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Printer Friendly Link to Application
Online Application
Pay Application Fee Online
Please print and complete this form-Separate Application Required for Each Applicant.
A check, cash or money order for $35.00 must accompany this application to be processed.
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APPLICANT INFORMATION:
Name (full name): ________________________________________________________
Social Security Number: __ __ __ - __ __ - __ __ __ __ DOB: ____ / ____ / ____
Home Phone: _______________________ Work Phone: _______________________
Cell Phone: _______________________ Email: _______________________
Driver's License / ID Number: _________________________ State: ____________
NUMBER OF OCCUPANTS _____________
NAME Relationship Birthdate Work or School Phone
1. _________________ ____________ ___________ __________________
2. _________________ ____________ ___________ __________________
3. _________________ ____________ ___________ __________________
4. _________________ ____________ ___________ __________________
APPLICANT EMPLOYMENT HISTORY:
Current Employer
Name and Address: _______________________________________________________
Phone: ____________________ Fax: _________________ Income: $_______________
Position: __________________________ Supervisor: ____________________________
Length of Employment: ____________ Still employed? (Check one) ___ yes ___ no
Previous Employer (if you have changed jobs in the last 2 years)
Name and Address: _______________________________________________________
Phone: ____________________ Fax: _________________ Income: $_______________
Position: __________________________ Supervisor: ___________________________
Length of Employment: Begin ______________ End ______________________
RENTAL HISTORY:
Current Address: ________________________________________________________
Dates Lived at This Address: From ________________ to __________________
Reason for leaving: _______________________________________________________
Landlord/Manager: ____________________ Phone: _______________ Fax: ________________
Previous Address: ________________________________________________________
Dates Lived at This Address: From ________________ to __________________
Reason for leaving: _______________________________________________________
Landlord/Manager: ____________________ Phone: _______________ Fax: ________________
OTHER INCOME: $______________ Source: ___________________________________
Bank and Financial Accounts-Checking Institution Name: __________________________
Car#1 Model/Year/color: _______________________________ License Plate #____________State: ___
Car#2 Model/Year/color: _______________________________ License Plate # ____________State: ___
MISCELLANEOUS: (check appropriate answer)
Do you have pets? _____ yes _____ no If so, describe ______________________
Do you smoke? _____ yes _____ no
Do you plan to have water filled furniture on the rental property? _____ yes _____ no
If yes, explain:_________________________________________________________
Have you ever been evicted? _____ yes _____ no If yes, explain:________________________.
Have you ever been convicted of a felony? _____ yes _____ no If yes, explain:_____________
Have you ever filed for bankruptcy? ___ yes ___ no If yes, Date: ______ Discharged?_______.
Anything you wish to explain?: ______________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
APPLICANT PERSONAL/EMERGENCY REFERENCES:
Name: ________________________________________ Relationship: ____________________
Address: __________________________________________ Phone: _____________________
Known this reference how long? _______________________
Name: ________________________________________ Relationship:_____________________
Address: __________________________________________ Phone: _____________________
Known this reference how long? _______________________
What are you looking for in your next home: Indicate # or level of interest:
Bedrooms___ Baths____ Sq ft_____ Yard_____ Garage_____ Levels_____ Location:_________________
House_____ Condo_____ Duplex_____ Apt_____ Age/Type of Property:__________________________
School Preference: Elementary_________________ Middle______________ High___________________
Describe the most important feature or convenience:___________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Move-in Date Desired:______________ Dates available to view homes:___________________________
Rent Range Desired: $_________ Length of lease_______ Lease/Purchase Option?__________________
Questions we can assist you with:_________________________________________________________
How did you hear about us:______________________________________________________________
Applicant authorizes the owner/agent to contact past and present landlords, employers, creditors, credit bureau, neighbors and any other sources deemed necessary to investigate applicant. All the information is true, accurate and complete to the best of applicant's knowledge. Owner/Agency reserves the right to disqualify tenant if information is not as represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME
I agree to accept Greenville Rental Homes as my Exclusive Tenant Agent to contact owners of homes on my behalf. If I choose another property on my own or I choose a property where the owner does not agree to pay the lease acquisition fee, I agree to pay Greenville Rental Homes a fee equal 1 month rent. If I elect to purchase a property, I will inform the agent/owner of Greenville Rental Homes.Com as my relocation agent, where a relocation fee is paid by the agent/owner at no additional expense to me.
___________________________________________ ____________________________
APPLICANT SIGNATURE DATE
********************************************************************* THIS SECTION FOR INTERNAL USE ONLY Owner/Manager:___________
Property Address: ________________________City: _______, State: ____ Zip: ______
Lease starts __________________, 20___ to last day of __________________. 20___
If lease purchase, Date of Close: ________________ Sale Price: $________________
First Month's Rent: $________________ Security Deposit/Down Payment: $__________
Pet Fee: $________________ Pet Agreement Signed: _____
Application Fee: $_$35.00__________ LA Fee: $_______ REF Fee: $_______
TOTAL: $_________________ Buyers Agent: ________ Commission: _________
Rep: ________ Accepted______ Declined______ Date Letter Mailed: ___________
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