CONFIDENTIAL
SECURE APPLICATION TO RENT No. 1
PROPERTY ADDRESS (Premises)
Rent Per Proposed move-in Date Total number of applicants
APPLICANT IS COMPLETING APPLICATION AS: TENANT, TENANT WITH CO-TENANT OR GUARANTOR
PERSONAL INFORMATION
First Name M.N. Last Name SSN DOB ID # State Exp.
Phone Number 1 Phone Number 2 Work Phone Email
Name of all other proposed occupants and relationship to applicant:
Number of vehicles to be kept at premises? Commercial vehicles? Pets or Service animals? (number and type)
Any liquid furniture?
Yes No
Declarations YES NO DATE (if any YES) Please briefly explain if you marked YES on any declaration:
Evictions?
Bankruptcies?
Felonies?
Have you ever been asked to move out of a residence for any reason, even if it was not an eviction? Please explain if yes.
RESIDENCE HISTORY
Current Address
Street City State Zip Code
Do you own this property?
Yes No
Reason for leaving current address
Name of Landlord / Manager Phone Number Property managed by:
Private owner Company
Previous Address
Street City State Zip Code
Do you own this property?
Yes No
Reason for leaving current address
Name of Landlord / Manager Phone Number Property managed by:
Private owner Company
EMPLOYMENT AND INCOME HISTORY
Current Employer Employer's Address Position or title
Employment gross income
$
Per Supervisor Supervisor's phone Employed here since
Previous Employer Employer's Address Position or title
Employment gross income
$
Per Supervisor Supervisor's phone From To
ASSETS AND BANKING INFORMATION
Who do you bank with? What kind of accounts you have? Approximate combined balance?
$
PERSONAL REFERENCES
Name Address
Phone Length of acquaintance Occupation
Name Address
Phone Length of acquaintance Occupation
Name Address
Phone Length of acquaintance Occupation
NEAREST RELATIVE
Name Address Phone
EMERGENCY CONTACT
Name Address Phone
certification and acknowledgement
Applicant understands and agrees:
  1. This is an application to rent only and does not guarantee that applicant will be offered Premises.
  2. CFL Realty may accept more than one application for the Premises and, using its sole discretion, will select the best qualified applicant.
  3. There is a non-refundable processing fee of $30 per application.
  4. Holding deposit is non-refundable.

Applicant represents the above information to be true and complete and authorizes CFL Realty to verify the information provided and obtain a credit report on applicant.
I agree to the above terms Aug 22 2017


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