Emit Moss Trust
P.O Box 23787
Houston, TX 77228
713-491-0040 or
281-543-0387
Personal Information
Tenant 1 Name______
Present Address ______
Phone #______Driver License______State______
Date of Birth______Social Security #______
Tenant2Name______
Phone # ______Driver License ______State______
Date of Birth______Social Security #______
Occupants/Children
Occupant’s Name ______Relationship______
Occupant’s Name ______Relationship______
Occupant’s Name ______Relationship______
Rental History
Present Address ______
Date of Occupancy______Rent Paid $ ______
Landlord Name ______Landlord Phone ______
Previous Address______
Date of Occupancy______Rent Paid $ ______
Landlord Name ______Landlord Phone ______
Employment History
Tenant 1 Employer______Supervisor ______Phone #______Position ______Length of Employment ______Annual Income ______
Tenant 2Employer______Supervisor ______Phone #______
Position ______Length of Employment ______Annual Income______
RENTAL APPLICATION
(please print)
Emergency Contact (Relative or Friend)
Name______Relationship ______Home Phone # ______Address______City / State / Zip ______Work Phone #______
References
(Employer or co-worker)
1. Name ______Relationship: ______
Cell: ______Email: ______
(Relative)
2. Name ______Relationship: ______
Cell: ______Email: ______
(Friend)
3. Name ______Relationship: ______
Cell: ______Email: ______
(Friend or Relative)
4. Name ______Relationship: ______
Cell: ______Email: ______
E-mail Address: ______
How did you hear about us? ______
If resident referral, please give name: ______
Do you have any pets? YES / NO If yes, please note there is a $250 non-refundable Pet Fee
Type of Pet: ______Number of Pet: ______
Have you ever filed bankruptcy YES / NO
Have you ever been evicted? YES / NO If yes, When?______
Have you ever been convicted of a felony or have any criminal record? YES / NOIf yes, When?______
_____ Tenant is responsible for all utilities, gas, water, sewage which includes deposits.
_____ Tenant may not make changes to the property without the consent of the owner in writing.
Property will be inspected prior to moving and at any time designated by the property owner.
_____Tenant may not keep any pet on the Property unless specifically authorized by this agreement and has paid a pet fee.
“Pet” includes any animal, whether mammal, reptile, bird, fish, rodent, or insect. Tenant can only have 2 pets per household. The tenant must keep the shots of any pet current. Tenant is responsible and liable for: any damage to the Property or any item in the Property caused by any pet; any personal injuries to any person caused by any pet; and any damage to any person’s property caused by any pet. Tenant will protect, defend, indemnify, and hold Landlord, Landlord’s property manager, and Landlord’s agents harmless from any damages, costs, attorney’s fees, and expenses that are caused by the act of any pet or Tenant.Tenant must remove or confine any pet(s) at any time that the pet is likely to limit or prohibit Landlord or other persons access to Property.
_____ Tenant is aware that after 5 days of delinquency (lateness of rent) anEviction process will begin with all expenses assumed by the tenant. To avoid removal from the property the tenant will have to pay ALL late fees, eviction expenses and rent due. If there is any reason the rent cannot be paid; please contact Moss Properties at 713-491-0040. Business hours are 9:00 am – 5:00 pm Monday through Friday. If you have major work continually done it could cause an increase in your rent. We recommend tenant should secure renter’s insurance; the owner will not be liable for damages due to act of negligence of occupant, employees, patrons, visitors, or due to unauthorized repair(s). All maintenance should be reported within 24 hours of problem(s).
_____ We will not accept personal checks;we only accept money order or cashier’s check. Make your money order or cashier’s check payable to EMMIT MOSS TRUST, PO BOX 23787, HOUSTON TX 77228
Signatures/Authorization
I hereby certify that the information I have provided above is truthful and complete. I understand that any false or inaccurate information on my application could result in the denial of my application. I agree to pay a non-refundable move in fee in the amount of $500.00 and if applicable a non-refundable pet fee of $250.00 for each pet.
Tenant 1 Signature______Date______
Tenant 2 Signature______Date______
Office Use Only
Application Taken By: ______Date______Application Fee: _____No Application Fee Required_____
Date: ______Approved / Denied / Cancelled Notified of Approval/Denied: ______
Rental Move in Fee Required _$500.00______Rental Move in Fee Received ______Date______
Pet Fee Required _$250.00______Pet Fee Received ______Date______