Virginia Rental Application FormVirginia Rental Application FormVirginia Rental Application Form
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This Rental Application is an offer to rent. The Deed of Lease is a legally binding contract.
It is unlawful to discriminate on the basis of race, color, religion, national origin, sex, elderliness, familial status or
handicap. This application will be processed in accordance with all Fair Housing and occupancy laws.
The applicants acknowledge by their initials that in this real estate leasing transaction the Listing Broker,
, represents the Landlord and that the Leasing broker,
represents † the Landlord OR † the Tenant. (If the Broker is acting as a dual representative of both the Landlord
and Tenant, then the appropriate disclosure form is attached to and made a part of this Application.
Applicant/s Initials


Leasing Agent must attach a business card.

Applicant/s Identification Type & Expiration Date:


(Applicant 1) and
to lease the property known as
, Virginia
, 20
the first day of each month.

(“Premises”), fo