Rental Application
Phone – 863-644-7576
Fax – 863-646-7581
Email –
EACH ADULT APPLYING MUST COMPLETE A SEPARATE APPLICATION
Anon-refundable depositequal to One Month Rent is required within 48 hours of Application Approval.
Please attach a copy: ID, Social Security Card & Proof of Income
ADDRESS YOU ARE APPLYING FOR______
Desired Move In Date______
Personal Information
OFFICE USE ONLY - ID:__ SS:__ Income:__ Credit:__ Background:__ Eviction:__ Approved:__
Name______Date of Birth ______
Home Phone______Cell Phone______
Social Security Number______Driver’s License Number______
Email Address ______
Current Address: ______City______Zip______
Monthly Rent Payment______How long?______
Landlord’s Name______Phone Number______
Why are you leaving?______
Previous Address ______City______Zip______
Monthly Rent Payment______How long?______
Landlord’s Name______Phone Number______
Why did you leave?______
Employment
Current Employer______Business Phone______
Position______How Long?______
Supervisor ______Monthly Income (after deductions)______
Other Income______Source______(Including SSI & Disability)
Please list all persons (including children) who will live at this address
Name______Age______Name______Age______
Name______Age______Name______Age______
Name______Age______Name______Age______
Pets ($250/per pet – non-refundable Pet Deposit. Any unauthorized pets on the property will require immediate payment of Pet Deposit & $50/per month from signing date of lease)
Name______Type______Weight___ Name______Type______Weight___
List vehicles to be parked at premises:
Make______Model______Year ______Color ______
Make______Model______Year ______Color ______
Have you ever had an EVICTION filed against you?_____ Date______
If YES, please explain______
Have you ever been ARRESTED OF A CRIME?_____ Date______
If YES, please explain______
Emergency ContactNearest Relative NOT living with you
Name______Relationship ______Contact Phone______Address______
By signing this form, you are hereby authorizing us to check your credit, employment and rental history, to do a criminal background check and to answer questions about our credit experience with you. In addition, you acknowledge that no representation has been made regarding repairs unless specifically authorized in advance by property manager. Anon-refundable depositequal to One Month Rent is required within 48 hours of Application Approval. Once application is approved and you have paid your reservation fee, if for any reason you choose not to move into the property, them all monies paid are forfeited.Any and all money paid is non-refundable if you chose not to move into one of our properties. Properties are rented in “as is” condition unless otherwise agreed upon. Any false statements or misrepresentation provided on this application will terminate any agreement that may have been entered into.
Typical Move In Cost:
Security (equal to 1 month rent)
First Month
Last Month
All Pet Fees
Signed______Date______
NOTES: ______
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