Missouri Rental Application

Property Address: [[Rental Property Full Address]], [[City]], Missouri [[ZIP Code]]

Landlord / Property Manager: [[Landlord or Manager Full Name]]

Application Date: [[Application Date]]

Application Fee: $[[Application / Screening Fee Amount]] (non-refundable; covers actual costs of processing)

Missouri law does not impose a statewide cap on rental application or screening fees. Landlords must comply with the federal Fair Credit Reporting Act (FCRA) when obtaining consumer reports for tenant screening. If adverse action (denial, higher rent, or different terms) is taken based in whole or in part on a consumer report, the applicant must receive an adverse action notice with specific disclosures. Landlords must also comply with the Missouri Human Rights Act (MHRA) and federal Fair Housing Act prohibiting discrimination.

All information provided will be kept confidential to the extent permitted by law and used solely for screening purposes.

1. Applicant Information

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

Date of Birth: [[DOB]] SSN (last 4 or full if required): [[SSN or last 4]]

Current Address: [[Current Street, City, State, ZIP]]

Phone: [[Phone]] Email: [[Email]]

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

Co-Applicant(s) / Occupant(s) over 18: [[Names, DOBs, relationship]]

2. Residency History (Last 3 Years)

3. Employment and Income

Current Employer: [[Employer Name, Address, Phone]]

Position: [[Job Title]] Length of Employment: [[Years/Months]]

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

Gross Monthly Income: $[[Gross Monthly Income]]

Other Income Sources: [[Other Income Sources and Amounts or "None"]]

Previous Employer (if current < 2 years): [[Details]]

4. Credit and Background Authorization (FCRA)

I/We authorize the Landlord, its agents, or screening service to obtain consumer reports (credit, criminal, eviction, and other background information) for tenant screening purposes. This authorization is valid for the period necessary to process this application and any updates.

I/We understand that:

• A consumer report may be obtained.

• If adverse action is taken based on the report, I/we will receive a copy of the report and a summary of rights under the FCRA.

• I/We may dispute inaccurate information directly with the consumer reporting agency.

Applicant Signature: _______________________________ Date: [[Date]]

5. Application Fee Disclosure

The application/screening fee of $[[Fee Amount]] is non-refundable and covers the actual costs of obtaining and processing reports and verifications. Missouri law does not require return of the fee if the applicant is denied. The fee is due with submission of this completed application.

6. Screening Criteria (Objective)

Landlord uses the following objective criteria (subject to applicable fair housing law):

• Income: Gross monthly income at least [[Income Multiple, e.g. 3]] times the monthly rent (or combined for co-applicants).

• Credit: Minimum credit score [[Minimum Score]] or acceptable alternative history.

• Rental History: No evictions or material lease violations in the last [[Years]] years.

• Criminal: No convictions for certain offenses that would pose a direct threat (per HUD guidance; individualized assessment applied).

• Other: [[Additional Criteria, e.g. no more than 2 pets, valid ID]]

Denial or different terms will be communicated with required FCRA adverse action notice if applicable.

7. Pets, Vehicles, and Additional Occupants

Number and type of pets: [[Pets Details]]

Vehicles (make/model/license): [[Vehicle Info]]

Additional occupants under 18 or other: [[Details]]

8. References (Non-Family)

Personal / Professional Reference 1: [[Name, Phone, Relationship]]

Personal / Professional Reference 2: [[Name, Phone, Relationship]]

9. Fair Housing and Nondiscrimination Notice

Landlord complies with the federal Fair Housing Act and the Missouri Human Rights Act (MHRA). We do not discriminate on the basis of race, color, religion, national origin, sex, familial status, disability, or any other protected class under applicable law.

If you believe you have been discriminated against, you may contact the Missouri Commission on Human Rights or HUD.

10. Applicant Certification and Authorization

I/We certify that all information provided in this application is true and complete. I/We understand that any false statement may result in denial of tenancy or termination of any lease. I/We authorize verification of all information, including contacting current and prior landlords, employers, and references.

Applicant Signature(s):

_______________________________________________ Date: [[Date]]

[[Applicant Full Legal Name]]

Co-Applicant Signature:

_______________________________________________ Date: [[Date]]

11. Additional Background and Criminal History Disclosure

Have you or any proposed occupant ever been convicted of a felony or misdemeanor (other than minor traffic offenses)?

[[Yes, provide dates, jurisdiction, offense, and disposition / No]]

Details: [[Criminal History Details or "N/A"]]

Have you or any proposed occupant ever been evicted or had an unlawful detainer action filed against you?

[[Yes, dates and outcome / No]]

Details: [[Eviction Details or "N/A"]]

Are you currently a party to any lawsuit or have any outstanding judgments?

[[Yes, describe / No]]

12. Emergency Contact

Name: [[Emergency Contact Full Name]] Relationship: [[Relationship]]

Phone: [[Phone]] Address: [[Address]]

13. Authorization to Verify and Release

I/We hereby authorize any current or former landlord, employer, reference, bank, credit bureau, or government agency to release any information requested by the Landlord or its screening agent in connection with this application. A photocopy of this authorization shall be as valid as the original.

14. Applicant Certification (Continued)

I/We have read and understand the screening criteria, fee policy, FCRA disclosures, and fair housing notice above. I/We understand that this is an application only and does not create a tenancy. Landlord may accept or reject this application in its sole discretion consistent with applicable law.

Applicant Initials: _______ / _______

15. Attachments Checklist (Applicant to Provide)

1. Copy of government-issued photo ID for each applicant 18+

2. Proof of income (pay stubs, tax returns, or bank statements for last 2 months)

3. Completed pet addendum or photo if pets requested

4. [[Other Required Attachments]]

Landlord Internal Processing Notes

Date Application Completed and Fee Received: [[Date]]

Reports Pulled: Credit [[ ]] Criminal/Eviction [[ ]] Other [[ ]]

Objective Score / Notes: [[ ]]

Final Decision and Date Notified: [[ ]]

If denied or conditional, FCRA adverse action notice and copy of report provided on: [[Date]], -

*Missouri Rental Application template, not legal advice. Application fees have no state statutory cap in Missouri but must be reasonable and disclosed. All screening must comply with the Fair Credit Reporting Act (15 U.S.C. § 1681 et seq.), including adverse action notices, and the Missouri Human Rights Act. Criminal screening should follow current HUD guidance on individualized assessment. All user-supplied values use [[Token Name]] placeholders. Verify current requirements before use. Current as of 2026-06.*