G.N.I. Properties, Inc. - 312 W Main Street, Salisbury, MD 21802 (410) 546-4500

G.N.I. Properties, Inc. - 312 W Main Street, Salisbury, MD 21801 (410) 546-4500

Office hours - Mon-Thrs 9-5 pm Fri 9-7 pm Sat 9-12 noon Fax (410) 546-9136

RENTAL APPLICATION

First Applicant:

Name _____________________________________Birth Date__________Social Security # ____________________

Present Address: _______________________________________________City__________________State________

Phone # ______________________ How Long __________ Current Rent: $_____________monthly____weekly____

Landlord’s Name: ___________________________________ Landlord’s Phone # ____________________________

Landlord Address: ___________________________________ Reason for leaving: ___________________________

Vehicle Payment: $_____________monthly______weekly_____

Employer’s Name: __________________________________ Address:_____________________________________

Employer’s Phone: ______________________Position: _______________________ Gross Income $_____________

How Long ___________Type of Business _______________________Supervisor ____________________________

Previous Employer _________________________________How Long ____________ Phone ___________________

Co-Applicant:

Name ______________________________________Birth Date __________Social Security # _________________

Present Address: _______________________________________________City__________________State________

Phone # ______________________ How Long __________ Current Rent: $_____________monthly____weekly____

Landlord’s Name: ___________________________________ Landlord’s Phone # ____________________________

Landlord Address: ___________________________________ Reason for leaving: ___________________________

Vehicle Payment: $_____________monthly______weekly_____

Employer’s Name: __________________________________ Address: ____________________________________

Employer’s Phone: _____________________ Position: _______________________ Gross Income $____________

How Long ___________Type of Business ________________________ Supervisor ___________________________

Previous Employer _________________________________How Long ____________ Phone __________________

Other Income (source) ______________________________________Amount: $ _

1st Vehicle: Year__________ Make__________________Color_______________ Tag # _________ State__________

2nd Vehicle: Year_________ Make__________________Color_______________ Tag # __________ State_________

Names of all children to live in apartment or house:

Name ________________________________________Relationship _______________Sex _______Age _______

References:

Local Credit _________________________________Address ________________________Phone # ________________

Previous Landlord ____________________________Address________________________ Phone # ________________

· Have any of the proposed occupants been tested for elevated blood levels of lead? If so, please check one and initial. No:___ Initial _______ Yes:___ Initial ________ If yes, results? ______________________________

Have you or co-applicant ever:

Been sued for non-payment of rent? ___yes/ __no Been evicted or asked to move out? ___yes/___no

Broken a rental agreement/lease? ___yes/___no Been sued for damages to rental property ___yes/___no

Have you ever declared Bankruptcy?___yes/___no

· How many people will live in the apt. or house? _______________ ** NO PETS ALLOWED **

· Have you ever been arrested?_______ If yes, what charge?______________________________________________

Parole/Probation Officer name & number:____________________________________________________________

Please see other side

Person to contact in case of emergency:

Name _____________________________________________________Relationship _____________________

Address: ___________________________________________________Phone: _________________________

· This application must be filled out as completely as possible. Any omissions could cause you to be rejected. This application does not guarantee or imply, in any way, a guarantee that you will be allowed to rent any property from us.

· We reserve all rights to reject any applicant which we deem, in our judgment, undesirable. This application is subject to review, rejections, amendment and/or exchange with other landlords.

· I have fully read and understand all the provisions of this application. In the event any information is false, application will be rejected, or if lease signed, lease will be terminated.

· Rental application is subject to satisfactory employment, credit and personal references. Applicants will not hold G.N.I. Properties responsible for any information given or incorrectly received. Permission is hereby given to check these references.

__________________________________________ __________________________________________

First Applicant’s Signature (Date) Second Applicant’s Signature (Date)

. . . . . . . . Please Do NOT Write Below - Office Use Only . . . . . . . .

1st Appli Employer

2nd Appli Employer

Credit

Other

Credit Bureau

Present Landlord

Previous Landlord

Tenant Index System

Comments

Remarks

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
By

______________________________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________

Room House Apartment Townhouse Number of Bedrooms ___________

Approved Not Approved Undecided/More Info. Date ___________________

__________________________________________________________________________________________

Photo I.D.’s/Vehicle Registration:

Revised

(10/1/02)

G.N.I. Properties, Inc. - 312 W Main Street, Salisbury, MD 21802 (410) 546-4500

Other Income (source) ____________________________________________________Amount: $ _______________

Photo I.D.’s/Vehicle Registration:

Other Income (source) ______________________________________Amount: $ _