Souza Realty
SOUZA REALTY


                          

Online Rental Application

Which property are you applying for?
Name of Realtor who showed you the property:
Desired move-in date:
Desired lease term: Month-to-month
6 month lease
1 year lease
Name:
E-mail:
Phone 1:
Phone 2:
Date of birth:
Social Security #:
Driver's License #:
Driver's License State:
Driver's License Expires:
Current Address:
City:
State:
Zip:
How long have you lived at this address?
Why do you want to move?
Are you currently renting? Yes
No
If yes, provide landlord's name and phone number:
Previous address (if at current address less than 5 years):
City:
State:
Zip:
How long have you lived at this address?
Why did you move?
Were you renting this property? Yes
No
If yes, provide landlord's name and phone number:
Name and relationship of all adult occupants:
Name, age and relationship of all occupants under 18:
Pets: Dog
Cat
Bird
Reptile
Fish
Other
Describe each pet (name, breed, age, sex and if spayed/neutered):
Current Employer:
Current Employer's Address:
Position/Title:
Length of employment:
Supervisor's name and phone number:
Gross income (specify hourly/monthly/annually):
Other income (specify source):
Previous Employer (if less than 5 years at current employer):
Previous Employer's Address:
Previous Position/Title:
Dates of employment:
Previous supervisor's name and phone number:
Previous gross income (specify hourly/monthly/annually):
Bank #1:
Address or branch number:
Account type: Checking
Savings
Account #:
Will you provide copies of the last 3 bank statements? Yes
No
Bank #2:
Address or branch number:
Account type: Checking
Savings
Account #:
Will you provide copies of the last 3 bank statements? Yes
No
Creditor #1:
Type of credit: Auto Loan
Credit Card
Home Mortgage
Account #:
Balance:
Monthly payment:
Creditor #2:
Type of credit: Auto Loan
Credit Card
Home Mortgage
Account #:
Balance:
Monthly payment:
Creditor #3:
Type of credit: Auto Loan
Credit Card
Home Mortgage
Account #:
Balance:
Monthly payment:
List all vehicles (make, model, year, color, license and state):
Will there be liquid-filled furniture on the property? Yes
No
Does any occupant smoke? Yes
No
If yes, list their name(s):
If any occupant has been a party to an unlawful detainer action or filed bankruptcy in the last 7 years, please explain:
If any occupant has been evicted or had an eviction notice served on them, please explain:
If any occupant has ever been convicted of a misdemeanor or a felony, please explain:
If any occupant is a current illegal abuser or addict of a controlled substance, please explain:
If any occupant has ever been convicted of the illegal manufacture or distribution of a controlled substance, please explain:
Emergency contact (name, relationship, address, phone number):
Nearest relative (name, relationship, address, phone number):
Reference #1 (name, relationship, address, phone number):
How long have you known reference #1?
Reference #2 (name, relationship, address, phone number):
How long have you known reference #2?
Reference #3 (name, relationship, address, phone number):
How long have you known reference #3?
I certify that all information provided is true and complete and I understand that incomplete applications may be rejected without notice. I agree
I disagree
I understand that I must provide a signature affidavit, copies of my driver's license and social security card for my application to be processed. I agree
I disagree
I understand that I must pay a $30 non-refundable fee for my application to be processed. I will pay the fee by: Check
Money Order
PayPal
I understand that all adult occupants must fill out a separate application and pay a $30 non-refundable fee. I agree
I disagree
I understand that if I am approved, the property will NOT be taken off the market until the Landlord receives my $500 hold deposit and ALL parties sign the lease. I agree
I disagree
I understand that my $500 hold deposit will be applied to my total move-in cost and is non-refundable if I cancel the lease for any reason. I agree
I disagree
I agree that the balance of my total move-in cost shall be paid by cash, money order or cashier's check (no personal checks). I agree
I disagree

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