REALTY CONNECT

Agent: ______Phone: ______Fax: ______

RENTAL APPLICATION
Photo ID Required

Equal Housing Opportunity

The undersigned hereby makes an application to rent the following property:
______

Anticipated move date of ______at a monthly rent of ______and security deposit of______.

PERSONAL INFORMATION

Full Name______Contact Phone ( ) ______
Email Address :______(optional)

Co-Applicant Name______
Pets ______

PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)

Current Address______Apt#______City______State______Zip______
Month/Year Moved In______Reasons for Leaving______Rent $______
Owner/Agent______Phone ( ) ______
Previous Address (last 3 years)______Rent $______
Owner/Agent______Phone ( ) ______

PLEASE DESCRIBE YOUR CREDIT HISTORY
PROSPECTIVE TENANTS MUST PROVIDE FICO SCORES
Have you declared bankruptcy in the past seven (7) years / Yes______No______
Have you ever been evicted from a rental residence? / Yes______No______
Have you had two or more late rental payments in the past year? / Yes______No______
Have you ever willfully or intentionally refused to pay rent when due? / Yes______No______
HOW DO YOU INTEND TO PAY THE RENT

______

PLEASE PROVIDE PROOF OF ABOVE

______

PLEASE PROVIDE YOUR REFERENCES

BankingAccounts:

Name______

Type of Account______

Account Number______

Name______

Type of Account______

Account Number______
Personal Reference or Emergency Contact:

Name ______

Address ______

Phone ______Relationship______
Driver's License:

Your Driver's License Number______State______
Vehicle Information:

Make / Model ______Year ______

License Plate Number ______State______

ADDITIONAL INFORMATION:

How many occupants will live in this rental? ______

Please give any additional information that might help owner/management evaluate this application?
______
______
______
______

I hereby apply to lease the above described premises for the term and upon the conditions set by a lease agreement as provided by the landlord. I warrant that all statements above set forth are true.
When so approved and accepted, I agree to execute a lease for ______months before possession is given and to pay the required rent, the security deposit and the broker’s fee at the lease signing. I recognize that as a part of procedure for processing my application, an investigative credit and background search may be requested by the landlord. If necessary, I agree to pay the fee and provide the information required in order to run the reports.

The above information, to the best of my knowledge, is true and correct.

______

APPLICANT DATE

______

APPLICANT DATE

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment (if indicated) for the purposes of renting a house, apartment, or condominium.