Application Instructions

All rental applications must be accompanied by a non-refundable processing fee of $40.00.

You may fill out and submit an application online or download a PDF and mail your application in with your check.

NOTE: Should you choose to use the online form to the right, please write your social security number on your check to verify a match with your application.


Download a PDF
Rental Application

Click here to read a
Disclosure of Information on Lead-Based Paint and Lead-Based Paint Hazards

 

Hilltop Properties Rental Application
for Fisher-Fisher Realty
Please remit $40.00 application processing fee to:

Fisher-Fisher
891 Willow Drive #8
Chapel Hill, NC
27514
tel: 919.968.6939 or 919.929.1188
fax: 919.933.1504

Applications are generally processed and approved or declined within 48 business hours.

Personal Information


Full Name (First, Middle, Last)


Date of Birth (MM/DD/YYYY)


Social Security Number


Spouse/Roomate's Full Name (First, Middle, Last)


Spouse/Roomate's Date of Birth (MM/DD/YYYY)


Spouse/Roomate's Social Security Number


List other occupants and their relationship to you.


Number of dependents and their ages


Pets (list number and kind)

Current Residence Information


Current Address (list Street Address, City, State and Zip)


Current Rent


Current Telephone Number


Cell Phone Number


E-Mail Address


Length of residency at current address


Current Landlord


Current landlord’s phone number


Current landlord's address (list Street Address, City, State, Zip)


Reason you are moving

Previous Residence Information
(Fill out this section if you've lived there within the last five years)


Previous Address (list Street Address, City, State and Zip)

Moved In Date Moved Out Date


Reason you moved from previous address


Previous Landlord and phone number


Were you ever a tenant of Fisher-Fisher?


If you were a tenant of Fisher-Fisher, when and where was it?

Employment Information
Employment status:

If you are a student, how many years of school remain?


Present Employer


Length of time with present employer


Monthly salary


Position


Supervisor's name


Company Address


Company Phone Number


If you've been employed with this company less than 6 months, please give name, address and phone of previous employer.

Other Income

Are there any other sources of income that you would like us to consider? Please list income, source and person with whom we may verify. You do not have to reveal alimony, child support or spouse's income unless you wish us to consider it in the application.

Amount | Source


Contact name and phone number

Credit & Background Information


Your bank’s name


Your bank address (city, state, zip)


Type of account


Your second bank’s name


Your second bank address (city, state, zip)


Type of account


Please list other firms you have credit with (separate with commas)


Your Driver's License Number and State


List your vehicle's Make/Model and Year


Vehicle's Tag Number and State


List your second vehicle's Make/Model and Year


Second vehicle's Tag Number and State


Other vehicles

Have you ever been evicted from a tenancy?

Do you have any public records/collections/judgments against your credit?

Have you ever been convicted of or pleaded guilty or "no contest" to a felony charge (whether or not resulting in a conviction)?


Have you ever been convicted of or pleaded guilty or "no contest" to a misdemeanor involving sexual misconduct (whether of not resulting in a conviction)?

Personal References


1) Name, address and phone


2) Name, address and phone

Emergency Contact


Person to notify in case of an emergency (family member)
Please list name, address and phone(s)


Emergency contact person's relationship to you

Submission Agreement

By entering your name and date below, and submitting this application, you declare that all of your responses are true and complete and that you authorize Fisher-Fisher to verify this information by means of a credit report and by contacting the references. Any false statement on this application may lead to rejection of your application or immediate termination of your lease. Completion of this application does not guarantee possession of any property managed by Fisher-Fisher.

Signed Date


Property address being applied for