TENANT APPLICATION FOR 1923 NW 66TH STREET MIAMI FL 33147

Name*

First NameMiddle NameLast Name

Date of Birth*

MonthDayYear

Phone Number*

Cell NumberWork Number

Employer*

Company Name

Street Address Line

CityState

Zip CodeCountry

Email

example@example.com

Supervisor Email*

example@example.com

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Social Security Number*

Primary ApplicantCo Applicant

Additional Occupant

PrefixFirst NameMiddle NameLast NameSuffix

Additional Occupant

PrefixFirst NameMiddle NameLast NameSuffix

Additional Occupant

PrefixFirst NameMiddle NameLast NameSuffix

Date of Birth

MonthDayYear

Date of Birth

MonthDayYear

Date of Birth

MonthDayYear

Date of Birth

MonthDayYear

Additional Occupant

PrefixFirst NameMiddle NameLast NameSuffix

Employment Date*

MonthDayYear

Supervisors Number*

Area CodePhone Number

Titled Position*

Date Submitted

MonthDayYear

Hour MinutesAM/PM Option

Your rights under the Fair Credit Reporting Act:
You have the right to receive a copy of your credit report. The copy of your report must contain all of the information in your file at the time of your request.
You have the right to know the name of anyone who received your credit report in the last year for most purposes or in the last two years for employment purposes.
Any company that denies your application must supply the name and address of the credit bureau they contacted, provided the denial was based on information given by the credit bureau.
You have the right to a free copy of your credit report when your application is denied because of information supplied by the credit bureau. Your request must be made within 60 days of receiving your denial notice.
If you contest the completeness or accuracy of information in your report, you should file a dispute with the credit bureau and with the company that furnished the information to the bureau. Both the credit bureau and the furnisher of information are legally obligated to investigate your dispute.
You have a right to add a summary explanation to your credit report if your dispute is not resolved to your satisfaction.
Equal Credit Opportunity Act
When creditors evaluate a credit application, they cannot lawfully engage in discriminatory practices.

The Equal Credit Opportunity Act (ECOA) prohibits credit discrimination on the basis of sex, race, marital status, religion, national origin, age, or receipt of public assistance. Creditors may ask for this information (except religion) in certain situations, but may not use it to discriminate when deciding whether to grant you credit.

The ECOA protects consumers who deal with companies that regularly extend credit, including banks, small loan and finance companies, retail and department stores, credit card companies, and credit unions. Everyone who participates in the decision to grant credit, including real estate brokers who arrange financing, must follow this law. Businesses applying for credit also are protected by this law.