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R#__________ RENTAL APPLICATION Please Print Clearly Agent´s Name:_____________________________________________ Property Address:__________________________________________ Rent Amount $______________ Security Deposit $_______________ Move In Date:______________ Lease Term ____________________ Amount Rec´d.$_____________ Date:_________________________ Approval of this application requires adequate verification of the information submitted by the applicants: Last Name First Name Middle Initial Date of Birth ____________________________________________________________________________ Social Security Number (attach copy) Home Phone Number Work Phone Number ___________________________________________________________________________ Driver´s License Number (attach copy) Marital Status ___________________________________________________________________________ Spouse Last Name First Name Middle Initial Date of Birth __________________________________________________________________________________ Social Security Number (attach copy) Home Phone Number Work Phone Number __________________________________________________________________________________ Driver´s License Number (attach copy) Marital Status __________________________________________________________________________________ Vehicle Make Model Color Tag # State Year __________________________________________________________________________________ Vehicle Make Model_________ Color Tag#_______ State____ Year____ Current Residence Street Address City State Zip Comments:______________________________________________________________ Landlord Name/Address Landlord Ph.# Rent Amount On Lease? From______________To______________ Previous Address______________________ City______________ State___ Zip________ Landlord Name/Address Landlord Phone # Rent Amount On Lease? Please Name All Who Will Occupy The Premises: ______________________________________________________________________ Name Age Sex Relationship ______________________________________________________________________ Name Age Sex Relationship __________________________________________________________________________________ Name Age Sex Relationship _________________________________________________________________________ Name Age Sex Relationship Please List Any Pets That Will Occupy the Premises(Owner Approval Must be Obtained) ________________________________________________________________________ Type of Pet Breed Weight Type of Pet Breed Weight Prospective Tenant(s) Understand There is a $________ Non-Refundable Pet Fee (Minimum $200.00) Initials__________ And a pet application ______________________________________________________________________ Name/Nearest relative not living with you Address City State Phone w/area code ______________________________________________________________________ Name/Nearest relative not living with you Address City State Phone w/area code Please Provide Employment Information For Past 2 Years _____________________________________________________________________ Company Name Address Phone _____________________________________________________________________ Supervisor Gross Salary Dates of employment Position _____________________________________________________________________ company name (previous) address phone _____________________________________________________________________ supervisor name gross salary dates of employment position Spouse Employment _____________________________________________________________________ Company name address phone _____________________________________________________________________ supervisor gross salary dates of employment position _____________________________________________________________________ company name(previous) address dates of employment position _________________________________________________________________ IS THERE ANYTHING YOU FEEL WE SHOULD KNOW THAT MAY AFFECT APPROVAL OF YOUR RENTAL APPLICATION? _________________________________________________ REASON FOR LEAVING CURRENT RESIDENCE:__________________________________________________________ Have you ever: Filed for