Realty Management Services, Inc.

RENTAL APPLICATION ã

Date__________________________

Name of Applicant ______________________________________ Apartment Name or Address ___________________________

(Mr./Mrs./Miss)____________________________________ Apt. # ______________ Monthly Rental Rate$_____________

Date of Birth__________ Driver’s License #_____________ Desired Date of Occupancy ____________________________

Social Security Number(SSN)_________________________

Present Address _________________________________________City____________________State_______________Zip________

Previous home address ___________________________________ City____________________State_______________Zip________

Phone__________________________Married____________Single____________Divorced_____________Separated_____________

Name of employer___________________________Salary: Hourly________Weekly________Monthly________Bus. Phone________

Local address__________________________________Position____________________Name of Superior______________________

If you have no salary, from what source will you pay rent?_____________________________________________________________

Name of spouse or roommate__________________________Date of Birth_____________Phone___________SSN_______________

Name of employer(spouse or roommate)_____________________________Position_____________________Salary______________

Address(if different from above)___________________________________________________Driver’s License #________________

Local address__________________________________________________Name of superior_________________________________

OTHER PERSONS WHO WILL OCCUPY THIS APARTMENT WITH YOU:

Name______________________________________ Relationship______________________Age________________Sex__________

Name of complex where now residing________________________________________ For how long?_________________________

Address________________________________________ Owner/Manager’s name______________________Phone______________

Name of complex previously residing_________________________________________For how long?_________________________

Address________________________________________ Owner/Manager’s name______________________Phone______________

CREDIT REFERENCES:

Bank___________________________________________ Phone_____________________Account Number____________________

Other___________________________________________Phone_____________________Account Number____________________

How many autos, boats, or trailers would you keep at this address? ______________________________________________________

Make of car__________________________________________Year_______________License Number________________________

Do you have pets? Yes__________No__________Small__________Large__________ (Pet Fee Is Required Per Pet)

Comments___________________________________________________________________________________________________

IN CASE OF EMERGENCY, PLEASE NOTIFY:

Name_______________________________________ Address___________________________________Phone_________________

Relationship _________________________________Other Person _______________________________Phone_________________

Applicant has deposited herewith the sum of $____________, receipt of which is hereby acknowledged, as a non-interest bearing deposit(and not as a rental payment) to be refunded as herein and as provided in the Lease Agreement. In the event the application is approved and applicant fails or refuses to enter into the contemplated lease, owner / agent shall retain the said deposit as liquidated damages to cover the cost of taking and processing this application and removing the premises from the market and holding same for applicant. In the event this application is disapproved, or for any other reason for which owner / agent determines and the Lease Agreement is not consummated, this deposit will be returned to applicant in the form in which said deposit was tendered.

This application is made with the understanding that it is subject to acceptance by the owner / agent and subject to execution by an agent of said company and delivery of a lease covering said premises. Please allow a minimum of 3 to 5 days to process your application for both credit and character references. It is understood that any misdemeanors involving sexual misconduct(whether or not resulting in a conviction), drug related misdemeanors, and/or felony convictions of applicant would be grounds for disapproval or lease termination even if the above misdemeanors and/or convictions occur after the initial lease agreement or anytime during said agreement.

I attest that the above information is correct to the best of my knowledge and have no objection to inquiries for the purpose of verification of the above statements. It is understood that the above information will be held strictly confidential.

Signature(s) of Applicant(s)

_______________________________________________