Accent Properties
2120 Corporate Square Boulevard #20
Jacksonville, Florida32216
9047217822 FAX 904-721-0711
E-mail:
Web page
Rental Property Application
Date ______Rental Address______
Anticipated Move in Date______Rental Amount$______
Application Amount$______Pet Fee(if allowed)$______per pet
Name ______Date of Birth ______
Social Security #______
Drivers License #______State______
Spouse/Other Occupant:
Name ______Date of Birth______
Social Security #______
Drivers License #______State______
Name of other persons occupying this residence:
Name:______Relationship______DOB_____
Name:______Relationship______DOB_____
Name:______Relationship______DOB_____
Name:______Relationship______DOB_____
Home Phone#______Work#______
Cell Phone#______Cell Phone #______
Email address______Email address______
Residence for last three (3) Years (Current First)
(1)______
Street Address City State Zip
______
How long Landlord’s name Phone Rent rate
Reason for leaving______
(2)______
Street Address City State Zip
______
How long Landlord’s name Phone Rent rate
Employment Information
(1)______
Name of employer Occupation Income
______
Address Supervisor Phone
(2)______
Name of employer Occupation Income
______
Address Supervisor Phone
Automobile Information
Type______Year______License #______St.______
Type______Year______License #______St.______
Pet Information
Do you own a pet? Yes___ No___ How many______Type______
Weight______Color______
If you do not have a pet, do you anticipate getting one? Yes____ No____
If yes, Management is requesting all information before its presence on the property. Approval must first be obtained in writing from owner.
Application Fees
Single person or married couple is $70.00,a $30.00 additional charge, for all non-student persons over 18 years of age. Application fees are non-refundable.
Acknowledgment
Receipt of application and fee from applicant is acknowledged as a processing charge. Acceptance of application with fee and any other monies deposited herewith are not binding upon Landlord until application has been approved by the owner of said rental property.
If applicant fails to execute a rental agreement or refuses to occupy premises on agreed upon date, all monies give shall be retained by owner of rental property as liquidated damages. If applicant is not approved, all monies given to agent less processing charge, shall be returned to applicant.
Applicant Initial______Applicant Initial______
Authorization
I/We certify that the information given herein is complete, true and
correct. Landlord or his agent is hereby expressly authorized to verify
the accuracy and correctness of this application, to communicate with my/our employer and creditors and to procure such other information which Landlord or agent may be required to evaluate this application.
This application must be signed before it can be processed. Any false information will constitute grounds for rejection.
Applicant Initial______Applicant Initial______
Agency Disclosure
The Realtor, as agent for the Property Owner, will be paid by the property owner as a fee for professional servicesrendered. Because of
fiduciary relationship, the Realtor represents the property owner.
The Realtor also has the legal and ethical duty to treat the Tenant with honesty, integrity, and fairness. The undersigned Applicant acknowledges that this disclosure was made prior to the execution of any contract for real property in question.
Applicant Initial______Applicant Initial______
Radon Gas Disclosure
Radon gas is a naturally occurring radioactive gas that, when it has accumulated in a building in sufficient quantity, may present health risks to persons who are exposed to it over a period of time. Levels of radon gas that exceed Federal and State guidelines have been found in buildings in the state of Florida. Additional information regarding radon and radon testing may be obtained from your county public health agency
Applicant Initial______Applicant Initial______
NO Smoking
Smoking is prohibited on the entirety of the property
Applicant Initial______Applicant Initial______
______
Applicant Date
______
Applicant Date