HILLTOP HOLDINGS LLC



HILLTOPHOLDINGS LLC5501 Queensgate Drive Knoxville, Tennessee 37918865-922-8657MAILTO:hilltop.holdings@RENTAL APPLICATIONFalsely reporting, or intentional misrepresentation of any information herein, will result in forfeit of deposit monies being held by Hilltop Holding resulting in the lease being terminated immediately, and may be punishable by law. THIS SECTION TO BE COMPLETED BY LANDLORDAddress of Property to be leased Sulpher Creek Road, Helenwood, TN 37755 Rental Term: 1 YEAR LEASEFrom:To:Month-to-Month:From: To: First Month’s Rent: …………………………………….* $ Security Deposit: ……………………………………….*$ Background Check Fee: ………………………………$ Non Refundable Pet Deposit: ………………………$ NO PETSOther (specify): …………………………………………$ TOTAL Due Prior to Occupancy:$ Monthly Rent Payment = $ __________ Due: _____ of each month.Unit contains the following property/appliances that are being furnished by owner.*Tenant responsibility for first $50.00 repairRange / Refrig. - YESWasher / Dryer – YESMicrowave Oven - Dishwasher – *See terms in lease agreement. HILLTOPHOLDINGS LLCSection to be completed by ApplicantFalsely reporting, or intentional misrepresentation of any information herein, will result in forfeit of deposit monies being held by Hilltop Holding resulting in the lease being terminated immediately, and may be punishable by law. Applicant 1Applicant 2Full Name(s): Home Phone(s):Cell Phone(s): Social Security No.: Drivers License Number/State: Birth Date: Vehicle(s)Vehicle Make:Model: Color: Year: License Plate Number:State: 1 2Additional OccupantsList everyone, including children, who will live with you:Full Name Relationship to Applicant HILLTOPHOLDINGS LLCRental HistoryCurrent Address:Dates Lived at Address: Reason for Leaving:Landlord/Manager: Name: Ph # Employment HistoryApplicant 1Applicant 2Name of current Employer:Net Monthly Income:$$Work Phone: Supervisor Name:Dates Employed at this Job:Supervisor phone: Name of prior Employer:Dates Employed at this Job:Name of Supervisor: Emergency ContactsName: Relationship: Street:Home Phone: City:Cell Phone:State:Work Phone: 2 Professional and 3 Personal References:NamesPhone Number1. 2. 3. 4. 5. HILLTOPHOLDINGS LLCApplicant Personal History Have you or anyone that will be on the premises ever been charged or convicted with any of the following: Please check one.YES NO YES NOAnyone smoke?Filed Bankruptcy?Felony charges or convictions: Have you ever been evicted? Currently on probation:Outstanding warrants: Child abuse: Drug possession:Sex offenses: Possession of drug paraphernalia:Selling of drugs: Other charges or convictions:Registered sex offender:Assault or Domestic Violence? *Any of the above marked ‘Yes” will require more information below.*I certify that all the information given above to be accurate. I understand that my lease/ rental agreement may be terminated and my security deposit forfeited if I have made any false or incomplete statement in this application. I authorize Hilltop Holdings in verification of my information provided in this application from background checks, credit bureaus, current and previous landlords, past and current employers, government agencies, and personal references. Applicant Signature(s): Date: ................
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