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M & R Investors LLC (“Landlord”)
Rental Application
Date: _____________
Address of Property: _______________________________________________________________________________
Requested Date of Occupancy: _________________________________ Proposed Monthly Rent: ________________
Name of applicant: ___________________________________________________ Birth Date ____________________
Current Address: __________________________________________________________________________________
E-mail address: ___________________________________________________________________________________
Mobile phone #:__________________________________________________ SS #:____________________________
Other roommates applying: ________________________________________________________________________
Current landlord name: ____________________________________________________________________________
Current landlord phone #:________________________ email: ____________________________________________
Current rental address: ____________________________________________________________________________
Current rent: _________________________________Length of Occupancy: ________________________________
Reason for leaving: ________________________________________________________________________________
Previous landlord name: ___________________________________________________________________________
Previous landlord phone#:_________________________email:____________________________________________
Previous rental address:____________________________________________________________________________
Previous rent: ________________________________ Length of Occupancy: ________________________________
Reason for leaving: ________________________________________________________________________________
School attending: ___________________________________ Major studying:________________________________
When graduating: __________________________________
Job title/job description: ________________________________________ Annual Salary/hr wage: ______________
Employed By: _____________________________________________________How long? ______________________
Employer Address: _________________________________________________________________________________
Supervisor name: ____________________________ Phone #: _______________ email: _______________________
Do you have more than one job? ____ Yes _____ No. Write employers name, contact info. and salary on back.
Student rental applications will not be processed until applications of all tenants and Co-Signers are received by M&R Investors, LLC for the above property.
Personal References (List Two):
Name ____________________________________Phone _______________email:___________________________
Address ________________________________________________________________________________________
May the above be notified in case of an emergency? Yes ____________ No _______________
_______________________________________________________________________________________________
Name ____________________________________ Phone _______________email:___________________________
Address _______________________________________________________________________
May the above be notified in case of an emergency? Yes ____________ No _____________
Credit References (students do not need to fill this portion out)
Bank Name ______________________ Checking Acct. # __________ Balance ____________
Bank Name ______________________ Savings Acct. # ____________ Balance ____________
Credit card information:
Company Name _____________________ Balance ______________
Company Name _____________________ Balance ______________
Co-Signer for Applicant (students must fill out this portion- please include email address if possible)
Name _________________________________________________________ Relationship_______________________
Address _________________________________________________________________________________________
Phone # ______________________________ Email _____________________________________________________
Employer ____________________________ Co-signer’s work phone #_____________________________________
Employer Address _________________________________________________________________________________
Have you ever been evicted: ___________________________________________________________
Are there any judgments against you: ___________________________________________________
Have you ever had damage assessments against you, security deposit deductions or other? __________________________________________________________________________________________
Have you ever been convicted of a felony? _____________________________________________________
Have you ever defaulted on any loans/mortgages/lease agreements/credit obligations? ________________
If yes to any of these: Give contact information (name and valid phone number) of company/person: __________________________________________________________________________________________
A non-refundable application processing fee of $30.00 is payable upon the signing of a lease. This fee is per person on the lease.
I represent that all information set forth herein is true and correct to the best of my knowledge and belief, and further I agree that this Rental Application shall be deemed to constitute part of the Rental Agreement, and that I will inform Landlord of any changes in the information set forth herein promptly as such changes may occur. I authorize Landlord, or any person or entity on behalf of Landlord to obtain a credit report and obtain from any person or organization any information concerning my credit worthiness and/or any information concerning me.
APPLICANT’S SIGNATURE:_________________________________________________________
How did you hear about M&R Investors rentals ____________________________________________
M & R Investors L.L.C., P O BOX 1443, Hockessin, DE 19707
, www.rentalsmr.com, 302-366-1187 phone, 302-766-7574 fax
Office Location – 16 Tyre Avenue, Newark, DE 19711