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RENTAL APPLICATION
Address of rental applying for ______________________________________________________
Neatly complete all information below. All other applicants over the age of 18 must complete and sign their own application.
Primary Applicant _____________________________________Phone #____________________DOB_________
Email Address __________________________________________
Social Security #___________________Drivers License #________________________State _______Exp.________
Current Address_____________________________________City___________________State______Zip_________
Current Landlords Name _____________________________________________Phone #_____________________
How long at this address ________Reason for leaving __________________________________________________
Previous Address_____________________________________City___________________State_____Zip_________
Previous Landlords name _______________________________________________Phone #___________________
How long at this address _________Reason for leaving__________________________________________________
Auto Yr. ________Make ________________Model __________________State/License plate #_________________
Present Employer________________________________Position_____________________Phone #_____________
Employers Address ___________________________________City__________________State ______Zip________
Phone #___________________How long at this job_________ Mo Income_________________________________
Other Income/sources___________________________________________________________________________
( if less than three (3) years previous employer):________________________________________________________
Have you ever been evicted from any rental property? Yes______ No_______
Have you ever been convicted of a felony? Yes_____ No _____
Nearest relative not living with you:
Name______________________________________________________________ Phone ___________________
Address___________________________ ___________________________________________________________
Personal reference not living with you:
Name______________________________________ Phone _____________________ How long known_______
Address_______________________________________________________________________________________
Name______________________________________ Phone _____________________ How long known_______
Address_______________________________________________________________________________________
Name of Bank _________________________Branch _____________________Type of Account________________
Name of Bank _________________________Branch _____________________Type of Account________________
Pets: Yes____ No_____ Type_______ Breed________________________________ Weight__________
(print one per applicant over 18)
Rental Application Continued
Persons to occupy Dwelling:
Name ______________________________________
Name______________________________________
Name______________________________________
Name______________________________________
Name______________________________________
Vehicles:
Make _______________ Model_____________ Year _____ Color_______ State_____ Plate #_______________
Make _______________ Model_____________ Year _____ Color_______ State_____ Plate #_______________
Make _______________ Model_____________ Year _____ Color_______ State_____ Plate #_______________
I/We CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.
Signature___________________________________________________________________Date_________________
Signature___________________________________________________________________Date_________________
To apply for a rental with us there is a $50.00 application fee that is “non-refundable.
APPLICANT DISCLOSURE SECTION
Primary Applicants Name _________________________________________________________________________
I authorize Langdon Property Management, LLC to obtain my/our consumer Credit report and public records and to investigate any personal information on me necessary to arrive at an applicant decision.
Signature (primary applicant)________________________________________________Date_____/_____/________
APPLICANT DISCLOSURE SECTION
Co-Applicants Name _________________________________________________________________________
I authorize Langdon Property Management, LLC to obtain my/our consumer Credit report and public records and to investigate any personal information on me necessary to arrive at an applicant decision.
Signature (Co-applicant)________________________________________________Date_____/_____/________
Elizabeth W. Langdon, Broker/Owner
Langdon Property Management, LLC
FAX: 904-730-3789 CELL: 904-814-2105
Lizishappy@aol.com
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