DELAWARE RESIDENTIAL RENTAL APPLICATION

Property Applied For: [[Property Address]]

Application Date: [[Application Date]]

Monthly Rent: [[Monthly Rent Amount]]

Security Deposit: [[Security Deposit Amount]]

This Application is submitted to [[Landlord or Property Manager Name]] ("Landlord" or "Property Manager"). All information provided must be true, accurate, and complete. Incomplete, false, or misleading information may result in denial of the application or termination of any resulting tenancy.

Delaware law requires truthful disclosures. This form complies with the Delaware Residential Landlord-Tenant Code, Title 25, Chapter 55.

1. Applicant Information

Full Legal Name: [[Applicant Full Legal Name]]

Date of Birth: [[Applicant Date of Birth]]

Social Security Number or ITIN: [[Applicant SSN or ITIN]]

Driver's License or State ID Number and State: [[DL or State ID Number and Issuing State]]

Current Phone Number: [[Applicant Primary Phone]]

Email Address: [[Applicant Email Address]]

Current Address: [[Current Residential Address]]

Length of Time at Current Address: [[Duration at Current Address]]

Reason for Leaving: [[Reason for Leaving Current Residence]]

2. Co-Applicants and Additional Occupants

List every person who will reside at the property, including children.

3. Residency History (Past Three Years)

Current or Most Recent Landlord or Property Manager:

Name: [[Current Landlord or Manager Name]]

Phone: [[Current Landlord Phone]]

Address: [[Current Landlord Address]]

Monthly Rent Paid: [[Current Monthly Rent Paid]]

Dates of Tenancy: [[Current Tenancy Start and End Dates]]

Previous Landlord:

Name: [[Previous Landlord or Manager Name]]

Phone: [[Previous Landlord Phone]]

Address: [[Previous Landlord Address]]

Monthly Rent Paid: [[Previous Monthly Rent Paid]]

Dates of Tenancy: [[Previous Tenancy Start and End Dates]]

Have you ever been evicted, had an eviction filed against you, or had a lease terminated for cause? [[Eviction or Termination History Yes/No and Explanation]]

4. Employment and Income Verification

Current Employer: [[Current Employer Name]]

Position or Job Title: [[Applicant Job Title]]

Supervisor or HR Contact Name and Phone: [[Supervisor or HR Contact Name and Phone]]

Length of Employment: [[Length of Current Employment]]

Monthly Gross Income: [[Monthly Gross Income Amount]]

Other Income Sources (alimony, child support, investments, gig work, etc.): [[Other Income Sources and Monthly Amounts]]

Total Household Monthly Gross Income: [[Total Household Gross Monthly Income]]

Landlord typically requires that gross monthly income equal or exceed 2.5 to 3.0 times the monthly rent. Applicant confirms that combined household income meets or exceeds this threshold or will provide additional documentation such as co-signer or increased deposit if requested.

5. Rental Screening Fee

Pursuant to 25 Del. C. § 5514(d), a landlord may charge an application fee not to exceed the greater of 10 percent of the monthly rent or $50.00 to determine a tenant's credit worthiness.

Application / Screening Fee Amount: [[Screening Fee Amount]]

This fee is charged to cover the actual out-of-pocket costs of obtaining credit, criminal, eviction, and reference reports.

The fee is non-refundable except to the extent required by law or if the landlord does not perform the screening.

Landlord shall provide a receipt for the fee and maintain records for at least two years. If the fee exceeds the statutory maximum, applicant is entitled to damages equal to double the amount charged.

6. Credit and Background Authorization

Written Authorization for Consumer Reports:

By signing this Application, Applicant expressly authorizes Landlord and Landlord's agents, screening companies, or consumer reporting agencies to obtain and review:

• Credit reports and credit history
• Criminal background reports
• Eviction and unlawful detainer records
• Employment and income verification
• Rental history and prior landlord references
• Any other information relevant to evaluating this application

This authorization is given in writing as required for credit and background checks under applicable federal and Delaware law.

Applicant acknowledges that the information obtained will be used solely for evaluating the rental application and will not be used in violation of fair housing or fair credit reporting laws.

7. Credit, Criminal, and Eviction History

Have you ever filed for bankruptcy? [[Bankruptcy History Yes/No and Details]]

Have you ever been convicted of a felony or misdemeanor involving violence, drugs, theft, fraud, or property damage? [[Criminal Conviction History Yes/No and Details]]

(Per HUD guidance, criminal history will be considered only as necessary to protect safety and property, on an individualized basis, and in compliance with fair housing requirements.)

