Long Term Rental Application

Please fill-out all fields of the following application.

If you have any questions about how to fill out any section of this application, please call David Manaute at 904-540-9660

All Fields are required.

Property Applying for: Winter Haven Condos, Ghent WV

Applicant's Personal Information

Applicant's Full Name: (First, Middle, Last)

Social Security Number:

Drivers License Number:

Date of Birth:

Phone Number:

Marital Status:

Your Email:


Applicant's Rental History

Current Address:

Landlord's Name:

Landlord's Phone Number:

How long at this address:

Current Payment:

Reason for leaving:


Previous Address:

Landlord's Name:

Landlord's Phone Number:

How long at this address:

Payment:

Reason for leaving:


Applicant's Employment History

Current Employment

Company Name:

Job Title:

Company Address:

Supervisor's Name:

Company's Phone Number:

How long at current job?:

Income:

How often do you get paid?
WeeklyBi-WeeklyMonthly


Previous Employment

Company Name:

Job Title:

Company Address:

Supervisor's Name:

Company's Phone Number:

How long at previous job?:

Income:

How often do you get paid?
WeeklyBi-WeeklyMonthly

Reason for leaving:

Condo Occupancy Information

List ALL additional occupants -include ages of minor children:

1st Occupant's Name:

Relationship:

Age:

2nd Occupant's Name:

Relationship:

Age:

3rd Occupant's Name:

Relationship:

Age:

4th Occupant's Name:

Relationship:

Age:

5th Occupant's Name:

Relationship:

Age:

If there are more than 5 occupant please add their information in the notes below.

Additional Rental History

Have you ever been evicted?
YesNo

If "Yes," explain:

Have you ever gone through Foreclosure or Repossession?
YesNo

If "Yes," explain:

Have you ever filed for bankruptcy?
YesNo

If "Yes," explain:

Have you ever been convicted of a felony?
YesNo

If "Yes," explain:


In case of emergency, name and address of two nearest relatives not living with you:

1st Relative's Name:

Relationship:

Phone:


2nd Relative's Name:

Relationship:

Phone:

NO PETS ALLOWED

NO SMOKING ALLOWED


I certify that the information given herein is complete and correct. The Landlord or his agent is hereby expressly authorized to verify the accuracy and correctness of these statements, to communicate with my employers, creditors and landlords, and to procure such other information (including credit reports) which the Landlord may require to evaluate this application at the time application is submitted and at any time in the future, with regard to any agreement entered into with Management. Any false information will constitute grounds for rejection of application, or Management may immediately terminate any tenancy entered into in reliance upon misinformation given on the application.


References & Notes

I understand that by signing /your name/ that I have understood what I have read. *To represent your signature, place two back slashes around your name (/your name/)


 

 

If you prefer to print this application and mail it in please click on the link below:

Download the Rental Application

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