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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