Rental / Credit Application - Keller Williams Realty

[Pages:4]Rental / Credit Application

PERSONAL INFORMATION Date ___________________________________________ Interviewed By _______________________________________________ Name of Applicant _________________________________________________ Date of Birth ________________________________ E-mail____________________________________________Telephone___________________________________________________________ Social Sec.No.________________________________________________ Driver's License No. _________________________________ Present Address _________________________________________ City _____________________ State _________ Zip ___________ Prior Address _________________________________________ City _____________________ State _________ Zip____________ How long have you lived at present address?_________________ How long have you lived at prior address? _________________________ Name of Landlord __________________________________________ Telephone __________________________________________ PriorLandlord_____________________________________________Telephone_____________________________________________ How many will be living in this unit? Adults_____________ Children ____________ Pets ___________ Weight of pets ____________ Employer _________________________________________ Occupation ___________________________ Current Salary __________ How long?____________________________ContactPerson____________________________Telephone________________________

SPOUSE INFORMATION Name of Spouse __________________________________________ Date of Birth ______________ Telephone __________________ Social Sec. No. __________________________________________ Driver's License No. _________________________________________ Employer ____________________________ Occupation ____________________________CurrentSalary________________________ How long? ____________________________ Contact Person ____________________________ Telephone _____________________ Has your spouse ever filed for bankruptcy? q Yes q No BANK INFORMATION BankName_________________________________________________ Branch ___________________Telephone _________________ Address ___________________________________________________________________________________________________ Checking Account No. ________________________________ Savings Account No. _______________________________________



Page 1

? 2004, Socrates Media, LLC LF305 ? Rev. 04/04

PERSONAL / CREDIT REFERENCES

NAME

RELATIONSHIP

_____________________________________________ ___________________________________

_____________________________________________ ___________________________________

_____________________________________________ ___________________________________

CREDIT GRANTOR

ADDRESS

_____________________________________________ ___________________________________

_____________________________________________ ___________________________________

_____________________________________________ ___________________________________

_____________________________________________ ___________________________________

_____________________________________________ ___________________________________

TELEPHONE ___________________ ___________________ ___________________

TELEPHONE ___________________ ___________________ ___________________ ___________________ ___________________

OTHER INFORMATION Number of vehicles (including company cars) _______________________________________________________________________ Make/Model______________________________________ Year_______ Color __________ Tag No. ______________ State _______ Make/Model______________________________________ Year_______ Color __________ Tag No. ______________ State _______ Make/Model______________________________________ Year_______ Color __________ Tag No. ______________ State _______

HAVE YOU EVER

Filed for bankruptcy q Yes q No

If yes, when? ______________________________________________________

Been served an eviction notice or been asked to vacate a property you were renting? q Yes q No

Willfully or intentionally refused to pay rent when due? q Yes q No If yes, when?____________________________________

Been sued for unlawful detainer? q Yes q No

How were you referred to us? q Newspaper (name) ________________ q Realtor (name) ____________ q Other ______________

Rental Unit applied for__________________________________________________________________________________________

Commencement date ________________________ Term _____________________ Rent/Month _______________________



Page 2

? 2004, Socrates Media, LLC LF305 ? Rev. 04/04

ACKNOWLEDGEMENT

I/We, the undersigned, understand that __________________________________ is the leasing agent and representative for the owner/landlord and that the leasing agent's fees will be paid by the owner/landlord. The undersigned acknowledge that this written notice was received prior to the undersigned receiving a lease agreement.

________________________________________________

Applicant's Signature

Date

______________________________________________

Co-Applicant's Signature

Date

CONSENT TO OBTAIN CREDIT / EMPLOYMENT INFORMATION

I/We authorize __________________________________, to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

I/We declare under penalty of perjury that the information listed in this application is true and correct.

Executed on this ________ day of _________________________, 20_____, in the city of __________________, state of __________.

________________________________________________

Applicant's Signature

Date

____________________________________________

Co-Applicant's Signature

Date

The undersigned authorizes landlord, leasing agent, and representatives of owner/landlord to contact the undersigned's current or previous landlord, and current employer, and further, by a copy of this Application, authorizes any said landlord or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent or its representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned's number of children, employment, occupation, general health, financial, and criminal history information.



Page 3

? 2004, Socrates Media, LLC LF305 ? Rev. 04/04

FOR OFFICE USE ONLY ? DO NOT WRITE BELOW

Application Verification

q Present Landlord q Previous Landlord q Applicant's Employment q Co-Applicant's Employment q Bank q Reference (1) q Reference (2) q Reference (3) q Other q Driver's License/ID q Credit Bureau

Person Contacted

Remarks

Verification completed by: _______________________________ Date: ______________________________________________ Remarks: ___________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________

MONIES RECEIVED

Date

Description

Amount

Application Fee

Security Deposit

THIS APPLICATION: q Is Approved q Is Not Approved



Page 4

? 2004, Socrates Media, LLC LF305 ? Rev. 04/04

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download