Online Rental Application

Application Fee $60 Non-Refundable
 
The undersigned hereby makes application to rent the property located at:
Move in date requested:
Promocode if applicable
Name of Showing Agent

Applicant's Information

 

Spouse's Information

Full Name
Full Name
Home Number
Home Number
Cell Number
Cell Number
Work Number
Work Number
Date of Birth (mm/dd/yy)
Date of Birth (mm/dd/yy)
Social Security #
Social Security #
Email
Email
Driver License #
Driver License #
Driver License State
Driver License State
Vehicle Information # 1

Vehicle Information # 2

Make/Model
Make/Model
Year
Year
Tag Number
Tag Number
State
State
         
Other Vehicles (i.e. Boats, Trailer)
         

Dependents / Occupants

Name
Name
Relationship
Relationship
Sex (M/F)
Sex (M/F)
Date of Birth (mm/dd/yy)
Date of Birth (mm/dd/yy)
Social Security Number
Social Security Number
         
If there are more occupants, separately list them with the details requested above.

Personal Information

Do you or any member of your household smoke?
Their Name(s)
Any member of your household have or have ever had a substance abuse problem including abuse of alcohol, drugs etc.?
Their Name(s)
Amount of Alimony you pay/receive.
Child Support (Y/N)
Have you ever been evicted?
Filed for Bankruptcy
         

Pets

Type/Breed
Type/Breed
Weigth
Weigth
Age
Age
License or ID Number
License or ID Number
 

Residency

Current Address (st, city, state, zip)
Previous Address (st, city, state, zip)
Landlord/ Property Mngt Name
Landlord/ Property Mngt Name
Contact Phone
Contact Phone
Length At This address
Length At This address
Rented or Own?
Rented or Own?
If Rented, How Much
If Rented, How Much
Have you given proper notice as required by your lease to vacate?
Have you given proper notice as required by your lease to vacate?
If No, Explain.
If No, Explain.
Reason for moving
Reason for moving
         

Employment Information

Applicants Current Employment Status  (if you are relocating due to new job, start with your new employer)

Spouse Current Employee Status  (if you are relocating due to new job, start with your new employer)

Occupation
Occupation
Supervisor
Supervisor
Gross Salary
Gross Salary
Employer
Employer
Date Employed
Date Employed
Supervisor Phone
Supervisor Phone
Length of Employment
Length of Employment
         

References (colleagues, professional contacts, business partners, your pastors, No relatives

Names
Names
Phone Number
Phone Number
 

Credit Card Payment ($60 Application Fee)

Credit Card Number
How did you hear about us?
Name on Credit Card
 
Full Address on Credit Card
 
CVV Number (on back of t card)
 
Expiration Date (mm/yy)
 
 

I declare that the information above is true and correct, and I hereby authorize verifications of references and a credit check. I understand that if this property is leased to me and it is later discovered that any statements on this application are false, OWNER OF PROPERTY may void my lease

I hereby apply to lease the above described premises for the term and upon the conditions set forth in this application. In addition to the non-refundable application fee of $60.00 CASH per married couple, or $50.00 CASH per each non-married room mate.

I hereby deposit $ as earnest money to be refunded to me if the application is no accepted. Deposit money has to be certify check or money order, no personal check will be accepted.

If this application is not approved and not accepted by the owner or agent, the earnest money will be refunded, but not the application fee. The applicant hereby waives any claim for damages by reason of non-acceptance which the owner or his (her) agent may reject without stating any reason for so doing.

If Phoenix Realty of Wake Co, Inc approves this application, the earnest money shall be applied to the Applicant's security deposit. Upon receipt of Applicant's earnest money, Phoenix Realty agrees that the property will be taken off the rental market and all advertising discontinued.  If Applicant fails to execute a lease on or before the move-in date, the earnest money shall be forfeited and it shall be treated as liquidated damages.

I hereby authorize Phoenix Property to whom this application is made, any credit bureau or other investigative agency employed by Phoenix Realty to investigate the references herein listed or statements or other data obtained from me or from any other person pertaining to my credit, financial responsibility and qualifications as lessee. I hereby release all parties from all liability for any damages that my result from furnishing this information to Phoenix Realty of Wake County, Inc. I hereby acknowledge that the above information is correct to the best of my knowledge.

By checking the box and typing your full name in the space provided below, you declare that all your statements in this application are true and complete. By submitting this electronic application, you authorize Phoenix Property to verify this information through any means, including consumer reporting agencies and other rental housing owners. If you fail to answer any question or give false information, the property may reject your application, retain all application fees and deposits as liquidated damages for its time and expense, and terminate your right of occupancy. Giving false information is a serious criminal offense. In lawsuits relating to the application or Lease Contract, the prevailing party may recover all attorneys' fees and litigation costs from the losing party. The property may at any time furnish information to consumer reporting agencies and other rental housing owners regarding your performance of your legal obligations, including both favorable and unfavorable information about your compliance with the Lease Contract, the rules and financial obligations.

You also acknowledge that our privacy policy is available to you.

I have read the above and accept the Terms of the Application Agreement *.

Authorized/Acknowledged by (Type your Full Name below):

*   Required field.

 

 

 

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