Property Address You're Applying For...
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2707 Devonwood Rd
6104 Tuscony Cir
7920 Merrill Rd, #2010
11020 Oyster Way
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Applicant
Information
Name
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First Name
Last Name
Mobile Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Do you have a Co-Applicant (Anyone 18-years or Older)?
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Applicant
Identification
Social Security No.
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Date of Birth
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Month
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Year
Date
Drivers License No.
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Applicant
Current Address
Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you lived at this Address for Less Than 2-years?
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Yes
No
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Applicant
Current Landlord / Mortgage Company
Current Landlord / Mortgage Co.
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Current Landlord / Mortgage Co. Email
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example@example.com
Current Landlord / Mortgage Co. Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Monthly Rent / Mortgage Payment
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Move-In Date
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Month
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Day
Year
Date
Move-Out Date
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Month
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Day
Year
Date
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Applicant
Previous Address
Previous Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Applicant
Previous Landlord / Mortgage Company
Previous Landlord / Mortgage Co.
*
Previous Landlord / Mortgage Co. Email
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example@example.com
Previous Landlord / Mortgage Co. Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Previous Monthly Rent / Mortgage Payment
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Previous Move-In Date
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Month
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Day
Year
Date
Previous Move-Out Date
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Month
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Day
Year
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Applicant
Employment Information
Current Employer
Date Started
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Month
-
Day
Year
Date
Gross Monthly Income
Supervisor's Name
Supervisor's Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Have you been employed here for Less Than 2-years?
Yes
No
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Applicant
Previous Employment Information
Previous Employer
Date Started
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Month
-
Day
Year
Date
Gross Monthly Income
Supervisor's Name
Supervisor's Phone
Please enter a valid phone number.
Format: (000) 000-0000.
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Applicant
Banking Information
Bank Name
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Checking Account Number
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List all credit obligations that require a minimum monthly payment:
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Applicant
Credit & Background Information
In what range is your credit score?
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Less than 550
550-600
600-640
640-720
720+
Have you ever been convicted of a felony?
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No
Have you ever received deferred adjudication for a felony?
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Yes
No
Have you ever been evicted?
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Yes
No
Have you ever broken a lease?
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Yes
No
Have you ever declared bankruptcy?
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Yes
No
*
The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes the RandBent Properties, LLC to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicants. Applicant shall give Landlord a nonrefundable application fee in the amount of $75.00 for any and all occupants that may occupy the property that you are submitting application for that are 18-years of age or older. If applicant or applicant's co-applicant has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's time and expenses in processing this application
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Applicant
Personal References & Emergency Contact
Personal Reference #1 (Name)
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Personal Reference #1 (Relationship)
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Personal Reference #1 (Email)
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example@example.com
Personal Reference #1 (Mobile No.)
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Please enter a valid phone number.
Format: (000) 000-0000.
Personal Reference #2 (Name)
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Personal Reference #2 (Relationship)
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Personal Reference #2 (Email)
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example@example.com
Personal Reference #2 (Mobile No.)
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Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact (Name)
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Emergency Contact (Relationship)
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Emergency Contact (Email)
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example@example.com
Emergency Contact (Mobile No.)
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Please enter a valid phone number.
Format: (000) 000-0000.
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Co-Applicant
Information
Name
*
First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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Co-Applicant
Identification
Social Security No.
*
Date of Birth
*
-
Month
-
Day
Year
Date
Drivers License No.
Upload a Photo of Co-Applicant's Drivers License or Other State ID
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Co-Applicant
Current Address
Is the Co-Applicant's Current Address the same as the Applicant's?
*
Yes
No
Co-Applicant's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Has Co-Applicant lived at this Address for Less Than 2-years?
*
Yes
No
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Co-Applicant
Current Landlord / Mortgage Company
Current Landlord / Mortgage Co.
*
Current Landlord / Mortgage Co. Email
*
example@example.com
Current Landlord / Mortgage Co. Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Monthly Rent / Mortgage Payment
*
Move-In Date
*
-
Month
-
Day
Year
Date
Move-Out Date
-
Month
-
Day
Year
Date
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Co-Applicant
Previous Address
Co-Applicant's Previous Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Co-Applicant
Previous Landlord / Mortgage Company
Previous Landlord / Mortgage Co.
*
Previous Landlord / Mortgage Co. Email
*
example@example.com
Previous Landlord / Mortgage Co. Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Monthly Rent / Mortgage Payment
*
Move-In Date
*
-
Month
-
Day
Year
Date
Move-Out Date
-
Month
-
Day
Year
Date
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Co-Applicant
Employment Information
Current Employer
Date Started
-
Month
-
Day
Year
Date
Gross Monthly Income
Supervisor's Name
Supervisor's Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Have you been employed here for Less Than 2-years?
Yes
No
Back
Next
Save
Co-Applicant
Previous Employment Information
Previous Employer
Date Started
-
Month
-
Day
Year
Date
Gross Monthly Income
Supervisor's Name
Supervisor's Phone
Please enter a valid phone number.
Format: (000) 000-0000.
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Save
Co-Applicant
Banking Information
Bank Name
Checking Account Number
List all credit obligations that require a minimum monthly payment:
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Co-Applicant
Credit & Background Information
In what range is your credit score?
*
Please Select
Less than 550
550-600
600-640
640-720
720+
Have you ever been convicted of a felony?
*
Please Select
Yes
No
Have you ever received deferred adjudication for a felony?
*
Please Select
Yes
No
Have you ever been evicted?
*
Please Select
Yes
No
Have you ever broken a lease?
*
Please Select
Yes
No
Have you ever declared bankruptcy?
*
Please Select
Yes
No
*
The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes the RandBent Properties, LLC to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicants. Applicant shall give Landlord a nonrefundable application fee in the amount of $75.00 for any and all occupants that may occupy the property that you are submitting application for that are 18-years of age or older. If applicant or applicant's co-applicant has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's time and expenses in processing this application
Back
Next
Save
Co-Applicant
Personal References & Emergency Contact
Personal Reference #1 (Name)
*
Personal Reference #1 (Relationship)
*
Personal Reference #1 (Email)
*
example@example.com
Personal Reference #1 (Mobile No.)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Reference #2 (Name)
*
Personal Reference #2 (Relationship)
*
Personal Reference #2 (Email)
*
example@example.com
Personal Reference #2 (Mobile No.)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact (Name)
*
Emergency Contact (Relationship)
*
Emergency Contact (Email)
*
example@example.com
Emergency Contact (Mobile No.)
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Occupants
Indicate each person who would occupy the property If approved.
Occupant #1
Occupant #1 (Age)
Occupant #2
Occupant #2 (Age)
Occupant #3
Occupant #3 (Age)
Occupant #4
Occupant #4 (Age)
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Pets
Indicate up to two (2) pets, if any, that would occupy the property if approved.
Type (Pet #1)
Breed (Pet #1)
Weight (Pet #1)
Age (Pet #1)
Type (Pet #2)
Breed (Pet #2)
Weight (Pet #2)
Age (Pet #2)
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Vehicles
List up to two (2) vehicles to be parked at the property if approved.
Make (Vehicle #1)
Model (Vehicle #1)
Year (Vehicle #1)
Make (Vehicle #2)
Model (Vehicle #2)
Year (Vehicle #2)
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