (if needed) running a background or credit check. I understand that any false statement may be grounds for denial of the application or termination of any subsequent lease.

I certify the above and submit this rental application electronically. *

Rental Application — Angelo Moriah Leo — The Upstairs Room at 180 Ladybug Lane, Cedar Creek, TX 78612 · Texas Coliving
walhus@gmail.com · 501-365-1001
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