| Property Street Name:
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| Landlord/Owner Name:
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| Landlord/Owner Email:
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| Landlord/Owner Phone:
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| PERSONAL
INFORMATION |
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| Name: |
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| Date Of Birth |
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| Drivers License Number:
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| Home Phone: |
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| Cell Phone: |
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| Work Phone: |
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| Email: |
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| RENTAL
HISTORY |
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| Current Address: |
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| City: |
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| State: |
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| Zip: |
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| Landlord Name: |
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| Landlord Phone: |
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| How Long: |
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| Reason for Leaving:
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| Any evictions in the
past 5 years? |
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| If yes, explain: |
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| EMPLOYMENT
HISTORY |
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| Current Employer: |
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| Position: |
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| Supervisor: |
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| Phone: |
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| Monthly Gross Income:
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| How Long: |
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| Previous Employer: |
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| Position: |
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| Supervisor: |
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| Phone: |
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| Monthly Gross Income:
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| How Long: |
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| Vehicle #1 Make/ Model/Year:
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| License #: |
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| Vehicle #2 Make/Model/Year:
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| License #: |
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| Do you have any pets:
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| If yes, list: |
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| How long will you live
here? |
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| GENERAL
QUESTIONS |
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Do you have the total
move-in amount now? |
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| Have you broken a lease?
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| Do you receive any government
assistance? |
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| If so, how much do you
receive monthly? |
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| Are you a convicted
felon? |
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| What is your attorney’s
name? |
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How many evictions
have been filed on you? |
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What may interrupt
your ability to pay rent? |
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If approved, the
following people
will be living with me (provide ages): |
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| Your requested move-in
date? |
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| How did you find this
home? |
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Do you want an “option”
to buy this home? |
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| Do you own any real
estate? |
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| EMERGENCY
CONTACT |
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| Contact Name: |
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| Cell: |
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| Other Phone: |
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| Email: |
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It is my
understanding that this application is preliminary only and involves
no obligation of the owners or its agents to approve this application
or to deliver occupancy of the proposed premises. The applicant appearing
below hereby authorizes the holder of the lease application to investigate
the current and past history of applicant’s occupancy, employment
and whatever credit bureaus, criminal reports or other sources available,
that the owner or agent deems necessary in determining the approval
of the application. I also understand that Synergy Real Estate Group,
LLC will be obtaining all reports and verifications on the owner’s
behalf. I also understand that the application fee is non-refundable,
and that the partial/full deposit submitted with this application
is non-refundable 48 hours after submission, or will be applied to
security deposit upon approval, or will be returned in full if denied. |
| I Agree: |
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| Date: |
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