Bankruptcy? yes( ) no( ) Been Evicted from Tenancy? yes( ) no( ) Willfully or Intentionally refused to pay rent? yes( ) no( ) Broken a Rental agreement of a Lease? yes( ) no( ) Been sued for non-payment of rent? yes( ) no( ) Been convicted of a Felony? yes( ) no( ) ______________________________________________________________________________ APPLICANT(S) HEREBY AUTHORIZES DEBORAH GLOMB REALTY; TO VERIFY AND CHECK ANY AND ALL INFORMATION REQUIRED TO PROCESS HIS/HER APPLICATION FOR RESIDENCY, INCLUDING BUT NOT LIMITED TO EMPLOYMENT, BANK ACCOUNT, EVICTION, CRIMINAL BACKGROUND CHECKS AND AUTHORIZE PROPERTY MANAGER TO ONTACT ANY PERSONS OR COMPANIES LISTED ON THE APPLICATION, A CONSUMER CREDIT REPORT $_________, HIS/HER LANDLORD AND EMPLOYMENT REFERENCES. APPLICANT(S) UNDERSTANDS THERE IS A $30.00 NON-REFUNDABLE APPLICATION FEE FOR EACH APPLICATION TO BE PAID IN CASHIER´S CHECK OR MONEY ORDER BEFORE THIS APPLICATION IS PROCESSED. THIS APPLICATION FEE WILL BE RETAINED BY DEBORAH GLOMB REALTY TO COVER THE COST OF PROCESSING THE APPLICATION AS FURNISHED BY THE APPLICANT(S). APPLICATION DEPOSIT AGREEMENT: APPLICANT HAS DEPOSITED AN APPLICATION DEPOSIT IN THE AMOUNT STATED BELOW IN CONSIDERATION FOR OWNER TAKING THE DWELLING UNIT OFF THE MARKET WHILE CONSIDERING APPROVAL OF THIS APPLICATION. IF APPLICANT IS APPROVED AND CONTEMPLATED RENTAL AGREEMENT IS ENTERED INTO, THE APPLICATION DEPOSIT SHALL BE CREDIT TO THE FIRST MONTHS RENT. IF APPLICANT IS APPROVED BUT FAILS TO PROMPTLY ENTER INTO THE CONTEMPLATED LEASE AGREEMENT, THE APPLICATION DEPOSIT SHALL BE FORFEITED TO OWNER. THE APPLICATION DEPOSIT WILL BE REFUNDED ONLY IF APPLICANT IS NOT APPROVED. KEYS WILL BE FURNISHED ONLY AFTER THE RENTAL AGREEMENT AND OTHER RENTAL DOCUMENTS HAVE BEEN PROPERLY EXECUTED BY ALL PARTIES AND AFTER APPLICABLE RENT AND SECURITY DEPOSITS HAVE BEEN PAID. APPLICANT(S) HEREBY DEPOSITS THE SUM OF $___________ WITH MANAGEMENT AS A GOOD FAITH AND/OR HOLDING DEPOSIT IN CONNECTION WITH THIS RENTAL APPLICATION AN IF MY APPLICATION IS APPROVED AND I FAIL TO ENTER INTO A RENTAL AGREEMENT OR FAIL TO TAKE POSSESSION UNDER THE TERMS OF MY RENTAL AGREEMENT IF ONE HAS BEEN SIGNED, I UNDERSTAND AND AGREE THAT THE ENTIRE GOOD FAITH DEPOSIT SHALL BE FORFEITED BY ME. IN ADDITION, IF I HAVE ALREADY ENTERED INTO A RENTAL AGREEMENT, I WILL BE HELD LIABLE FOR ALL RENTS AND DAMAGES AS SET FORTH IN THE RENTAL AGREEMENT. IF MY APPLICATION IS NOT APPROVED, I WILL RECEIVED A REFUND OF MY GOOD FAITH DEPOSIT DEPOSIT IN FULL WITHIN 30 DAYS. IF MY APPLICATION IS APPROVED, A RENTAL AGREEMENT IS SIGNED, AND, I TAKE POSSESSION OF THE CONDO/HOME, THE GOOD FAITH DEPOSIT SHALL BE APPLIED TOWARDS MY SECURITY/DAMAGES DEPOSIT. APPLICANT(S) UNDERSTANDS THAT THE INITIAL MOVE IN CHARGES AND DEPOSITS MUST BE PAID IN CASHIER´S CHECK OR MONEY ORDER. APPLICANT(S) HEREBY DEPOSIT(S) $____________ON__________________, 20_____ WITH DEBORAH GLOMB REALTY. AS A NON-REFUNDABLE DEPOSIT TO BE APPLIED TO THE TOTAL MOVE-IN FUNDS REQUIRED BEFORE OCCUPANCY. CERTIFICATION OF CORRECT INFORMATION. APPLICANT(S) CERTIFIES THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IN THIS APPLICATION IS TRUE AND CORRECT. APPLICANT(S) ACKNOWLEDGES THAT FALSE INFORMATION HEREIN MAY CONSTITUTE GROUNDS FOR REJECTION OF THIS APPLICATION. TERMINATION OF THE RIGHT OF OCCUPANCY, AND I MAY BE SUBJECT TO EVICTION, AND/OR FORFEITURE OF DEPOSITS AND MAY CONSTITUTE A CRIMINAL OFFENSE UNDER THE LAWS OF THE STATE OF FLORIDA. IF A RENTAL AGREEMENT IS ENTERED INTO AND THE LANDLORD OR ITS AGENTS SUBSEQUENTLY LEARNS THAT INCORRECT INFORMATION WAS GIVEN PERTINENT INFORMATION WAS OMITTED, THE LEASE MAY BE TERMINATED AT LANDLORD/AGENT´S OPTION. ___________(INITIALS) _______________(INITIALS) DEBORAH GLOMB REALTY DOES BUSINESS IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING LAW, AND DOES NOT DISCRIMINATE AGAINST ANY PERSON BECAUSE OF RACE, COLOR, RELIGION, SEX, HANDICAP, FAMILIAL STATUS OR NATIONAL ORIGIN. APPLICANT(S) ACKNOWLEDGE THAT DEBORAH GLOMB REALTY IS THE AGENT FOR THE PROPERTY OWNER. ___________(INITIALS) _________(INITIALS) DATE APPLICANT SIGNATURE ________________________ ____________________________ DATE APPLICANT SIGNATURE |