RENTAL Application

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         Equal Housing Opportunity

  

The undersigned hereby makes an application to rent the following property:  

 _____________________________________________________________________

Listed by Agent __________________________ with anticipated move date of _______

At monthly rent of $______________ with a Pet Deposit of $_____________ with Reservation Deposit of $_______________ is being made along with this rental application.

 

If applicant’s application is approved and a lease is entered into between Landlord and applicant, the deposit shall be applied towards applicant’s security deposit.  If applicant’s application is denied, the rental deposit shall be refunded to applicant without interest.  If the Applicant’s application is approved, and Applicant fails to execute Landlord’s standard lease agreement for the Premises prior to the Commencement Date (or to pay the required rent thereunder such that the lease does not Commence), then Landlord may retain the rental deposit as liquidated damages, it being acknowledged and agreed that the same is a reasonable pre-estimate of Landlord’s damages for not seeking to rent the Property to others during this time period and not a penalty.  No properties will be held more than two weeks and deposit to hold properties is non-refundable.

PERSONAL INFORMATION  

Full Name_____________________________________________________________________

Date of Birth_________________________ Social Security number_______________________

Home Phone________________________________ Cell Phone_________________________

Email Address_________________________________________________________________

Driver’s License Number___________________________ State____________

Co-Applicant Name____________________________________________________________

Co-Applicant Date of Birth_________________ Social Security number____________________

Cell Phone______________________________

Driver’s License Number______________________ State_______

List All Dependents and Ages:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________                         

List All Pets:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________        

RESIDENTIAL HISTORY  

Current Address_______________________________________________________

City_____________________ State___________  Zip_____________ Rent $_____________

Month/Year Moved In_____________________ Reason for Moving________________________

Owner/Agent___________________________ Phone__________________________

Previous Address_______________________________________________________  

Owner/Agent___________________________ Phone__________________________

CREDIT HISTORY  

 

Have you declared bankruptcy in the past 7 years? __________________________

Have you ever been evicted from a rental residence? _________________________

Have you had 2 or more late rental payments in the past year? _________________  

Have ever willfully or intentionally refused to pay rent when due? ______________        

EMPLOYMENT INFORMATION

Employer___________________________________________________________________

Phone______________________________________________________________________

Address_____________________________________________________________________

____________________________________________________________________________

Date Employed__________________________________ Position________________________________________

Supervisor Name_________________________________ Salary__________________________________________

Previous Employer________________________________Phone_____________________________

Dates Employed______________________________Position____________________________

Supervisor Name________________________________ Salary_________________________________________

 

 

 

Co-Applicant Employer_________________________ Phone____________________                        

Address_________________________________________________________________

Date Employed _______________________________Position_____________________  

Supervisor Name______________________________ Salary______________________

Previous Employer____________________________ Phone_______________________

Dates Employed______________________________Position______________________

If you have any other income you would like us to consider, please list income, source and person (banker, accountant, employer, etc.) who we may contact for confirmation.

 

Amount $_________________Source/Contact___________________________________

 

 

REFERENCES

Bank Accounts:

Name of Bank­­­­­­­­ __________________________   Type of Account _______________________

Account Number________________________        

Name of Bank___________________________  Type of Account________________________

Account Number________________________

 

Nearest relative not living with you:

Name: ________________________________   Phone: ________________________________

Relationship to you _____________________

 

VEHICLE INFORMATION:

 

Make

Model

Year

License Plate State

Color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTHORIZATION, Release of Information:  

 

Applicant hereby authorizes Landlord and Landlord’s authorized agents to do whatever background and credit check on Applicant deemed appropriate. This may include an investigation of tenant’s credit, criminal background, tenant history, banking and employment for the purpose of renting a property from RE/MAX Partners.  Such credit reports may be obtained before and during the term of the lease and after the expiration or termination of the Lease as part of any effort to collect rent, costs, fees and charges owing under the Lease.  Applicant hereby warrants that the information supplied above is complete and accurate and the breach of this warranty by Applicant may result in termination of any Lease entered into with Applicant by Landlord.  Landlord and Landlord’s agents are committed to providing equal housing opportunities to all rental applicants regardless of race, color, religion, national origin, handicap, or familial status.  If this application is denied, Landlord or Landlord’s agents shall within 10 (ten) days thereafter and upon written request of applicant, state the basis for said denial to Applicant. Please note there is a $30.00 Non-Refundable Processing Fee that will be taken at the time of application return.   

 

____________________________________      ____________________________________

Signature                                Date          Signature                                      Date                 _____________________________________    ____________________________________

Applicant (Please Print)                                          Co-Applicant (Please Print)                                              

 

 

 

 

 

 

 

 

 

 

 

 If your application is denied for any reason, the credit report/ background fee is NOT refundable.