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Free Mississippi Rental Application Form

A Mississippi Rental Application Form is a screening tool used to evaluate a potential tenant’s eligibility. It requests personal, credit, and employment info to help you make an informed leasing choice. Proper use of this form protects your property and shows you follow all fair housing mandates.

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Last Update May 28, 2026

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What Is a Mississippi Residential Rental Application?Mississippi Rental Application SampleWhat To Include in a Mississippi Rental Application FormMississippi Rental Application LawsRelated Real Estate DocumentsFAQs About Mississippi Rental Application Form

What Is a Mississippi Residential Rental Application?

Using a Mississippi rental application allows you to screen a tenant before formally signing a lease agreement with them.

The document is also known as a "tenant application," "rental lease application," "lease application," or an "application for rental property." Furthermore, each renter over 18 that will occupy the residence must complete their own individual tenant form.

Having a prospective tenant complete an MS rental application is an important step for real estate owners when making a final decision on whom to rent a property to.

This legal document allows you to assess the income, background, and rental history of the applicant before entering a binding contract to ensure no issues arise once the tenancy begins.

Mississippi Rental Application Sample

Before starting your own Mississippi rental application, it’s a good idea to look over a sample document first. Use our example rental application below to get a clearer idea of what you should include and how the final form will appear.

Mississippi Rental Application Form
Get a Mississippi Rental Application
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What To Include in a Mississippi Rental Application Form

When you fill in a simple rental application form in Mississippi, you'll need to ask for some crucial data from the tenant to make the vetting process as effective as possible.

When you create your own application for a rental property, you should request the following information:

  • Personal data
  • Rental history
  • Employment details
  • Income information
  • Credit history
  • Personal references
  • Permission for background checks

Furthermore, landlords must make a number of important disclosures on a standard rental application form. This information might include:

  • The property's condition
  • Potential hazards to the tenant
  • Shared utility arrangements
  • Rent control rules
  • Smoking policy
  • The security deposit
  • Associated fees

Mississippi Rental Application Laws

Mississippi state has various laws regarding the use of rental applications. If your document is not compliant with MS law, you may get sued by the applicant and face legal consequences.

Application Fee

Landlords can charge any fee they choose for a rental application, as these are not limited by Mississippi statute (No Statute). The fee that is paid is also non-refundable to the tenant.

Security Deposit

Similar to the application fee law, there is no Mississippi statute defining a limit on the amount landlords can charge tenants for security deposits (MS Code § 89-8-21). There is also no requirement for the provision of receipts or holding requirements. However, the landlord is obligated to keep valid records of any security deposits they are sent.

Housing Discrimination Law

In Mississippi, there is no specific state law relating to housing discrimination. However, the Fair Housing Act (FHA) is in place. The FHA states that it is illegal to discriminate based on the following characteristics:

  • Race
  • Nationality
  • Religion
  • Sex
  • Familial status
  • Disability
  • Criminal history

As a consequence, you are not allowed to ask for any of these details on a Mississippi Rental Application form, nor to include them in the decision-making process.

Notice of Eligibility

You must disclose the screening criteria used during the application process, as well as anything that could lead to a refusal. To make sure individuals understand this in advance of the application, they must provide a signature of acknowledgment on the application.

Consent Credit Check

Within Mississippi, federal law is in effect that requires potential renters to provide written consent for a credit history check during the application process. This is known as the Federal Credit Reporting Act (FCRA).

Related Real Estate Documents

There are various other legal documents that landlords must take into account when considering new tenants. Get expert guidance on preparing other personalized property forms with our other free printable templates for the following legal forms: 

Mississippi Residential Lease Agreement Mississippi Eviction Notice

FAQs About Mississippi Rental Application Form

Understanding what your Mississippi rental application can and cannot do is vital before you create your own from scratch. Find out more about how these screening documents work and what you need to know when writing them.

