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Homestead Properties


696 Buck Creek Road
Crossville, Tennessee 38555
Phone: 931-510-4371 - Fax 931-484-3247

buckcreek@frontiernet.net

Printable format

 

Rental Application for Homestead Properties (address):

 

______________________________________________________________________

 

GENERAL INFORMATION

 

Name: ________________________________________________________________

 

Home Phone Number: _________________ Work Phone Number: _________________

 

Date of Birth: ___________________Social Security Number: _____________________

 

Driver’s License Number: __________________________________________________

 

Present Address: _________________________________________________________

                           

                            ________________________________________________________

 

How long have you been at this address?  _________________ Rent: ________________

 

Reason for leaving: ________________________________________________________

                      

_______________________________________________________________________

 

Owner/Manager: ____________________________ Phone Number: _________________

 

Previous Address:  ________________________________________________________

 

                              ________________________________________________________

 

How long were you at this address? ______________________ Rent:  ________________

 

Reason for leaving:  ________________________________________________________

 

_______________________________________________________________________

 

Owner/Manager: ____________________________ Phone Number: _________________

 

 

 

EMPLOYMENT INFORMATION

 

Present Occupation: _______________________________________________________

 

Employer: _______________________________________________________________

 

How long have you been with this employer? ____________________________________

 

Supervisor: __________________________ Phone: _____________________________

 

Previous Occupation: ______________________________________________________

 

Employer: _______________________________________________________________

 

How long were you with this employer? ________________________________________

 

Supervisor: __________________________ Phone: _____________________________

 

 

SPOUSE EMPLOYMENT INFORMATION

 

Present Occupation: _______________________________________________________

 

Employer: _______________________________________________________________

 

How long has your spouse been with this employer? _______________________________

 

Supervisor: ______________________________ Phone: _________________________

 

 

 

INCOME INFORMATION

 

Current Gross Income Per Month (please list ALL sources of income): $________________

 

Savings Account: Bank: ______________________ Account Number:  ______________

 

Checking Account: Bank: ____________________ Account Number: _______________

 

Major Credit Card: __________ Account Number: _______________ Expires: _______

 

Credit Reference: __________________________ Account Number: ______________

 

                               Balance Owed: _______________ Monthly Payment: _____________

 

Credit Reference: ___________________________ Account Number: _____________

 

                               Balance Owed: _______________ Monthly Payment: _____________

 

Have you EVER filed bankruptcy? ____________________________________________

 

Have you EVER been evicted? _______________________________________________

 

If so, explain: ____________________________________________________________

 

Have you EVER been convicted of a felony? ____________________________________

 

If so, explain: ____________________________________________________________

 

 

 

OTHER INFORMATION

 

Name and relationship of every person to live with you, even if only temporarily

(Include ages).

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

Please include all vehicles owned by you or any person who will be living in this home. 

Please include the make of the vehicle, model, year and license number.

 

Vehicle: ________________________________________________________________

 

Vehicle: ________________________________________________________________

 

Vehicle: ________________________________________________________________

 

 

 

Pets:

Are you planning on having pets while renting this home? ____________________

         If so, how many? List ALL pets you will possess while renting this home.

        

Breed: __________ Size: _________ Age: ______ Sex:  Male/ Female     Inside/Outside

 

Breed: __________ Size: _________ Age: ______ Sex:  Male/ Female     Inside/Outside

 

Breed: __________ Size: _________ Age: ______ Sex:  Male/ Female     Inside/Outside

 

Please use the following lines to describe your pet(s) in detail.

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

(If you need additional space please use a separate sheet of paper)
 

Smokers: Will any resident (permanent or temporary) of this home smoke?_________

 

 

 

 

PERSONAL REFERENCES (not related to you)

 

Name: __________________________________________________________________

Address: ________________________________________________________________

 

Phone: _________________________________________________________________

 

Relationship: _________________ How long have you known this person? ___________

 

 

 

Name: __________________________________________________________________

 

Address: ________________________________________________________________

 

Phone: _________________________________________________________________

 

Relationship: _________________ How long have you known this person? ___________ 

 

 

 

Name: __________________________________________________________________

 

Address: ________________________________________________________________

 

Phone: _________________________________________________________________

 

Relationship: _________________ How long have you known this person? ___________    

 

 

 

 

I declare the statements above are true and correct.  I authorize Homestead Properties to verify my credit rating, rental history, employment, references, and background for this rental as they relate to my tenancy and to future rental collections.  I fully understand any falsification on this application on my part will give Homestead Properties the right to void this application from further reviewing.

 

 

___________________________________________________ Date: _______________

Signature of potential tenant responsible for home and payment.

 

 

 

To snail mail simply print this page, complete, and mail to Homestead Properties.  To email, copy this document and paste on a "new message" in your email (To copy, highlight the entire document, right click on your mouse and then click copy).  Please note that by typing in your name at the end of the application, you authorize Homestead Properties to the same rights to the application process as if you signed your name in ink.  Be aware that by not "signing" your name on this application you risk the termination of your application.  By not completing this application in full, you risk the termination of your application.