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109 West Oak Street, Arcadia, Florida 34266

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    Link to printable application in Word and PDF


 

Example RESIDENTIAL RENTAL APPLICATION

Landlord
Landlord Name: Rosin Arcade LLC
Address: Office # 109, 100 West Oak Street, Arcadia, Florida 34266
Phone: (863) 491 6419

Rental Property Information
Rental Property Address: 100 West Oak Street, Arcadia Florida 34266
Application to rent Unit: Apartment Number 201
The term of the tenancy will be a fixed term starting on 1 September 2019 and ending on 29 August 2020.
Possession Date: 1 September 2019
Monthly Rent Payment: $600.00
Initial Security Deposit: $700.00

Applicants' Personal Information
Applicant's Name: ____________________________________________________________________
Home Phone: _________________________ Alternative Phone: _________________________
Email Address (Optional): ________________________ Date of Birth: ___________________

Second Applicant's Name: ______________________________________________________________
Second Applicant's Date of Birth: ________________________________________________________

Third Applicant's Name: _______________________________________________________________
Third Applicant's Date of Birth: _________________________________________________________

Name(s) of Dependent(s):                                                      Date(s) of Birth:
__________________________________________            ____________________________
__________________________________________            ____________________________
__________________________________________            ____________________________
__________________________________________            ____________________________
__________________________________________            ____________________________

Do you have a pet?          Yes    /   No               If more than one, how many? _______
Please describe type(s) of pet(s):
____________________________________________________________________________
____________________________________________________________________________

Residential History
Present Address: ____________________________________________________________________
City:__________________________________ State/Territory:____________________________
Postcode:_________________ How long at this address? _______________________________
Landlord / Lessor: ___________________________ Phone: _________________________

Previous Address 1: _________________________________________________________________
City:__________________________________ State/Territory:____________________________
Postcode:_________________ How long at this address? _______________________________
Landlord / Lessor: ___________________________ Phone: _________________________

Previous Address 2: _________________________________________________________________
City:__________________________________ State/Territory:____________________________
Postcode:_________________ How long at this address? _______________________________
Landlord / Lessor: ___________________________ Phone: _________________________

Details of Employment
Employer:______________________________________________________________________
Position: _________________________________ Date Hired: ______________________________
Supervisor's Name: __________________________ Phone: _________________________
Salary: _________________________

(If employed less than one year with present employer, please provide previous employer.)

Employer:______________________________________________________________________
Position: _________________________________ Date Hired: ______________________________
Supervisor's Name: __________________________ Phone: _________________________
Salary: _________________________

Other Sources of Income
Do you receive income from any of the following sources?   Yes  /  No
Student Loans ______ Pension Benefits ______ Social Assistance ______ Other ______
Please provide contact persons who could verify the amount of additional income you receive:
__________________________________________________________________________
__________________________________________________________________________

Vehicle Information
Make / Model: ___________________________________  Year: ________________
Number Plate: _______________________ Driving Licence Number: __________________
Make / Model: ___________________________________  Year: ________________
Number Plate: _______________________ Driving Licence Number: __________________
Parking space required?   Yes / No      Additional space required?   Yes / No (Subject to availability)

Banking Information
Banking Institution: ________________________________________________________________
Address: _________________________________ Phone: _________________________

(If you bank with more than one institution, please list second bank below)

Banking Institution: ________________________________________________________________
Address: _________________________________ Phone: _________________________

References
Name: ____________________________________ Phone: _________________________
Name: ____________________________________ Phone: _________________________

Emergency Contact
Name: ____________________________________________
Relationship: ______________________________ Phone: _________________________

Criminal & Credit Background Check Authorisation
Is there anything negative that we may find in our criminal or credit background check that you want to comment on?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

I declare that the information I have provided is accurate. I authorise the individual or organisation to whom this application is submitted to: (a) contact my references and all other persons that I have named in this application; and (b) perform a credit and/or criminal check to assess my suitability as a tenant/lessee.

Applicant's Signature _____________________________  Date __________________________