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Rental / Credit Application

There will be a $30.00 non-refundable fee charged to process the application. If the applicants are married the application fee is $50. This must be paid in cash at the time your application is submitted. We are members of a credit reporting agency and want to make you aware that your criminal history, rental history, and credit references will be checked and verified prior to you signing a lease with this agency.

Address Desired:

(PLEASE PRINT) Monthly Rent:

Date:

Agent:

Move-in Date:

Applicant’s Name:

Last Co-Applicant’s Name:

First

Driver’s License #:

Date of Birth

Marital Status

MI.

State: Driver’s License #:

Date of Birth

Marital Status

Last Present Home Address:

First

MI.

State:

Phone:

Monthly Rent:

Address: Dates of Occupancy: (Month/Year)

City State Current Landlord (Give Complete Information)

Zip

() Landlord’s Phone:

Date From:

To:

Previous Home Address:

Name

() Phone:

Monthly Rent:

Address: Dates of Occupancy: (Month/Year)

City State Previous Landlord (Give Complete Information)

Zip

() Landlord’s Phone:

Date From:

To:

Next of Kin (In case of Emergency)

Name

Address:

() Home Phone #:

Name:

Permitted Occupants: 1: Name:

Relationship:

City:

Age

Relationship

3: Name

State

Zip

Age

()

Relationship

Permitted Occupants: 2: Name:

Pets : Type/Breed

Pets : Type/Breed

Age

Relationship

Sex

Age

Sex

Age

4: Name

Weight

Weight

Age

Relationship

(IF APPLICABLE, PLEASE CIRCLE ONE)

Spayed/Neutered/De-clawed

Indoor/Outdoor

(IF APPLICABLE, PLEASE CIRCLE ONE)

Spayed/Neutered/De-clawed

Indoor/Outdoor

Employment

Military – Branch of Service

Grade

  • #

    of years

EAS:

Monthly Income:

Unit: (Give complete information – Company, Battalion, Division, Base, Etc.)

Unit Phone #:

Commanding Officer:

Permanent Home of Record:

Spouse: Employer

Position

Supervisor

Monthly Income

Employer Address:

Telephone #:

Civilian: Employer

Position

Supervisor

Monthly Income

Employer Address:

Telephone #:

CHECK ONE – YES OR NO

1. Have you ever been evicted from any tenancy ?

(

) Yes

2. Have you ever been convicted of a crime other than minor traffic offenses? 3. Have you ever willfully and intentionally refused to pay rent when due? 4. Do you know of anything which may interrupt income or ability to pay rent? 5. Are you or your spouse expected to leave this area in the next 12 months?

( ( ( (

) Yes ) Yes ) Yes ) Yes

(

) No

(

) No

(

) No

(

) No

(

) No

Privacy Act Authorization I hereby give permission for Realty World Swansboro Properties to check and verify the information that has been stated on this Rental Application to include former landlords, former addresses, employers, rental history, criminal history and credit history. I understand that there is a charge for processing this application. I authorize Realty World Swansboro Properties to verify my credit through a credit agency. I certify that I am of legal age and that the above information is correct to the best of my knowledge.

(Applicant’s Signature)

(Social Security Number)

(Date)

(Co-Applicant’s Signature)

(Social Security Number)

(Date)

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