12577 Spring Hill Dr.  Office 352.684.0700
Spring Hill, FL 34609 Fax 352.684.0717
Home applying for: __________________________________________________________________________________
Move in date: __________________________________ Lease term: __________________________________________
APPLICANT 1:
Full Name: _________________________________________________________________________________________
Social Security Number: ________________________________________DOB: __________________________________
Home Phone #: __________________________ Cell Phone # (is text OK?)__________________________Y OR N
Email Address(s): ____________________________________________________________________________________
Facebook Username: ________________________________________________________________________________
Please give your residence history for the past 3 years
Current Address: __________________________________________________________________Zip code__________
Month & year moved in: ___________________________ Monthly rent payment: ________________________
Reason for leaving: ___________________________________________________________________________
Owner’s name & phone number: ________________________________________________________________
Previous Address: ________________________________________________________________Zip code__________
Month & year moved in: ___________________________Monthly rent payment: _________________________
Reason for leaving: ___________________________________________________________________________
Owner’s name & phone number: ________________________________________________________________
Please give your employment history
Your status: □Full Time □Part Time □Student □Retired □Not Employed
Current Employer (Or most recent): _________________________________________________________________
Address: ____________________________________________Phone #: ____________________________
Date(s) employed from: ______________ To: ______________ Position: ________________________
Supervisor name & phone #:______________________________________ Monthly salary: _______
Previous Employer: __________________________________________________________________________________
Address: ____________________________________________ Phone #: __________________________
Date(s) employed from: _______________To: _________________ Position: _____________________
Supervisor name & phone #: _______________________________________Monthly salary: _______
APPLICANT 2:
Full Name: _________________________________________________________________________________________
Social Security Number: ________________________________________DOB: __________________________________
Home Phone #: ________________________ Cell Phone # (is text OK?)_________________________Y OR N
Email Address: _____________________________________________________________________________________
Facebook: _________________________________________________________________________________________
Please give your residence history for the past 3 years
Current Address: __________________________________________________________________Zip code_________
Month & year moved in: ___________________________ Monthly rent payment: ________________________
Reason for leaving: ___________________________________________________________________________
Owner’s name & phone number: ________________________________________________________________
Previous Address: _________________________________________________________________Zip code_________
Month & year moved in: ___________________________Monthly rent payment: _________________________
Reason for leaving: ___________________________________________________________________________
Owner’s name & phone number: ________________________________________________________________
Please give your employment history
Your status: □Full Time □Part Time □Student □Retired □Not Employed
Current Employer (Or most recent): _________________________________________________________________
Address: ____________________________________________Phone #: ___________________________
Date(s) employed from: ______________ To: ______________ Position: ________________________
Supervisor name & phone #:_______________________________________ Monthly salary: _______
Previous Employer: _________________________________________________________________________________
Address: ____________________________________________ Phone #: __________________________
Date(s) employed from: _______________To: _________________ Position: ____________________
Supervisor name & phone #: ________________________________________Monthly salary: _______
If there are other sources of income that you would like us to consider, please list income, source and person (Banker, Employer, etc.) who we could contact for confirmation. You DO NOT have to reveal alimony, child support or spouse’s annual income unless you want us to consider it in this application.
Amount $: _________________ Per: ________________ Source: ______________ Phone: _____________________
How many people will be living in the unit? ______________________________________________________________
If children, please list names, dates of birth & gender: _________________________________________________
__________________________________________________________________________________________________
Pets: (If so, please list names, weight & breed) ________________________________________________________
Total # of vehicles: (including company vehicles) ______________________________________________________
Make/Model: _______________________ year: _________ Color: _______________ Tag #: ____________________
Make/Model: _______________________ year: _________ Color: _______________ Tag #: ____________________
Other car, motorcycle, etc: ____________________________________________________________________________
Have you or co-applicant ever:
Been sued for non-payment of rent? Yes or No
Been evicted or asked to move out? Yes or No
Broken a rental agreement or lease? Yes or No
Been sued for damage to rental property? Yes or No
Declared bankruptcy? Yes or No
Was is discharged? Yes or No
Reference Verification Name: Reference Comments:
___________________________________________ _________________________________________ ____________________________________________ __________________________________________
___________________________________________ ____________________________________________
THIS APPLICATION DOES NOT DISCRIMINATE AGAINST ANY PERSON(S) BECAUSE OF RACE, COLOR, RELIGION, SEX, HANDICAP, FAMILIAL STATUS, OR NATIONAL ORIGIN.
I hereby apply to lease the above described premises for the term and upon conditions above set forth and agree that the rental is to be payable the __________ day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, $ ________________ of the deposit will be retained to offset the agent’s cost, time and effort in processing my application.
I hereby deposit $___________ as earnest money to be refunded to me if this application is not accepted within ______
business days. Upon acceptance of this application, this deposit shall be retained as part of the security deposit. When so approved and accepted I agree to execute a lease for ________ months and to pay the balance of the security at signing of the lease agreement. I agree and understand, that if and when I/we are approved for the rental property, I/we fail to enter into the lease agreement all monies paid for the property will be forfeited as liquidated damages in payment for the agent’s time and effort in processing my inquiry and application, including making necessary investigation of my credit, character and reputation. If this application is not approved and accepted by the owner or agent, the deposit will be refunded, the applicant thereby waiving any claim for damages by reason of no acceptance.
I/WE AUTHORIZE YOU TO CONTACT PREVIOUS LANDLORD(S), RUN CREDIT, CRIMINAL AND EVICTION CHECKS, AND PERSONAL REFERENCES THAT I/WE HAVE GIVEN IN THIS APPLICATION. I/WE ALSO AUTHORIZE MANAGEMENT TO OBTAIN MYCONSUMER CREDIT, CRIMINAL AND EVICTION REPORTS.
The above information, to the best of my knowledge is true and correct.
Signature of Applicant 1:_____________________________________________ Date Signed: __________________
Signature of Applicant 2:_____________________________________________ Date Signed: __________________
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