Tennessee Rental Application

Property Address: [[Property Full Address]], [[City]], TN [[ZIP Code]]
Monthly Rent: [[Monthly Rent]]
Desired Move-In Date: [[Desired Move-In Date]]
Application Date: [[Application Date]]
Application Fee Amount: [[Application Fee Amount]] (non-refundable)

Landlord / Property Manager: [[Landlord or Management Company Name]]
Contact: [[Landlord Phone]] | [[Landlord Email]]
Owner / Agent Disclosure (TCA § 66-28-201): [[Owner or Authorized Agent Full Name]], [[Owner/Agent Physical Address]], [[City]], TN [[ZIP Code]]; Phone: [[Owner/Agent Phone]]

This Rental Application is used to evaluate applicants for tenancy at the above-referenced property. All information provided will be used solely for screening purposes in accordance with the Fair Credit Reporting Act (FCRA, 15 U.S.C. §1681 et seq.), the Fair Housing Act (42 U.S.C. §3604), the Tennessee Human Rights Act, and Tennessee Code Annotated (TCA) Title 66, Chapter 28 (Uniform Residential Landlord and Tenant Act where locally adopted).

Important Disclosures Before Completing

• There is no statewide statutory cap on rental application or screening fees in Tennessee. The fee amount is disclosed above and is non-refundable regardless of approval decision.
• A consumer report (credit report, background check, eviction history, criminal history, etc.) may be obtained.
• You have the right under FCRA to a copy of any consumer report obtained and to dispute inaccurate information.
• This application does not create a tenancy or guarantee approval. All decisions are based on objective, consistently applied screening criteria compliant with HUD fair-housing guidance.
• Landlord or authorized agent name and address are disclosed above as required by TCA § 66-28-201.
• URLTA (Uniform Residential Landlord and Tenant Act) applies in certain Tennessee municipalities including Memphis, Nashville, Chattanooga, Knoxville, and Oak Ridge. Local rules may supplement state requirements.

All user-supplied values are `[[Token Name]]` placeholders.

1. Applicant personal / contact information and residency history

Applicant Full Legal Name: [[Applicant Full Name]]
Date of Birth: [[Date of Birth]]
Social Security Number (last 4 for verification): [[SSN Last 4]] (full SSN required on consent page)
Driver's License / Government ID State & Number: [[DL State and Number]]
Current Phone: [[Applicant Phone Number]]
Email Address: [[Applicant Email Address]]
Current Address: [[Current Street Address, City, State, ZIP]]
How long at current address: [[Duration at Current Address]]

Previous Addresses (past 3 years, attach additional sheet if needed)

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

Other Occupants (all adults and children who will reside in the unit)
[[List full names, ages, and relationship for all proposed occupants or state "None other than applicant(s)"]]

2. Government ID / SSN and consent / authorization for background and credit check (FCRA disclosure)

Authorization and Release for Consumer Reports

I authorize [[Landlord or Management Company Name]] and its screening agents to obtain consumer reports, including but not limited to credit reports, criminal background checks, eviction history, employment and income verification, and rental history, for the purpose of evaluating this rental application.

I understand that:
- This is a consumer report as defined by the Fair Credit Reporting Act (15 U.S.C. §1681).
- If any adverse action (denial, conditional approval, or increased deposit) is taken based in whole or in part on information in a consumer report, I will be provided a copy of the report and a summary of my rights under FCRA.
- I may obtain a free copy of my credit report annually at www.annualcreditreport.com.
- I may dispute inaccurate information directly with the consumer reporting agency.

Full Legal Name (as appears on ID): [[Applicant Full Name]]
SSN: [[Full Social Security Number, will be redacted after screening]]
Date of Birth: [[Date of Birth]]
Current Address for Report: [[Current Address]]

Applicant Signature / Electronic Signature Authorization

By signing below (or checking the electronic consent box), I certify that all information provided is true and complete, and I authorize the procurement of consumer reports as described.

