Rentals | David Cronnin | Luxury Real Estate

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Residential Rental Application

Equal Housing Opportunity

Complete all fields below. Fields marked with * are required.

Application Date *

Property Address (Application Number or ID)

Applicant Information

First Name *

Last Name *

Middle

SS# *

Current Address *

City *

State and ZIP *

Date of Birth *

Occupation (Full/Part Time) *

Yearly Income *

Home Phone

Cell Phone *

Employer *

Employer Address

How Long on Job *

Employer Contact Number

In Case of Emergency Notify *

Current Landlord

Landlord Phone

Years with Landlord

Lease Expiration Date

Current Rent *

Auto License Plate

Pets? If Yes, What Kind

How Many and Size

Co-Applicant Information

First Name

Last Name

Middle

SS#

Current Address

City

State and ZIP

Date of Birth

Occupation

Yearly Income

Home Phone

Cell Phone

Employer

Employer Address

How Long on Job

Employer Contact Number

In Case of Emergency Notify

Current Landlord

Landlord Phone

Years with Landlord

Lease Expiration Date

Current Rent

Auto License Plate

Pets? If Yes, What Kind

How Many and Size

Applicant's References (Other Than Relatives)

Reference 1 — Name *

Address

Phone *

Reference 2 — Name

Address

Phone

Co-Applicant's References

Reference 1 — Name

Address

Phone

Reference 2 — Name

Address

Phone

Applicant's Bank References

Checking — Bank Name

Savings — Bank Name

Credit Cards / Other

Co-Applicant's Bank References

Checking — Bank Name

Savings — Bank Name

Credit Cards / Other

Your Credit History

Have you declared bankruptcy in the past seven (7) years? *

Yes No

Have you ever been evicted from a rental residence? *

Yes No

Have you had two or more late rental payments in the past year? *

Yes No

Additional Sources of Income

If you have other sources of income for us to consider, please list income, source, and contact person. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it.

Source 1

Source 2

Source 3

Source 4

Additional Information

Please provide any additional information that might help evaluate your application.

Authorization & Release of Information

I/We hereby warrant that all representations set forth above are true. To verify the above statements, I/We direct those persons named in this application to answer questions about me or us. I/We waive all rights of actions for consequences as a result of such information. I/We agree and authorize and give permission to the management company, owner or servicing company to perform a credit check on me/us.

I recognize that as a part of the procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living as permitted by state law.

I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner, manager, brokerage, finder, agent or leasing company.

Applicant Full Name (Digital Signature) *

Date *

Co-Applicant Full Name (Digital Signature)

Date

I confirm that all information provided is true and accurate to the best of my knowledge. I understand that providing false information may result in denial of this application or termination of any resulting lease agreement. *

Your information is kept strictly confidential.

Premium Rentals

Available Rentals

4521 Meridian Park Lane

8910 Ironwood Circle

6312 Willowmere Dr

Residential Rental Application

Applicant Information

Co-Applicant Information

Applicant's References (Other Than Relatives)

Co-Applicant's References

Applicant's Bank References

Co-Applicant's Bank References

Your Credit History

Additional Sources of Income

Additional Information

Authorization & Release of Information

Application Submitted