TENANT APPLICATION

THE HIGHLANDER

537 North 20th Street

DeFuniak Springs, FL32433

ALL PERSONS RESPONSIBLE FOR ANY PORTION OF RENT AND/OR DEPOSITS, WHO WILL BE RESIDING AT THIS ADDRESS, MUST SUBMIT A SEPARATE TENANT APPLICATION.

Date______Unit #______

Applicant’s Name______Date of Birth______

Social Security Number______-______-______

Email Address, if any (not required)______

Valid Florida Driver’s License Number______Expiration Date______

What type of Rental Agreement do you prefer? (please check one)

Month-to-Month______ OR One Year ______

If Month-to-Month, how long will you be renting this unit? ______

Will anyone else be residing at this address? Yes______No ______

If yes, please provide their name(s) and age(s):

______

Will anyone, not living in this unit, be financially responsible for your rent and/or deposits?

Yes ______No ______If yes, please state the following:

Name______Relationship______

Current Address______

Phone Number______How much will they be paying? $______

How many vehicles will you be parking on the premises?______

Make/Model______Color______

License Plate Number______

Make/Model______Color______

License Plate Number______

If other than a car or truck, please describe ______

(Boat parking must be agreed upon with Landlord.)

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Present Employer______How long?______

Position Held______Monthly Income $______

Work Contact Name______Work Phone______

Present Address______Monthly Rent $______

How long at this address?______Present Home Phone______

Present Cell Phone Number, if any (not required)______

Present Landlord’s Name______Phone______

What was your Previous Address?______

How long at this address?______

Previous Landlord’s Name______Phone______

Name of nearest relative______

Relationship______

Address______

______

Phone______

Have you ever been evicted? Yes______No______

Have you ever been in litigation with a landlord? Yes______No______

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GOOD FAITH DEPOSIT - required by one applicant per unit.

I hereby deposit the sum of $500. with management as a good faith and/or holding deposit in connection with this rental application. Upon receipt of my application and deposit, I will be contacted by the Landlord. After such time, and my application is approved, I agree to respond and/or cancel this application within 24 hours. If I fail to do so, I understand and agree that the entire Good Faith Deposit shall be forfeited by me. If my application is not approved, or I have canceled this application within the time period set forth above, I will receive a refund of my Good Faith Deposit in full.

If my application is approved, a rental agreement is signed, I agree to pay the first month’s rent and I take possession of the rental property. The Good Faith Deposit shall be applied toward my security/damage deposit.

I hereby agree to the following terms:

Security Deposit $600 - due with this Tenant Application

$600 Security Deposit Check shall be made payable to JANE GIANNOULAS

Tenant Application and Security Deposit shall be sent to:

JANE GIANNOULAS

6549 MISSION GORGE ROAD

SUITE 247

SAN DIEGO, CA92120

Upon approval, and within seven (7) business days, I agree to sign a Rental Agreement and accompany it with the following:

First Month’s Rent$675- due with Rental Agreement

Each month after: $675.

Rental Agreement and First Month’s Rent shall be sent to the above address.

The undersigned hereby attest that the above information is true.

______

Applicant’s signatureDate