Rental Application

The following information is required in order to process your rental application. Please complete all blanks. For any blanks which do not apply, insert "N/A". List the full name, address and telephone number of all present and past references. Simply print and fill out this form, and bring it to Park Place Condominiums or fax or e-mail.

APPLICANT'S FULL NAME:_________________________________________________________________

CURRENT ADDRESS:______________________________________________________________________

SOCIAL SECURITY #:____________________________________________________________________

SPOUSE'S / OTHER’S FULL NAME:__________________________________________________________

SPOUSE'S / OTHER’S SOCIAL SECURITY #:__________________________________________________

TELEPHONE:_____________________________________________________________________________

1) PERSONS WHO WILL BE RESIDING IN THE RENTAL UNIT:

FULL NAME AGE

&#____________________________________________________________________________________

____________________________________________________________________________________

2) INCOME (LIST ALL EMPLOYERS OR OTHER SOURCES OF INCOME):

SOURCE OF INCOME MONTHLY GROSS

____________________________________________________________________________________

3) BANK REFERENCES (SAVINGS, CHECKING, ETC.):

NAME OF BANK TYPE OF ACCOUNT

____________________________________________________________________________________

4) AUTOMOBILES (LIST ALL INFORMATION FOR EACH VEHICLE TO BE PARKED ON THE PREMISES):

MAKE MODEL YEAR LICENSE#

____________________________________________________________________________________

5) RENTAL HISTORY (COMPLETE EACH QUESTION FOR PAST THREE YEARS):

A) PRESENT ADDRESS:____________________________________________________________________

HOW LONG?_____________________________________________________________________________

LANDLORD'S NAME:______________________________________________________________________

LANDLORD'S ADDRESS/TELEPHONE:______________________________________________________

WHY DID YOU MOVE? ____________________________________________________________________

B) PREVIOUS ADDRESS:___________________________________________________________________

HOW LONG?_____________________________________________________________________________

LANDLORD'S NAME:______________________________________________________________________

LANDLORD'S ADDRESS/TELEPHONE:______________________________________________________

WHY DID YOU MOVE? ____________________________________________________________________

C) PREVIOUS ADDRESS:___________________________________________________________________

HOW LONG?_____________________________________________________________________________

LANDLORD'S NAME: _____________________________________________________________________

LANDLORD'S ADDRESS/TELEPHONE:______________________________________________________

6) DO YOU HAVE ANY PETS? (CATS $300.00 ADDITIONAL SECURITY DEPOSIT)

DOGS UNDER 25# $500.00 ADDITIONAL SECURITY DEPOSIT)

YES _____________ NO__________________

DESCRIPTION:______________________________________________________________________

7) RENTAL UNIT FOR WHICH APPLICATION IS BEING MADE.

SECURITY DEPOSIT REQUIRED---$500.00---

ADDRESS:__________________________________________________________________________

DESIRED OCCUPANCY DATE: _______________________________________________________

RENTAL APPLICATION DEPOSIT (FIRST MONTH'S RENT): ___________________________________

The applicant’s certify that all of the above information is true and correct and agree that a

representative of landlord may contact any of the above references, and credit reporting service

records and/or verify any of the information contained in this application.The applicant understands that this

rental application does not constitute a lease or rental agreement and that tenancy may be denied

in the event that any of the requested information is found to be false.

Comments (Special Provisions) :

Applicant agrees to deposit the Rental Application Deposit with the Lessor at the time this application is made. At the time the Applicant is given occupancy of the unit, the deposit will be applied to the first months rent and the Applicant will be required to deposit the Tenant Security Deposit. In the even Applicant fails to take possession of the unit, the Lessor will attempt to relet the subject premises and the Rental Application Deposit will be applied to offset any costs incurred by Lessor. Tenants will abide by the bylaws and or declarations of Park Place Condominiums.

I have received a copy of a blank lease.

Number of Occupants

1 bedroom upper - 2 occupants

2 bedroom upper - 2 occupants

2 bedroom lower - 3 occupants

3 bedroom upper - 4 occupants

APPLICANT'S SIGNATURE ____________________________________DATE_____________

SPOUSE’S / OTHER SIGNATURE ____________________________________DATE_____________