Do you have any outstanding judgments, liens, or unpaid debts to prior landlords? [[Outstanding Judgments or Debts Yes/No and Details]]

8. Pets, Vehicles, and Special Requirements

Pets (type, number, weight, service or emotional support animals): [[Pet Details Including Type Number Breed Weight and Service Animal Status]]

Number of Vehicles: [[Number of Vehicles]]

Vehicle Descriptions, Make, Model, Year, License: [[Vehicle 1 Description]] ; [[Vehicle 2 Description]]

Parking needs or special accommodations requested: [[Special Parking or Accommodation Requests]]

9. References

Personal Reference (non-family):

Name: [[Personal Reference 1 Name]]

Phone: [[Personal Reference 1 Phone]]

Relationship: [[Personal Reference 1 Relationship]]

Professional Reference:

Name: [[Professional Reference Name]]

Phone: [[Professional Reference Phone]]

10. Screening Criteria and Selection Standards

Landlord applies the following objective, uniformly applied criteria to all applicants:

1. Income: Gross monthly household income of at least 2.5 times the monthly rent (3.0 times preferred). Proof required (pay stubs, tax returns, bank statements, award letters, or employment verification).

2. Credit: Minimum credit score of [[Minimum Credit Score Threshold]] or acceptable alternative credit history. Negative items reviewed in context.

3. Rental History: No prior evictions within the last [[Lookback Period for Evictions Years]] years; no repeated late payments or lease violations without satisfactory explanation.

4. Criminal Background: Reviewed consistently with HUD 2016 guidance on criminal records. Automatic denial only for convictions that directly threaten health, safety, or property. Individualized assessment offered where required.

5. Other: No material misrepresentations on application; ability to take possession on proposed date; compliance with pet, occupancy, and smoking policies.

Applicant acknowledges that meeting minimum criteria does not guarantee approval; Landlord retains discretion consistent with fair housing laws.

11. Fair Housing and Nondiscrimination Notice

Landlord complies with the Federal Fair Housing Act, Delaware Fair Housing laws, and all applicable local ordinances.

We do not discriminate on the basis of race, color, religion, sex, national origin, familial status, disability, age, sexual orientation, gender identity, source of income, veteran status, or any other characteristic protected by law.

Equal Housing Opportunity.

12. FCRA Adverse Action Notice

If any adverse action is taken based in whole or in part on information in a consumer report, Applicant will receive:

• Written notice of the adverse action
• Name, address, and telephone number of the consumer reporting agency that furnished the report
• Statement that the agency did not make the decision and cannot explain it
• Notice of the right to obtain a free copy of the report and to dispute its accuracy

13. Additional Consents and Acknowledgments

Applicant consents to contact of all employers, landlords, references, and financial institutions listed.

Applicant understands this is an application only and does not create a tenancy or lease. Approval is not guaranteed.

Any material misrepresentation, omission, or false statement will be grounds for denial or, if discovered later, lease termination and damages.

Applicant agrees to notify Landlord promptly of any changes to the information provided.

14. Lead-Based Paint and Other Disclosures (if applicable)

If the dwelling was built before 1978, federal law requires disclosure of known lead-based paint hazards. A separate lead-based paint disclosure and pamphlet will be provided prior to lease execution.

Radon, mold, or other known hazards: [[Known Environmental or Property Hazard Disclosures]]

15. Signatures and Certification

I certify under penalty of perjury that all information in this Application is true, complete, and accurate to the best of my knowledge. I understand that false statements may result in denial of tenancy or eviction.

Applicant Signature

Signature: _______________________________ Date: [[Applicant Signature Date]]

Print Name: [[Applicant Full Legal Name]]

Co-Applicant Signature (if applicable)

Signature: _______________________________ Date: [[Co-Applicant Signature Date]]

Print Name: [[Co-Applicant Full Legal Name]]

Landlord / Authorized Agent Acknowledgment

Received by: [[Landlord or Agent Name]]

Date Received: [[Date Application Received]]

Screening Fee Received: [[Fee Amount and Payment Method]]

Application Status (for office use): [[Office Use Only Application Status]], -

*Delaware Residential Rental Application template. Complies with Delaware Residential Landlord-Tenant Code, Title 25, Chapter 55 (including § 5514 on security deposits and application fees). Application fee capped at the greater of 10% of monthly rent or $50 per 25 Del. C. § 5514(d). Written authorization required for credit and background checks. Typical income standard 2.5, 3× monthly rent is industry practice, not statutory. Lead-based paint disclosure required for pre-1978 units per 42 U.S.C. § 4852d. This is a sample template, not legal advice. Verify all information against current Delaware statutes, local ordinances, and consult qualified counsel before use. As of 2026-06.*, -

Sources and Verification Notes

• Delaware Code Title 25, Chapter 55 (Residential Landlord-Tenant Code): https://delcode.delaware.gov/title25/c055/index.html (primary source, current as of 2026-06)
• 25 Del. C. § 5514 (Security deposits and application fees)
• HUD Guidance on Application of Fair Housing Act Standards to the Use of Criminal Records (2016)
• 15 U.S.C. § 1681 et seq. (Fair Credit Reporting Act)
• 42 U.S.C. § 3601 et seq. (Fair Housing Act)
• All statutory references verified against official Delaware Code Online. Local municipal rules or housing authority requirements may impose additional standards.