Re/Max Excellence Property Management Rental Application
Linda Raaymakers 102 5th St NW/PO Box 1639, Long Beach, WA, 98631 Cell 360_783_2389. Office 360_642_3710. Fax 360_642_3760. linda.raaymakers716@gmail.com
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Employment History
Current or Most Recent Employer
Position
Length of Employment
Monthly Salary
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Supervisor Name
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American Samoa
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Chile
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Cook Islands
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The Gambia
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Northern Mariana
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Philippines
Pitcairn Islands
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Portugal
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Romania
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Saint Barthelemy
Saint Helena
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Saint Lucia
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Samoa
San Marino
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Saudi Arabia
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Solomon Islands
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eSwatini
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Move in Date
-
Month
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Day
Year
Date
Move Out Date
*
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Month
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Day
Year
Date
Amount Paid Monthly
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Landlord or Company Name
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Landlord Phone #
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-
Area Code
Phone Number
Landlord Email
(if available)
Reason for Leaving
End of Lease
Eviction
Bad Living Conditions
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Other
If "other" please explain:
Previous Address
Street Address
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State / Province
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Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Personal References
Reference #1 Full Name
*
First Name
Last Name
Relationship to Applicant
*
Phone Number
*
-
Area Code
Phone Number
E-mail
example@example.com
Reference #2 Full Name
*
First Name
Last Name
Relationship to Applicant
*
Phone Number
*
-
Area Code
Phone Number
E-mail
example@example.com
Other Information
Pets (please describe)
*
Vehicles to be parked on premises
*
Make/Model/Year/Color/License #
Any large items going to be on the premises
*
RV/Boat/Aquarium/Waterbed/Piano...
Have you ever been charged or convicted of a criminal offense or felony?
*
Give Date and Circumstances (if applicable)
Have you ever been evicted or left a rental owing a landlord money?
*
Ever filed for bankruptcy?
*
Give a Date (if applicable)
Proposed Occupants
(Anyone over 18 needs to complete a separate application & payment)
Name
DOB
Relationship
Name
DOB
Relationship
Name
DOB
Relationship
Name
DOB
Relationship
Photo Id
A CURRENT Photo Id needs to be provided, same as applicant name, to further the rental application process.
*
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Terms
I certify that the above information is correct and complete and hereby authorize you to make inquiries you feel necessary to evaluate my tenancy and credit standing, including but not limited to, a check of my credit. I understand that if I am denied tenancy due to my credit standing, I have the right to dispute the accuracy or completeness of any information in the credit report.
*
I Agree
Review the Criteria in the above PDF. A Non-Refundable Credit Application Fee $65.00 must be paid for further process of your application. NO CASH accepted/Money Order & Cashiers Check, Personal Check or Below the Criteria is the option for card information release.
*
I Agree
Money Order/Cashiers Check (Come-in to Office)
Personal Check (Come-in to Office)
Credit/Debit Card
Signature
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Date
Card Charge
Visa or Master Card Charge
Fill out if you selected Credit/Debit Card above. Submitting this information is a release and authorization for Remax Excellence - Linda Raaymakers to run the payment and further the application.
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Day
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Date
Name on the Card being used:
First Name
Last Name
Address the Credit Card Bill is sent to:
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Street Address Line 2
City
State / Province
Postal / Zip Code
Credit Card Information
Exp Date
Number
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