Rental Application · Online Form

Rental Application

Welcome. This is the online rental application for 186 Echo Point in Hot Springs, Arkansas. Fill in what you can and hit Submit at the bottom — it goes straight to Paul. Your responses are private; nothing is published.

Tell us about yourself below. This helps Paul review quickly and get back to you with next steps.

186 Echo Point, Hot Springs, AR 71913: single-family home near Lake Hamilton, $1,800/month. We'd start with a short-term stay for December 2026 (month-to-month); if the home is still available afterward, a 12-month lease begins January 1, 2027 with a $1,789 deposit. (The home is also listed for sale, so the lease is subject to it remaining available.) The tenant pays all utilities directly (water, electric, gas, and septic service) and is responsible for lawn and yard maintenance. Service and assistance animals are welcome at no additional deposit or fee.

1. Applicant

Full legal name *

Date of birth

SSN (last 4)

Driver's license / state ID

Email *

Mobile phone *

Current address

How long at current address?

Other adults who will live in the home (names)

2. Move-in Details

Desired move-in date

Anticipated length of stay

Reason for moving

3. Income & Employment

Retirement, pension, VA benefits, and other income all count.

Employer / income source

Position / role (if employed)

Gross monthly income

Other income (retirement, VA, etc.)

Can you provide proof of income on request?

Yes No

4. Military Service (if applicable)

Branch

Years of service

Discharge status (Honorable, etc.)

DD-214 available on request?

Yes No

5. Rental History

Most recent rental first. If you owned your prior home, note that in the reason field.

Most recent residence

Address

Landlord / property mgr

Phone or email

Monthly rent (or "owned")

Dates of residence

Reason for leaving

Prior residence (optional)

Address

Landlord / property mgr

Phone or email

Monthly rent (or "owned")

Dates of residence

6. Assistance / Service Animals & Pets

Service and assistance animals are not pets and carry no deposit or fee. Please tell us so we can note the reasonable accommodation.

Do you have a service or assistance animal?

Yes No

Any other pets? (type, breed, weight)

7. Vehicles

Vehicle 1 — year/make/model

License plate / state

Vehicle 2 — year/make/model

License plate / state

8. Emergency Contact & Reference

Emergency contact

Name

Relationship

Phone or email

References — please list three (not relatives)

Paul will call all three before any lease is signed.

Reference 1 — name

Relationship

Phone or email

Reference 2 — name

Relationship

Phone or email

Reference 3 — name

Relationship

Phone or email

9. Background Questions

Ever been evicted or asked to leave a rental?

No Yes (explain in notes below)

Ever broken a lease?

No Yes

Ever filed for bankruptcy?

No Yes

Ever convicted of a felony?

No Yes (explain in notes below)

Smoke or vape?

No Yes (outdoor only on premises)

Anything to explain about the questions above? (optional)

10. Deposit & Payment

💸 What's due at signing / move-in

First month's rent: $1,800

Security deposit: $1,789

Rent is $1,800/month, due on the 1st. All utilities (water, electric, gas, septic) are billed separately and paid by the tenant.

Preferred payment: Zelle to walhus@gmail.com. Memo: your name + 186 Echo Point.

Anything you want to ask or note about move-in? (optional)

11. Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I authorize the owner to verify any of the information provided, including by contacting employers, previous landlords, references, and (if needed) running a background or credit check. I understand that any false statement may be grounds for denial of the application or termination of any subsequent lease.

I certify the above and submit this rental application electronically. *

Rental Application — 186 Echo Point, Hot Springs, AR 71913
walhus@gmail.com
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