Rental Application Form

RENTAL APPLICATION FORM

** All prospective tenants 18 or older must submit individual application forms
Submission Date

MonthDayYear
Date
Desired Date of Occupancy

MonthDayYear
Date
Address of the property you are applying to rent

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Personal and Contact Details
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Social Security Number*
Cell Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
Driver's License Number*
Driver's License State*
Do you have a pet?*

YesNoMore than one pet

Employment History
Employment Status*
Occupation
Current or Most Recent Employer*
Annual Salary*
Length of Employment*
Supervisor*

Full NamePhone #
Previous Employer*
Length of Employment*
Supervisor

Full NamePhone #

Residential History
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Move in Date*

MonthDayYear
Move Out Date

MonthDayYear
Current Landlord*
Landlord Phone #*
Reason for Leaving*
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Move in Date

MonthDayYear
Move Out Date

MonthDayYear
Previous Landlord
Landlord Phone #
Please enter a valid phone number.
Reason for Leaving

Qualifying Questions
Have you ever been convicted of a crime?

YesNo
Please indicate the year and State where you were convicted of the crime.
Have you or your spouse ever been evicted from rental housing?

YesNo
If the answer is YES, enter the State of eviction
Will there be any other occupants over 18 years of age other than those listed above?

YesNo

Application Fee
The application fee is $150 per applicant. Please pay via ZellePay at 407-925-9305 (Antonio Maritnez).

Once the payment has been submitted, please text receipt to 407-925-9305.

** Applications will only be considered after the application fee has been received.

TERMS AND CONDITIONS

AUTHORIZATION OF RELEASE OF INFORMATION

I understand that I acquire no right in an apartment/house until I sing this agreement and submit a holding fee in the amount of $1,000 . Upon approval of tenancy and the signing of the rental agreement, this fee will be credited against my first month's rent. In consideration for the landlord holding the property that is being applied for.

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

NON-REFUNDABLE APPLICATION FEE OF $150 PER APPLICANT

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 property, as well as inqueries 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 investigtion's nature and scope as well as written summary of your rights and remedies under the Fair Credit Repair Act. Inquiries should be directed to Resident Data, Inc. PO Box 850454 Richardson TX. 75080.

I verify that to the best of my knowledge, all statements are true and complete. False, fradulent or miseading statements may be grounds for denials to tenancy or subsequent eviction. I authorize Resident Data Inc @ HouseStar Realty Group Inc. to obtain all reports and verification necessary to validate the information put forth in the above application and to furnish all information to the landlord named above.

Keys will be furnished only after completed lease and other rental documents have been properly executed by all parties and only after applicable rents and security deposit have been paid. This application does not obligate the Property Manager to execute lease or deliver possession of the proposed premises. I understand if the Property Manager is unable to deliver possession of the proposed apartment/house on the agreed date for any reason, including holdover of prior residents, the Property Manager shall not be liable as a result. Property Managers are also under no obligation to deliver possession of another apartment/house.

By my signature below I certify that I have read and understood the term of this rental application.

I am aware that an incomplete application causes a delay in the processing and may result in the denial of tenancy.

Final Submit
Signature*

Powered by Jotform SignClear
Should be Empty:

RENTAL APPLICATION FORM