A Mississippi rental application gives you the opportunity to learn more about your tenant before committing to a legal contract with them. The application lets you collect data on your prospective rental resident, so you may carry out important checks to:

  • Review their rental history
  • Verify their employment and income
  • Learn of any criminal history or credit issues

A credit reference is a document that provides information on the credit history of an applicant for a rental property. This may be requested on MS rental applications so that landlords can properly assess whether a potential tenant will be able to meet the rental payment schedule.

You cannot ask tenants a number of questions when you are vetting them with a Mississippi rental application document. You must not request any of the following information from the applicant during this process:

  • Race or ethnicity
  • Religion
  • Sexuality
  • Immigration or citizenship status
  • Arrest records
  • Marital or familial status
  • Whether they have children or not

Preview of your Mississippi Rental Application

RENTAL APPLICATION
The following sections must be completed by the Applicant. Please note that, except for married couples, each occupant who is 18 years of age or older has to complete a separate application to rent.

Shall the Applicant have any question regarding the rental unit, please contact _________ at:
Email Address: _________
Phone: _________
The Applicant is a: (check one)

(   ) Tenant
(   ) Tenant with co-tenant(s)
(   ) Guarantor/co-signor
PREMISES INFORMATION
Application to rent property at the following address:

_________ , _________, MS _________

Type of Property: House
Date of Availability: _________
Proposed Move-In Date: _________
APPLICANT'S INFORMATION

Please attach a copy of your Driver's License, State ID, Military ID, or Passport.
FULL NAME OF APPLICANT: ________________________________________________________________
Date of Birth: _________________________ (Optional. For purpose of obtaining credit reports. Age discrimination is prohibited by state and federal law)
Driver's license number or any valid ID: _________________ State: ______________ Expires: _________________________
Email Address: ____________________________________________________
Home Phone: (______) ___________ Alternative Phone: (______) ___________
CO-APPLICANT'S INFORMATION (if applicable)
Please attach a copy of your Driver's License, State ID, Military ID, or Passport.

FULL NAME OF CO-APPLICANT: ________________________________________________________________
Date of Birth: _________________________ (Optional)
Driver's license number or any valid ID: _________________ State: ______________ Expires: _________________________
Email Address: ____________________________________________________
Home Phone: (______) ___________ Alternative Phone: (______) ___________
OTHER OCCUPANTS' INFORMATION (if applicable)
Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)

Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)

Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)

Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)
EMERGENCY CONTACT

In case of emergency, please contact:

Emergency contact #1: ____________________________________________________
Relationship: _______________________
Address: ____________________________________________________________________
Phone: _______________________
Email Address: ____________________________________________________
Emergency contact #2: ____________________________________________________
Relationship: _______________________
Address: ____________________________________________________________________
Phone: _______________________
Email Address: ____________________________________________________
ADDITIONAL INFORMATION

Pets
Pets are not allowed in the rental property. However, as provided by law, a Service Animal(s) is not considered a pet, and every individual with a disability shall have a right to have a Service Animal(s) on the Property.
Waterbeds

The Landlord prohibits the use of waterbeds on the rental unit.
Smoking and Vaping

The Landlord does not allow smoking or vaping in the rental unit.
CONSENT & ACKNOWLEDGEMENT

By signing this Residential Rental Application, the Applicant accepts and agrees to the following:
(i)This is only an application to rent and does not guarantee that the Applicant will be selected as a tenant of the premises.
(ii)The Landlord or Manager or his/her authorized Agent could receive multiple rental applications for the premises and will only select the most qualified individual.
(iii)Applicant represents the above information to be true and complete.
Applicant hereby authorizes the Landlord or Manager or his/her authorized Agent to do the following:
(i)Verify all of the personal information provided above.
(ii)Obtain a credit report, as well as other reports, on the Applicant.
(iii)Applicant further authorizes the Landlord or Manager or his/her authorized Agent to disclose information to the owners or agents of the premises with whom the Applicant intends to have a rental relationship.
Does the Applicant wish to receive a copy of the reports that we may obtain?Yes (   )     No (   )     

Notice of Non-Discrimination

The Landlord does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any approval/disapproval of this application.


__________________________________________
Applicant's SignatureDate
__________________________________________
Co-Applicant's SignatureDate

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