REALTY GROUP SPECIALISTS, LLC

9226 Cornish Ct

Orlando, FL 32817

407-342-2110 (CELL/TXT)

407-277-7661 (FX)

Application for Rental
Unit / Desired Move In Date
Applicant 1:First Name / Middle Name/Initial / Last Name
Applicant 2:First Name / Middle Name/Initial / Last Name
List all other persons to occupy property. Include roommates/children and ages. / Name(s) / Age
List any pets (keeping of pets requires a MINIMUM non-refundable $250 + Pet Deposit Owner’s Consent) / Name/Breed/Weight / Age
Nearest relative not living with you / Name / Phone #
Personal reference / Name / Phone #
Your Contact Information
Email Address 1
Email Address 2
Phone # 1
Phone # 2
Your Current Home Address
Rent/Mortgage Amount $
Street Address
City / State / Zip Code
Resided Dates / From / To
Manager/Owner’s Name / Phone #
Reason for Leaving
Your Previous Home Address
Street Address
City / State / Zip Code
Resided Dates / From / To
Manager/Owner’s Name / Phone #
Reason for Leaving
Your Personal Information
Applicant 1:
Date of Birth:
SSN:
2 Years Job History (attach additional page if necessary):
Name of Employer: Monthly Income: How Long withcompany?:
Name of Employer: Monthly Income: How Long withcompany?:
Name of Employer: Monthly Income: How Long with company?:
Driver’s License # / State
Address shown on driver’s license
Applicant 2:
Date of Birth:
SSN:
2 Years Job History (attach additional page if necessary):
Name of Employer: Monthly Income: How Long withcompany?
Name of Employer: Monthly Income: How Long with company?
Name of Employer: Monthly Income: How Long with company?
Driver’s License # / State:
Address shown on driver’s license:
Please list all cars that will be located on property
Year / Make / Model / Tag # / Color
General Information
Have you ever filed bankruptcy? / Yes / No
Have you ever been a defendant in an unlawful detainer (eviction) lawsuit or defaulted (failed to perform) any obligation of rental agreement or lease? / Yes / No
Have you ever been convicted of a crime? / Yes / No
Have you ever filed suit against a landlord? / Yes / No
Do you have a water bed, an aquarium or any other water filled furniture? / Yes / No
Are you a smoker? / Yes / No

PLEASE READ CAREFULLY AND SIGN BELOW:Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including,but not limited to, the obtaining of a credit report and criminal report, and agrees to furnish additional credit references upon request. All Applicants must supply: 1. Copy of Driver’s License; 2. Copy of Social Security Card; 3. Copy of Payroll Stub; (copy of Tax Return may be required).The undersigned makes application to rent housing accommodations described as: ______.The rent offering is $____ per month. Upon approvalof this application, Applicant agrees to sign a rental or lease agreement and pay all sums due, including deposits, before occupancy. Realty Group Specialists, LLC policy is to collect a whole month’s rent and security deposit at time of lease agreement. Any daily proration (if move-in date is not on the first) will be due on the first of the following month.

APPLICATION PROCESSING FEE:NON-FUNDABLE Application Fee: $50.00 per person residing at the property 18 years of age and older. NO PERSONAL CHECKS. Application must be paid in cash or money order.$______received (cash/money order) on______. ______Applicant Initial ______Agent Initial

The cost of the application fee is not a deposit or rent and will not be applied to future rent or refunded, even if the application to rent is declined. Applicant(s) understand(s) that the landlord may terminate any rental agreement entered into for any misrepresentation made above. Applicant hereby authorizes verification of above information, references and credit records, and applicant releases from all liability all persons and corporations requesting or supplying such information. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and/or forfeiture of processing fees and deposits made and may constitute a criminal offense under the laws of this state. Applicant grants permission that application, credit, and criminal history information may be shared with the Landlord of the subject property for rent. The undersigned Applicant has read and agrees to all provisions of this application, including the terms of the “Application Deposit Agreement” below.

APPLICATION DEPOSIT AGREEMENT:Applicant has deposited the sum of $ ______(Application Deposit/Holding Fee), in consideration of the Owner taking the dwelling unit off the market while consideration of approval of this application. All deposits made on behalf of the owner shall become non-refundable, unless approved by owner. If this application is not approved or if applicant cancels within 48 hours, the deposit will be refunded, the applicant hereby waives any claim for damages by reason of non-acceptance. Applicant is hereby informed that all move-in funds must be made in guaranteed funds such as cash, money order or bank check. This application is preliminary only and does not obligate Owner or Owner’s agent to execute a lease or deliver possession of the proposed premises. RADON GAS DISCLOSURE: Radon is a naturally occurring radioactive gas that when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon that exceed federal and state guidelines have been found in buildings in Florida. Additional information regarding radon and radon testing may be obtained from your county public health unit.I HAVE READ AND AGREE TO THE PROVISIONS AS STATED.PLEASE NOTE THAT REALTY GROUP SPECIALISTS, LLC USES 3RD PARTY APPLICATION PROCESSING, WHICH MAY BE REFERENCED ON YOUR SOCIAL SECURITY INQUIRY REPORT. (If unmarried, please duplicate this last page for additional signatures).

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Applicant’s SignatureDate

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Applicant’s SignatureDate

Please Complete - Rental Verification Form
Applicant’s Name
Residence Address
Landlord/Management Company
Landlord/Management Company’s Phone #
Company Representative
I hereby authorize Realty Group Specialists, LLC to obtain any and all information asked within this application.
Applicant’s Signature / Date
Prospective Tenant’s LANDLORD to complete this portion:
Does/did resident make payments in a timely fashion? / Yes / No
Has the resident ever paid with NSF check? If so how many? / Yes / No
Is the resident currently on a lease? / Yes / No
Does/did the resident have pets? / Yes / No
Does/did resident give proper notice to vacate? / Yes / No
Were there any damages to the premises? / Yes / No
Does/did the resident adhere to the rules, policies and terms of the lease? / Yes / No
Would you re-rent to the applicant again? / Yes / No
Company Representative’s Signature / Date
Company Representative’s Printed Name/Position / Phone #
Please Complete - Employee Verification Form
Employee’s Name
Social Security # / Job Title
Supervisor’s Name / Company Fax #
Company Name / Company Phone #
Company Address
I hereby authorize Realty Group Specialists, LLC to obtain any and all information asked within this application. PLEASE PROVIDE 4 MOST RECENT PAY STUBS
Applicant’s Signature / Date
EMPLOYER tocomplete this portion:
Date of Hire / Applicant’s Job Title
Current Employment Status
Earnings Amount $: / Month / Week / Bi-Weekly / Annually
Likelihood of continued employment? / Typical Expectation of future work week hours (i.e. 40 hours per week?): / Hourly or Salary:
Company Representative’s Signature / Date
Company Representative’s Printed Name/Position / Phone #
Realty Group Specialists, LLC Rental application / 1