Midway Homes

RENTAL APPLICATION

Property Type

Personal Information

Applicant's Name

Date of Birth

Social Security Number

Contact Number

Email Address

Driver's License Number

Names, ages and relationship of anyone else who will occupy

Marital Status

MarriedSingle

Residence History *

Current Address *

Rent or Own?

From

Apartment/Landlord Name *

Phone *

Amount

Reason for Moving

Previous Address *

Rent or Own?

From

Apartment/Landlord Name *

Phone *

Amount

Reason for Moving

Employment *

Current Employer *

Supervisor

Address

Phone *

Position

Date of Hire

Salary

Per

2nd Employer *

Supervisor *

Address

Phone *

Position

Date of Hire

Salary

Per

General Information *

Pets (type/weight/age)

Vehicles (make/model/year/color/license/state)

Has applicant ever (check all that apply): *

Filed for bankruptcy Been evicted Been convicted of a felony None of the above

Comments/Explanations

Emergency Contact *

Name *

Relationship

Phone *

Address

Documents *

Upload 2 most recent pay stubs
(PDF, JPEG, or PNG)

Upload Copy of ID
(JPEG, PNG, or PDF)

Signature *

Please sign below using your mouse or touch screen. This electronic signature is the legal equivalent of your manual signature on this application.

Sign Here *

Date: 04-15-2026

Authorization to Obtain Consumer Reports, Background Information and Employment Verification

By submitting this rental application, you understand and agree that Midway Homes, LLC and/or Hollingshead Rental Company, LLC ("we" or "us") may obtain one or more consumer reports (including credit reports), investigative consumer reports, criminal background checks, employment verification, landlord verification, eviction records, and other background information about you from consumer reporting agencies for the purpose of evaluating your application for tenancy. Pursuant to the Fair Credit Reporting Act (15 U.S.C. § 1681 et seq.), you hereby authorize us to obtain such reports and to make any inquiries deemed necessary in evaluating your application.

We are committed to compliance with all federal, state, and local fair housing laws, including the Fair Housing Act, which prohibits discrimination on the basis of race, color, religion, sex, disability, familial status, national origin, and other protected classes. All applications are considered without regard to any protected characteristics.