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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.
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