RENTAL APPLICATION
APPLICANT
Name:__________________________________ SS#:____________________ Date of Birth_________________
Spouse/Other Name:______________________ SS#:____________________ Date of Birth_________________
Present Address:_______________________________________________________________________________
Phone number___________________________E-mail address_________________________________________
Name of Present Landlord__________________________________Landlord’s phone
number_______________
Dates: From_________________To_______________ Present
Monthly Rent/Mortgage $_____________________
Previous Address:______________________________________________________________________________
Previous Monthly Rent/Mortgage $________________________Dates:
From _____________To_____________
Previous Landlord name and address______________________________________________________________
Previous Landlord’s phone number_______________________________________________________________
EMPLOYMENT
Employed by:__________________________________ Position:____________________
How Long?_________
Address:__________________________________________________Telephone number___________________
Supervisor_______________________________________Salary $______________________________________
Additional income$__________________________________________Source____________________________
EMPLOYMENT Spouse/Other
Employed by:__________________________________ Position:____________________
How Long?_________
Address:__________________________________________________Telephone number___________________
Supervisor_______________________________________Salary $______________________________________
Additional income$__________________________________________Source____________________________
OCCUPANTS
Names of all occupants and ages_________________________________________________________________
____________________________________________________________________________________________
CREDIT REFERENCE
Bank:_______________________________________ Account#________________________________________
Account Type______________________ Contact Name & Telephone___________________________________
PETS
Will you be maintaining a pet? If yes,
please provide information below.
Type of pet:__________________________________________________ Weight at maturity________________
EMERGENCY
Name of individual to contact:__________________________________ Telephone Number:________________
Relationship:__________________________ Address:________________________________________________
Excluding minor traffic violation, have any of the occupants named above ever been convicted of a misdemeanor, felony or other criminal activity? Yes_______ No______. If yes, locality______________________________________________________________________________________
Dates:________________, please explain__________________________________________________________
____________________________________________________________________________________________.
DISCLOSURE
I hereby make an application for an apartment at Seagate Village and
certify that I am of legal age and the above information is correct. I authorize
Curtis Driggers or Devin Driggers/Property Manager(s) to validate any and all information provided on this application. I agree to pay a non-refundable application fee (credit check, back-ground check,
etc) of $25.00.
I understand that any lease agreement made on the basis of the above information
may be terminated at any time at owner’s/agent’s option if the information is found to be
false.
Please note that it will take three business
days to verify all of the above information.
Applicant(s) Signature__________________________________________________Date____________________
- APPLICATIONS WILL NOT BE PROCESSED
WITHOUT RECEIPT OF $25.00 APPLICATION FEE
EHO