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

Printed Name: [[Applicant Full Name]]

Co-Applicant (if applicable)
Co-Applicant Signature: _______________________________ Date: [[Application Date]]
Printed Name: [[Co-Applicant Full Name]]

3. Employment and income verification (income multiple: [[Income Multiple]]× monthly rent)

Current Employment
- Employer Name: [[Current Employer Name]]
- Position / Title: [[Job Title]]
- Supervisor / HR Contact: [[Supervisor Name and Phone]]
- Employer Address: [[Employer Address]]
- Dates of Employment: [[Start Date]] to Present
- Monthly Gross Income: [[Monthly Gross Income]]
- Other Income Source 1: [[Other Income Source and Amount, e.g. "Social Security $1,200/mo"]]
- Other Income Source 2: [[Additional Income or "None"]]

Previous Employment (if current employment less than 2 years)
- Employer Name: [[Previous Employer Name]]
- Position / Title: [[Previous Job Title]]
- Dates: [[Previous Start]] to [[Previous End]]
- Monthly Gross Income: [[Previous Monthly Gross Income]]

Income Documentation Provided
[[List: paystubs, W-2s, tax returns, bank statements, award letters, or "See attached"]]

4. Rental history and landlord references

Current / Most Recent Landlord or Property Manager
- Name: [[Current Landlord Name]]
- Phone: [[Current Landlord Phone]]
- Email: [[Current Landlord Email]]
- Property Address During Tenancy: [[Rental Address]]
- Dates of Tenancy: [[Tenancy Start]] to [[Tenancy End]]
- Monthly Rent Paid: [[Rent Amount]]
- Reason for Leaving: [[Reason for Leaving]]

Prior Landlord Reference (one additional)
- Name: [[Prior Landlord Name]]
- Phone: [[Prior Landlord Phone]]
- Property: [[Prior Property Address]]
- Dates: [[Prior Dates]]

Have you ever been evicted or had an eviction filed against you? [[Yes / No, if yes, provide dates, jurisdiction, and explanation: [[Explanation]]]]

Have you ever been a party to a lawsuit involving a landlord/tenant matter? [[Yes / No, if yes, explain: [[Explanation]]]]

5. Application / screening fee (no statutory cap, disclose amount and that it is non-refundable)

Tennessee has no statewide statutory cap on rental application fees. The fee covers the actual costs of processing and screening the application (credit report, background check, reference verification, etc.).

Application Fee Amount: $[[Application Fee Amount]] (non-refundable)

Fee is payable by: [[Payment Method, e.g. check, money order, online portal]]

Payment of the fee does not guarantee approval or create any obligation on the landlord to rent the premises to the applicant. The fee is not applied to rent, security deposit, or any other charges.

6. Screening criteria (income multiple, credit, eviction/criminal per HUD fair-housing guidance)

Landlord uses objective, consistently applied screening criteria. The following factors are considered (subject to reasonable accommodations and individualized assessment where required by law):

1. Income. Applicant(s) must demonstrate verifiable gross monthly income of at least [[Income Multiple, e.g. 3]] times the monthly rent (or combined for all applicants). Stable employment or other reliable income sources required.

2. Credit History. Minimum credit score of [[Minimum Credit Score or "No strict minimum, holistic review"]]. Negative items such as recent bankruptcies, collections, or high debt-to-income may be considered but will be evaluated individually.

3. Rental History. Positive references from prior landlords preferred. Evictions within the past [[Eviction Lookback Years, e.g. 5-7]] years, or repeated late payments or lease violations, may result in denial or additional conditions.

4. Criminal Background. Convictions for violent crimes, sex offenses, or crimes directly related to property damage or tenancy may be disqualifying depending on nature, recency, and rehabilitation evidence. Arrests without conviction generally not considered. Individualized assessment applied.

