Connell Real Estate

Connell Real Estate

501 Harris Ave

910-875-8305

RENTAL APPLICATION

If applicants are married, then fill out one application only.

If applicants are engaged or single, then fill out one application per person.

Where did you hear about Connell Real Estate: Please check all that apply:

___Signs; ___ Our Web site; ___Real Estate Preview; ___ Newspaper; ____ Other: ______

Address of property this application is for: ______

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PERSONAL INFORMATION

APPLICANT: ______SSN: ______

Last First MI

Drivers License: State: ______License #: ______

Date of Birth: ______Cell Phone #: ______

CO-APPLICANT: ______SSN: ______

Last First MI

Drivers License: State: ______License #: ______

Date of Birth: ______Cell Phone#: ______

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Date you would like possession of the property: ______

Name of nearest relative NOT living with you: ______

Relationship: ______Phone#______

Address: ______

Street Address City State Zip

EMPLOYMENT INFORMATION

APPLICANT:

Employer: ______

Employer Address: ______

Phone Number: ______Supervisor: ______

Monthly Income (After Taxes): ______Pay Days: ______

How long have you been with current employment: ______(Years) / (Months)

If Military, Unit: ______

Commander: ______First Sgt.: ______

Rank: ______ETS Date: ______

Monthly Income (After Taxes): ______Pay Days: ______

How long have you been in the Military: ______(Years) / (Months)

CO-APPLICANT:

Employer: ______

Employer Address: ______

Phone Number: ______Supervisor: ______

Monthly Income (After Taxes): ______Pay Days: ______

How long have you been with current employment: ______(Years) / (Months)

If Military, Unit: ______

Commander: ______First Sgt.: ______

Rank: ______ETS Date: ______

Monthly Income (After Taxes): ______Pay Days: ______

How long have you been in the Military: ______(Years) / (Months)

PREVIOUS ADDRESSES

(Past 3 years renting, buying, family, etc.)

Most Current Address: ______

Street Address City State Zip

Length Of Stay: From ______To ______Check One: Renting _____ Buying _____

Current Rent or Payment: $______

Landlord's Name: ______Landlord's Phone #: ______

Previous Address: ______

Street Address City State Zip

Length Of Stay: From ______To ______Check One: Renting _____ Buying _____

Current Rent or Payment: $______

Landlord's Name: ______Landlord's Phone #: ______

GENERAL INFORMATION

Total number of people to be living in this home: ______

List ALL Persons including Applicant and Co-Applicant Below.

**Please note that only the people listed below will be allowed to reside in this property**

Name: ______Age: _____ Relationship: ______

PET INFORMATION

Do you have any pets?: Yes_____ No_____ If yes, how many: ______

Dog(s) ___ Cat(s) ___ Other(s) ____ Describe Other: ______

Is / are the pet(s) ever allowed inside the house? Yes _____ No _____

If Dog or Other, what Breed: ______Weight: ______Height:______

If Cat, has he/she been Neutered or Spayed? Yes _____ No _____ / De-clawed? Yes _____ No _____

STATEMENT

I do hereby authorize Connell Real Estate to check my credit with credit reporting agencies, to verify my employment and income with my employer, commander or first sergeant, to gather pertinent information through any means and to verify my rental history with current and/or former landlords. I authorize all parties specified above to release any information to Connell Real Estate. I further authorize Agent to report matters pertaining to the performance of my lease agreement and my conduct during the tenancy to other property managers, my employer, my commander, my first sergeant, credit reporting agencies, and any other lawful agency.

I understand that there is a $30.00 non-refundable fee for processing this rental application, which must be paid in Cash, Money Order or Certified Funds (NO Personal checks). I further understand that if a lease has been executed in the above specified property that Connell Real Estate has the right to cancel the attached lease within two business days if my references so justify or if any false information is given. I understand that if I have not signed a “Holding Fee Agreement” on this property and paid the Holding Fee by Money Order or Certified Funds (No personal checks or cash are allowed) that this property will stay available to others on a first come basis.

If I am notified that this application has been accepted I understand that this property will stay available to others until a lease is signed by both applicant and co-applicant and the full Security Deposit has been paid by

Money Order or Certified Funds.

I UNDERSTAND THAT CONNELL REAL ESTATE IS AN AGENT OF THE OWNER

______

Applicant's Signature Date:

______

Co-Applicant's Signature Date:

FOR CONNELL REAL ESTATE USE ONLY

APPLICATION APPROVED: YES NO

IF DENIED:

REASON: ______

______

APPLICANT INFORMED: YES NO

DATE: ______TIME: ______

COMMENTS: ______

IF APPROVED:

OWNER INFORMED / APPROVED: YES NO

DATE: ______TIME: ______

APPLICANT INFORMED: YES NO

DATE: ______TIME: ______

LEASE COMMENCEMENT DATE: ______

REQUIRED SECURITY DEPOSIT AMOUNT: $ ______