SOUTH DAKOTA RESIDENTIAL RENTAL APPLICATION

Property Applying For: [[Full Rental Property Address, City, South Dakota, ZIP]]

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

Application Date: [[Application Date]]

Application Fee: [[Application Fee Amount]] (non-refundable; see disclosures below)

This application is for the rental of the above Property. All applicants 18 years of age or older must complete a separate application or be listed as a co-applicant. Submission of this application does not guarantee approval. Approval is based on objective screening criteria, credit history, income, rental history, criminal background, and other lawful factors.

1. Applicant Information Full Legal Name: [[Applicant Full Legal Name]]

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

Social Security Number: [[Applicant SSN (last 4 for verification or full as required)]]

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

Phone Number: [[Applicant Primary Phone]]

Email Address: [[Applicant Email Address]]

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

How Long at Current Address: [[Duration at Current Address]]

Current Landlord or Mortgage Holder Name and Phone: [[Current Landlord/Mortgage Name and Phone]]

Reason for Moving: [[Reason for Moving]]

Prior Address (if less than 3 years at current): [[Prior Full Address, City, State, ZIP and Dates]]

Prior Landlord Name and Phone: [[Prior Landlord Name and Phone]]

2. Co-Applicant / Additional Occupant Information Full Legal Name: [[Co-Applicant Full Legal Name or "N/A"]]

Date of Birth: [[Co-Applicant DOB or "N/A"]]

Relationship to Applicant: [[Relationship e.g. Spouse, Partner, Roommate]]

SSN: [[Co-Applicant SSN or "N/A"]]

Phone: [[Co-Applicant Phone or "N/A"]]

Email: [[Co-Applicant Email or "N/A"]]

All other proposed occupants (names, ages, relationships): [[List All Other Proposed Occupants including Children or "None"]]

3. Employment and Income Current Employer: [[Current Employer Name]]

Employer Address: [[Employer Full Address]]

Position / Job Title: [[Job Title]]

Length of Employment: [[Length of Employment]]

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

Monthly Gross Income (before taxes): [[Monthly Gross Income Amount]]

Other Monthly Income Sources (describe and amount): [[Other Income Sources and Amounts or "None"]]

Previous Employer (if current employment less than 2 years): [[Previous Employer Name, Dates, Contact]]

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

4. Rental / Housing History Current Landlord / Property Manager: [[Current Landlord Name and Phone]]

Monthly Rent Currently Paid: [[Current Monthly Rent Amount]]

Have you ever been evicted or asked to leave a rental? [[Yes/No and Explanation if Yes]]

Have you ever been a party to a lawsuit involving a landlord or tenant matter? [[Yes/No and Details if Yes]]

Have you ever filed for bankruptcy? [[Yes/No and Year/Chapter if Yes]]

Have you ever been convicted of a felony or misdemeanor (other than minor traffic)? [[Yes/No, If yes provide details, jurisdiction, and dates; will be verified]]

5. Credit, Background, and References Bank Name and Branch: [[Bank Name and Branch]]

Approximate Checking Account Balance: [[Approximate Balance]]

Credit References (other accounts): [[List Credit References or "See credit report authorization"]]

Personal / Professional References (name, relationship, phone, email):

1. [[Reference 1 Full Name, Relationship, Phone, Email]]

2. [[Reference 2 Full Name, Relationship, Phone, Email]]

3. [[Reference 3 Full Name, Relationship, Phone, Email]]

6. Pets, Vehicles, and Other Will you have pets? [[Yes/No, If yes, list type, breed, weight, number, and age]]

Vehicle(s) to be parked on property (make, model, year, license plate): [[List Vehicles or "None"]]

Do you smoke or use tobacco/vaping products? [[Yes/No, Location restrictions apply per lease]]

Do you require any reasonable accommodations under the Fair Housing Act (e.g., assistance animal, modification)? [[Yes/No and Description if Yes]]

7. Application Fee and Screening Disclosure Application / Screening Fee Amount: [[Application Fee Amount]]

South Dakota law (SDCL Title 43) does not impose a statutory cap on application or screening fees. The fee covers the actual costs of processing the application, including credit report, background check, and administrative time. The fee is non-refundable regardless of approval or denial.

Fee Payment Method: [[Cash, Check, Money Order, or Electronic Payment]]

Fee is due at time of submission. Incomplete applications or missing fees will not be processed.

8. Screening Criteria This rental uses objective, nondiscriminatory screening criteria consistent with the Fair Housing Act and South Dakota law. Typical criteria include:

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

• Credit: Minimum credit score of [[Minimum Credit Score or "No strict minimum; overall history reviewed"]], with review of payment history, debt-to-income, and bankruptcies/evictions.

• Rental history: Positive references from prior landlords; no evictions within the past [[Eviction Lookback Period e.g. 5]] years (unless explained and mitigated).

• Criminal background: Convictions for violent crimes, drug manufacturing/distribution, or crimes involving property damage or theft within the past [[Criminal Lookback e.g. 7]] years may result in denial. All applicants receive individualized assessment.

• Other: No false information on application; legal right to reside in the U.S.

Applicants will be notified in writing of denial and may request the specific reasons and a copy of any consumer report used (per FCRA).

9. Fair Housing and Nondiscrimination Notice It is illegal to discriminate in the rental of housing on the basis of race, color, religion, sex, familial status, national origin, or disability (federal Fair Housing Act). South Dakota law provides additional protections consistent with state and local requirements.

This property is offered and managed in full compliance with all applicable fair housing laws. We welcome all qualified applicants.

10. Authorization and Consent for Screening I (we) hereby authorize [[Landlord / Property Manager / Screening Company Name]] and its agents to:

1. Obtain consumer credit reports, criminal background reports, eviction reports, and employment/income verification from any consumer reporting agency, employer, landlord, or other source.

2. Verify any information provided on this application or in supporting documents.

3. Contact current and prior landlords, employers, references, and financial institutions.

I understand that this authorization is valid for this application process and any subsequent tenancy-related purposes permitted by law.

I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false, misleading, or incomplete information may result in denial of this application or termination of any tenancy obtained.

I have received a copy of the FCRA Summary of Rights and any required state disclosures.

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

Printed Name: [[Applicant Full Legal Name]]

Co-Applicant Signature (if applicable): _______________________________ Date: [[Co-Applicant Signature Date]]

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

11. Landlord / Agent Use Only (Internal) Date Received: ________________

Fee Received: [[Amount and Method]]

Screening Ordered: [[Date and Company]]

Decision: [[Approved / Denied / Conditional]] Date: ________________

Lease Start Date Offered: [[Offered Lease Start Date]]

Notes: [[Internal Notes]], -

*This South Dakota Residential Rental Application form complies with the Fair Housing Act, the Fair Credit Reporting Act (FCRA), and South Dakota law under SDCL Title 43. There is no statutory cap on application fees in South Dakota; any fee charged must be disclosed upfront and is generally non-refundable. Landlords may obtain credit reports, background checks, employment verification, and rental references. This is a template. Use of consumer reports is subject to FCRA requirements including adverse action notices. This document is not legal advice. Consult qualified counsel or a South Dakota licensed property manager for compliance with current requirements and any local ordinances. Provisions current as of 2026-06. Complete all [[Token Name]] fields accurately before submission.*

Applicant Initials: ________ (acknowledging fee non-refundable and authorization)