Remax Rental Application

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
Please provide landlord with proof of income and valid photo ID.
Personal Information
FIRST/MIDDLE/LAST NAME Verify ID*
OTHER LAST NAMES USED
Interested Property Address (if applicable)
BIRTHDATE*

MonthDayYear
Full Social Security Number*
DRIVERS LICENSE OR ID
DATE ISSUED / STATE
EXPIRATION DATE

MonthDayYear
PHONE NUMBER*
EMAIL*
Rental History
CURRENT ADDRESS*
UNIT
CITY*
STATE*
Area Code + Phone*
ZIP*
Do You?*

OwnRentLive w/ ParentOther:
Do You Smoke?*

YesNo
CURRENT LANDLORD or MORTGAGE CO*
CITY*
STATE*
Area Code + Phone*
REASON FOR MOVING
MONTHLY PAYMENT*
HOW LONG AT CURRENT ADDRESS*
PREVIOUS ADDRESS
UNIT
CITY
STATE
ZIP
Do You?

OwnRentLive w/ ParentOther:
PREVIOUS LANDLORD/MORTGAGE CO
CITY
STATE
Area Code + Phone
REASON FOR MOVING
MONTHLY PAYMENT
HOW LONG AT THIS ADDRESS
Employment History
EMPLOYER/INCOME SOURCE*
Address*

ADDRESS

Street Address Line 2

CITYSTATE

Postal / Zip Code
MONTHLY GROSS INCOME*
POSITION*
SUPERVISORS NAME*
Area Code + Phone*
EMPLOYMENT DATES*
Jan 1, 2000 - Dec 31, 2000
Employment Type*

Part TimeFull TimeSelf-EmployedTemporary
Emergency Contact
EMERGENCY CONTACT*
RELATIONSHIP*
Address

ADDRESS

Street Address Line 2

CITYState / Province

Postal / Zip Code
ST
ZIP
Area Code + Phone*
Other Information
CAR MAKE/YEAR/MODEL
PLATE
COLOR
REFERENCE NAME*
Area Code + Phone*
RV/BOAT/AQUARIUM/WATERBED/PIANO/LARGE ITEMS?*
HAVE YOU EVER BEEN CHARGED OR CONVICTED OF A CRIMINAL OFFENSE OR FELONY?*

YesNo
DETAILS
HAVE YOU EVER BEEN EVICTED OR LEFT A RENTAL OWING A LANDLORD MONEY?*

YesNo
DETAILS
EVER FILED FOR BANKRUPTCY*
WHEN
Do you have any pets or animals?*

YesNo
IF YES, TYPE & BREED
Photo ID
A CURRENT Photo Id needs to be provided, same as applicant name, to further the rental application process.*
In compliance with the Fair Credit Reporting Act, State & Federal laws, this is to inform you that an investigation involving the statements made on this application for tenancy is being initiated. I certify that to the best of my knowledge, all statements are True & Complete. I further authorize the above Landlord and *WLA to obtaincredit reports, court records, character reports, employment and rental history as needed to verify all information put forth in this application.

ANYONE OVER 18 COMPLETE SEPARATE APPLICATION
Proposed Occupants
Name
Birthdate

MonthDayYear
Date
Relationship
Name
Birthdate

MonthDayYear
Date
Relationship
Name
Birthdate

MonthDayYear
Date
Relationship
Name
Birthdate

MonthDayYear
Date
Relationship
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 Rental 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 AgreeMoney Order/Cashiers Check (Come-in to Office)Personal Check (Come-in to Office)Credit/Debit Card
APPLICANT SIGNATURE*

Clear
DATE*

MonthDayYear
Card Payment

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.

Rental Application Fee

$65.00

Total

$0.00

Credit Card

Should be Empty:

Re/Max Excellence Property Management Rental Application

Personal Information

Rental History

Employment History

Emergency Contact

Other Information

Photo ID

Proposed Occupants

Terms

Card Payment

Credit Card