5. Other Factors. Number of occupants relative to unit size, pet policy compliance, and completeness/accuracy of application information.

An adverse decision based in whole or part on a consumer report will trigger FCRA adverse action notice requirements.

7. Fair-housing nondiscrimination notice (federal FHA + Tennessee Human Rights Act)

This property is offered in compliance with the federal Fair Housing Act (42 U.S.C. § 3601 et seq.) and the Tennessee Human Rights Act (TCA § 4-21-101 et seq.). We do not discriminate on the basis of race, color, religion, sex, national origin, familial status, disability, or any other protected class under applicable federal, state, or local law.

We apply screening criteria consistently to all applicants. Reasonable accommodations and modifications will be considered for applicants with disabilities upon request.

Any person who believes they have been discriminated against may contact the Tennessee Human Rights Commission or the U.S. Department of Housing and Urban Development (HUD).

8. Pets / occupants / vehicles

Pets
- Number and type of pets: [[Number / Type / Weight / Breed or "None"]]
- Pet deposit or fee (if applicable and permitted): $[[Pet Deposit or Fee or "N/A"]]
- Service or assistance animal: [[Yes, documentation attached / No]]

Vehicles
- Number of vehicles: [[Number]]
- Make/Model/Year/License for each: [[List or "None"]]

Parking requested: [[Assigned space / Street / Garage, specify if known]]

9. Additional disclosures and authorizations

Lead-Based Paint Disclosure (for pre-1978 housing)
If the property was built before 1978, federal law requires disclosure of known lead-based paint hazards. [[Attach required EPA pamphlet and disclosure form / Property built 1978 or later, not applicable]]

Other Required Disclosures
[[List any additional state or local disclosures provided with this application, e.g. flood zone if applicable]]

Authorization to Verify Information
I authorize verification of all information provided on this application, including contacting employers, prior landlords, credit bureaus, and other references. I release all parties from liability for providing accurate information.

10. Signature and authorization

I certify under penalty of perjury that the information in this application is true, complete, and correct to the best of my knowledge. I understand that false statements may result in denial of the application or termination of any resulting tenancy.

Applicant
Signature: ___________________________________________ Date: [[Application Date]]
Printed Name: [[Applicant Full Name]]

Co-Applicant (if applicable)
Signature: ___________________________________________ Date: [[Application Date]]
Printed Name: [[Co-Applicant Full Name]]

Received by Landlord / Agent
Signature: ___________________________________________ Date: [[Date Received]]
Printed Name / Title: [[Landlord or Agent Name]], -

Tennessee Rental Application Statutory and Compliance Reference

Disclaimer and Sources

Template, not professional legal advice. This template provides general guidance on Tennessee rental application requirements as of June 2026 and is not a substitute for advice from a licensed Tennessee attorney. Laws and local ordinances (especially in URLTA cities) are subject to change. Verify all screening criteria, fee practices, and disclosures against current statutes, HUD guidance, and local rules before use. The presence of an application does not obligate the landlord to approve any applicant.

Sources (as of June 2026):
- Tennessee Code Annotated (TCA) § 66-28-201 (Terms and conditions; owner/agent disclosure; late fees)
- TCA Title 66, Chapter 28 (Uniform Residential Landlord and Tenant Act)
- Fair Credit Reporting Act (FCRA), 15 U.S.C. § 1681 et seq.
- Fair Housing Act, 42 U.S.C. § 3601 et seq.
- Tennessee Human Rights Act, TCA § 4-21-101 et seq.
- HUD Fair Housing guidance on tenant screening (income, credit, criminal, eviction history)
- Tennessee Human Rights Commission resources on fair housing
- Nolo, Avail, and Innago summaries cross-checked to primary statutes (June 2026)

> ⚠️ Template example, not professional (legal/financial/medical) advice. Figures and clauses must be verified for the applicable jurisdiction and kept current. All user values use `[[Token Name]]` placeholders.