Rental Application | Professional Asset Management & Sales

Property

Move-in Date Monthly Rent: $ Security Deposit: $ Applicant was referred by:

Real Estate Agent Name Real Estate Agent Phone If other, please list source.

Is there a co-applicant?YesNo (If yes, co-applicant must submit a separate application.)

Personal Information

First Name Middle Name Last Name Former Last Name

Email Home Phone Work Phone Mobile/Pager

Soc. Sec. No. Driver License No. Driver License No. State Date of Birth

Height Weight Eye Color Hair Color

Marital Status Citizenship (Country)

Emergency Contact

(Do not insert the name of an occupant or co-applicant.)

First Name Last Name Street City

State Zip Phone Email

Other Occupants

Name all other persons who will occupy the Property

First Name Last Name Relationship Age

Applicant's Current Address

Street Apt. No. City State

Zip Landlord Name Landlord's Email Landlord's Day Phone

Landlord's Night Phone Landlord's Mobile Phone Landlord's Fax Date Moved-In

Move-Out Date Rent Reason For Move

Applicant's Previous Address

Street Apt. No. City State

Zip Landlord Name Landlord's Email Landlord's Day Phone

Landlord's Night Phone Landlord's Mobile Phone Landlord's Fax Date Moved-In

Move-Out Date Rent Reason For Move

Applicant's Current Employer

Street City State Zip

Employer Name Supervisor Phone Fax

Email Start Date Gross Monthly Income Position

Note: If applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional.

Applicant's Previous Employer

Street City State Zip

Employer Name Supervisor Phone Fax

Email Employed From Employed To Gross Monthly Income

Position

Describe other income Applicant wants considered:

Vehicle Information

List all vehicles to be parked on the Property

Vehicle 1

Type Year Make Model

License/State Monthly Payment

Vehicle 2

Type Year Make Model

License/State Monthly Payment

Pet Information

Please list any pets (dogs, cats, birds, reptiles, fish, and other pets) that will be kept on the Property

Pet 1

Type & Breed Name Color Weight

Age in Years Gender Neutered? Declawed?

Rabies Shots Current?

Pet 2

Type & Breed Name Color Weight

Age in Years Gender Neutered? Declawed?

Rabies Shots Current?

Additional Information

Will any waterbeds or water-filled furniture be on the Property? Yes No

Does anyone who will occupy the Property smoke? Yes No

Will Applicant maintain renter's insurance? Yes No

Is Applicant or Applicant's spouse, even if separated, in military? Yes No

If yes, is the military person serving under orders limiting the military person's stay to one year or less? Yes No

Has Applicant ever:

Been evicted? Yes No

Been asked to move out by a landlord? Yes No

Breached a lease or rental agreement? Yes No

Filed for bankruptcy? Yes No

Lost property in a foreclosure? Yes No

Had any credit problems (including any outstanding debt (e.g. student loans or medical bills)), slow-pays or delinquencies? Yes No

Been convicted of a crime? Yes No

Is any occupant a registered sex offender? Yes No

Are there any criminal matters pending against any occupant? Yes No

Is there additional information Applicant wants considered? Yes No

Additional comments

Authorization

Applicant authorizes Landlord and Landlord's agent, at any time before, during, or after any tenancy, to:

obtain a copy of Applicant's credit report;
obtain a criminal background check related to Applicant and any occupant; and
verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.

Notice of Landlord's Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

Privacy Policy

Landlord's agent or property manager maintains a privacy policy that is available upon request.

Fees:

Applicant submits a non-refundable fee of $40.00 to Professional Asset Management (entity or individual) for processing and reviewing this application. Applicant submits an application deposit of $100.00 to be applied to the security deposit upon execution of a lease or returned to Applicant if a lease is not executed.

Acknowledgment & Representation:

Signing this application indicates that Applicant has had the opportunity to review Landlord's tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.
Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee any may be grounds to declare Applicant in breach of any lease the Applicant may sign.
Applicant represents that the statements in this application are true and complete.

Type Your Name

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