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Rental Application
The applicant hereby makes application to rent the property located at
beginning on
at a monthly rental of $

Please tell us about yourself
Full name
Social security number
Date of birth
Home telephone
Work telephone
Email address
   
Co-applicant full name
Social security number
Date of birth
Home telephone
Work telephone
   
Number of dependants
(excluding co-applicant)
names and ages
Other occupants
Pets (number and kind)

Please give your residence history (beginning with the most current)
Current address
Zip
Month and year moved in
Reason for leaving
Owner or agent
Phone
   
Previous address(if within 3 years)
Zip
Month and year moved in
Month and year moved out
Reason for leaving
Owner or agent
Phone

Please give us your employment information
Your status
Employer
Date(s) employed
Position
Supervisor
Supervisors phone
Address
Zip
Salary
per
If less than 6 months name/address
of previous employer or school

Co-applicant
Employment status
Employer
Date(s) employed
Position
Supervisor
Supervisors phone
Address
Zip
Salary
per
If less than 6 months name/address
of previous employer or school
   
If there are other sources of income you would like us to consider, please list income source and person (Banker, Employer, etc) who we could cntact for confirmation. You do NOT have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application.
Amount
Source

Please complete the following information
Your drivers license number
State
   
Co-applicants drivers license number
State
   
Your vehicle make/model
Year
License number
State
   
Second vehicle make/model
Year
License number
State

Have you ever  
filed for bankruptcy?
been evicted from tenancy?
willfully or intentionally refused to pay rent when due?

Please give any additional information which might help management evaluate this application
 
If management has any questions about this application, please give PHONE NUMBERS where you can be located if different from those already provided
Day phone:
Night phone:
 

 
 
I RECOGNIZE THAT AS PART OF YOUR PROCEDURE FOR PROCESSING MY APPLICATION AN INVESTIGATIVE CONSUMER REPORT MAY BE PREPARED WHEREBY INFORMATION IS OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS AND OTHERS WITH WHOM I MAY BE ACQUAINTED. THIS NQUIRY INCLUDES INFORMATION AS TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS AND MODE OF LIVING. I UNDERSTAND THAT I MAY HAVE THE RIGHT TO MAKE A WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME TO RECIEVE ADDITIONAL, DETAILED INFORMATION ABOUT THE NATURE AND SCOPE OF THIS INVESTIGATION.
 
The above information, to the best of my knowledge is true and correct.
 
 
Highland Realty & Management is the landlord's agent. A landlord's agent works solely on behalf of the landlord and owes duties to the landlord which includes the utmost good faith, loyalty and fidelity. The agent will negotiate on behalf of and act as an advocate for the landlord. The landlord is legally responsible for the actions of the agent when that agent is acting within the scope of the agency. The agent must disclose to potential buyers or tennants all adverse material, facts about property actually known by the broker. A seperate written management agreement/listing is required which sets forth the duties and obligations of these parties.