RTO Application | Qualify | AppXpress | Heartland

Rental Application

Please take a few minutes to complete the information below to begin the rent-to-own process, and save even more time in the store.

NO Credit Check.

Contact Information

Email

Confirm Email

Please check that email fields match.

Please check email - address is invalid.

This email address already has an open application.

Dear Customer, Here is your application link as requested.

Click here if you need the link resent to your email.

Customer Name: First

Middle

Last

At least one phone number is required:

Mobile and Home Phone must be unique:

Home Phone

Landline Only

Mobile Phone

May we send SMS messages to your phone.

Describe what you are looking for.

Please complete all required fields.

Please correct your email address.

Please complete required fields before submitting contact info.

Please provide your email address so we can save your application.

Rental Customer

Government Issued ID Number?

Your ID is used to help us complete the rental application. Be sure to bring your ID to contract signing.

Birth Date

Please check date.

Rental Customer must be at least 18 years old.

Please check year.

Location

Mailing Address

Additional Mailing Address

City

State

Zip

County

We're not currently serving customers in .
Please contact your dealer for other financing options.

Property will be located at this address.

Physical Address (where property will be located)

Additional Physical Address

City

State

Zip

County

Residence: Rent Own

Own or Rent Residence

Landlord's Name

Landlord's Phone

Landlord's Email

Alternate Contact

In the event we cannot reach you, please provide an alternate contact outside of the home.

First Name

Last Name

Relationship

Phone

Alternate Contact/Customer Reference cannot be the same as primary contact.

Employment

Employment Status: Employed Self-Employed Retired/Disability

Employer

Work Phone

Company Name

Work Phone

AutoPay Yes No ?

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LDW: Yes No

CoRental Customer

Co-Name?: Spouse Other None

appcSpouse

CoRental Customer Name: First

Middle

Last

Government Issued ID Number

Birth Date

Please check date.

CoRental Customer must be at least 18 years old.

Please check year.

Mobile Phone

Email

Please check email - address is invalid.

Employment Status: Employed Self-Employed Retired/Disability Other

Employer

Work Phone

Company Name

Work Phone

Explain

BY SIGNING BELOW, I (WE) CERTIFY THE INFORMATION SUPPLIED BY ME ON THIS FORM IS TRUE AND CORRECT, AND HEREBY AUTHORIZE THE RELEASE OF ANY INFORMATION, DEEMED NECESSARY BY LESSOR, RELATING TO EMPLOYMENT, INCOME, AND EXISTING OR PRIOR LEASES. I (WE) AUTHORIZE LESSOR TO USE NUMBERS/E-MAILS LISTED WHEN MAKING CONTACT ABOUT ACCOUNT. ANY FALSE STATEMENT CAN BE SUFFICIENT BASIS FOR REJECTION OF THIS ORDER. I (WE) HAVE READ AND UNDERSTAND THIS STATEMENT.

We're not currently serving customers in .
Please contact your dealer for other financing options.

Please complete required fields before submitting for qualification.

Please provide your email address so we can save your application.

River City Play Systems

7637 FM 3009
Suite 705
Schertz, TX 78154

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