Clone of Wagner Realty Rental Application Form

Wagner Realty Rental Application

Please complete this application in its entirety and submit to your Property Manager.
PRIMARY APPLICANT
Full Name*

First NameMiddle NameLast NameSuffix
Maiden Name

First NameMiddle NameLast Name
Social Security #*
Drivers License #*
Birth Date*

MonthDayYear
Drivers License State*
Valid ID*

Please upload a copy of your Drivers License or other Valid ID
Cancelof
Vehicle: Make/Model Vehicle Make/Model* Year Year*
License Plate Tag# License Plate Tag #*
Marital Status*

MarriedSingleDivorced
E-mail*
example@example.com
Cell Phone #*
Please enter a valid phone number.
Home Phone #
Please enter a valid phone number.
Present Employer*
Work Address*
Work Phone Number*
Please enter a valid phone number.
Position*
Length of Employment*
Gross Monthly Income (USD)*
MUST ENTER A $$ AMOUNT!!
Supervisor/Manager Name*
Previous Employer:
Company Name Street Address City State Zip Phone Number Position Start Date Monthly Gross Income Supervisor/Manager Name
Current Address of Residence*

Street Address

Street Address Line 2

CityState

Zip Code
Apartment/Landlord Name*
Contact Phone #*
Please enter a valid phone number.
Residency Dates*
Rent Amount per Month *
Previous Address:
Street Address* Address Line 2* City* State* Zip* Apartment/Landlord Name* Phone Number* Move-In Date* Move-Out Date* $ Rent Amount*
Nearest Relative*

First NameLast Name
Relationship*
Phone #*
Please enter a valid phone number.
Nearest Relative Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact*

First NameLast Name
Relationship*
Phone #*
Please enter a valid phone number.
Email Address*
example@example.com
Emergency Contact Current Address*

Street Address

Street Address Line 2

CityState

Zip Code

- Secondary Applicant
- Full Name
  
  First NameMiddle NameLast NameSuffix
- Maiden Name
  
  First NameMiddle NameLast Name
- Social Security #
- Drivers License #
- Birth Date
  
  MonthDayYear
- Drivers License State
- Valid ID
  
  Please upload a copy of your Drivers License or other Valid ID
  Cancelof
- Vehicle: Make Vehicle Make/Model Year Year
  License Plate Tag# License Plate Tag #
- Marital Status
  
  MarriedSingleDivorced
- E-mail
  example@example.com
- Cell Phone #
  Please enter a valid phone number.
- Home Phone #
  Please enter a valid phone number.
- Present Employer
- Work Address
- Work Phone Number
  Please enter a valid phone number.
- Position
- Length of Employment
- Gross Monthly Income (USD)
- Supervisor/Manager Name
- Previous Employer:
  Company Name Street Address City State Zip Phone Number Position Start Date Monthly Gross Income Supervisor/Manager Name
- Current Address of Residence
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Apartment/Landlord Name
- Contact Phone #
  Please enter a valid phone number.
- Residency Dates
- Rent Amount per Month
- Previous Address:
  Street Address Address Line 2 City State Zip Apartment/Landlord Name Phone Number Move-In Date Move-Out Date $ Rent Amount
- Nearest Relative
  
  First NameLast Name
- Relationship
- Phone #
  Please enter a valid phone number.
- Email Address
  example@example.com
- Nearest Relative Current Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Emergency Contact
  
  First NameLast Name
- Relationship
- Phone #
  Please enter a valid phone number.
- Email Address
  example@example.com
- Emergency Contact Current Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code

Release:

Please read completely and enter your signature on the bottom of this application, then submit application to your Property Manager.
I understand that I acquire no rights in an apartment until I sign this agreement and submit a holding fee in the amount of $________________. Upon approval of tenancy and the signing of a rental agreement, this fee will be credited against my deposit and/or my first month's rent. In consideration for landlord holding said unit at

_________________________________________________________________________________________, I hereby waive all rights the return of said housing fee and said fee shall be retained as liquidated damages in the event i do not choose to enter into the agreement applied for herein. In the event said application fee for tenancy is not accepted, holding fee shall be returned to the applicant.

Non-Refundable Application Fee: $________________________________

Pursuant to state and federal fair credit reporting acts, this is to inform you that an investigation involving the statements made on your rental application at the above-mentioned unit, as well as inquiries regarding public records, your character, general reputation, personal characteristics, and mode of living may be initiated. You have the right to dispute the information reported. Upon written request, you are entitled to a complete and accurate disclosure of the investigations nature and scope as well as a written summary of your rights and remedies under the fair credit reporting act. Inquiries should be directed to First Advantage. We certify that, to the best of my/our knowledge, all statements are true and complete. False, fraudulent or misleading information may be grounds for denial of tenancy of subsequent eviction. I/We authorize First Advantage to obtain all reports and verification necessary to verify all information put forth in the above application and to furnish all information to the landlord named above.

Keys will be furnished only after contemplated lease and other rental documents have been properly executed by all parties and only after applicable rents and security deposits have been paid. This application does not obligate property management to execute a lease or deliver possession of the proposed premises. I understand if property is unable to deliver possession of proposed apartment on the agreed date for any reason, including holdover of a prior resident, then property shall not be liable as a result. Property is also under no obligation to deliver possession of another apartment. By my signature below, I certify that I have read and understand the terms of this rental application.

I am aware that an incomplete application causes a delay in processing and may result in denial of tenancy, equal housing opportunity.
Primary Applicant Signature - Click and hold mouse to sign*
Secondary Applicant Signature - Click and hold mouse to sign
YOUR APPLICATION IS NOT COMPLETE
UNTIL APPLICATION FEE IS PAID!

Please provide a Cashiers Check or Money Order

Payable to: WAGNER REALTY

for the following:

$45 (1 Person) -or- $65 (2 People)

NO CASH OR PERSONAL CHECKS!

OR To Pay via Credit Card, Please Call Karie Gorgon at 941-313-5469
BEFORE YOU SUBMIT THIS APPLICATION:

Please click the link below to sign the LANDLORD REFERENCE REQUEST FORM.

https://form.jotform.com/221806182556053
Should be Empty:

Wagner Realty Rental Application

PRIMARY APPLICANT

Secondary Applicant

Release: