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Prospective Address
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How did you hear about us?
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Desired Date of Occupancy
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Desired Length of Occupancy
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Tenant
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Social Security #
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Date of Birth
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Present Address
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City
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State
* Zip
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How Long?
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Email Address
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Phone #
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Why are you moving?
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Landlord
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Phone #
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Previous Address
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Landlord
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Phone #
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Drivers License #
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Type of Car
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Plate #
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Employer's Name
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Phone #
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Address
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Position
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How Long?
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Your Supervisor
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Monthly Income
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Monthly Income Source
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Co-Tenant
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Social Security #
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Date of Birth
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Relation to Tenant
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Drivers License #
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Co-tenant's Employer's Name
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Phone #
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Address
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Position
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How Long?
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Co-tenant's Supervisor
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Co-tenant's Monthly Income
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Monthly Income Source
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Other Tenants
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Age
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Relationship
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Occupation
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Pet Name
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Type/Breed
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Size
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Gender
Indoor/Outdoor
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Personal References
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Address
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City/State/Zip
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Phone
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Nearest Relative
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Address
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City/State/Zip
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Phone
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Banks
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Account #
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Checking/Savings
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Branch
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Do you own any real estate?
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If so, where and what?
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Have you ever been evicted from a tenancy?
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Have you ever been convicted of a felony?
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Have you ever willfully and intentionally refused to pay rent when due?
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Do you know of anything which may interrupt income or ability to pay rent?
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I hereby certify that the answers I have given in this application are true and
correct to the best of my knowledge. I understand that any false answers or statements
made by me will be sufficient grounds for eviction and loss of any security deposit.
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Date
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Tenant
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Co-Tenant
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Discrimination: It is against the law to discriminate against tenants on the basis
of race, religion, national origin, age or neighborhood racial make-up.
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Rental Reserve Deposit Form
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Address
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Applicant
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Date
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The above applicant(s) agree to give a deposit of $
(security deposit of $
plus $
non-refundable pet fee) to reserve the sole right to rent the residence at
the above address to be held by the owner for a period of three (3) days. This deposit
will go towards the security deposit if the application of the applicant is accepted.
On
the applicant agrees to move in and pay the rent due of $
.
If the application of the applicant is not accepted, the deposit will be fully refunded.
If the application is accepted, but the applicant changes his/her mind, refuses
to or does not rent the residence, or is unable to pay the amount due at the time
of move-in, the deposit given on this day is non-refundable. The applicant will
then be held accountable for days the residence was held and for additional advertising
cost and preparation required to re-rent the dwelling. Stevens Rentals will hold
the property for only a two week period from the date of the approved application.
After this time, rent will be due whether or not the tenant moves in.
The information on this application form is strictly confidential and will be kept
so by the management. The purpose of the information form is to verify the applicant’s
credit qualification. The applicant agrees to allow a full credit examination and
hereby authorizes management to contact any agencies, offices, groups or organizations
or references listed to obtain and verify any information or materials which is
deemed necessary to complete my application, and / or on an annual basis to evaluate
for renewal consideration or to assist in contacting me should it become necessary
to locate me relevant to matters involved in the tenancy.
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Applicant's Signature
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Date
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FAX (931) 526-9155
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Please remember to pay your $30 application fee prior to submitting your
application. |
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