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Application is made to lease premises known as ___________________________________ for ___________ months, beginning on the _________ day of _____________________, 20____ for the monthly rent of $_______________ payable in advance on the first day of each month. Rent is to begin on the _________ day of _____________________, 20____.
It is understood the premises are to be used as a family residence occupied by not more than ___________ persons; and that occupancy is contingent upon property being vacated by the present occupant. Occupancy of all residences shall conform with applicable zoning laws; and additionally, in the case of condominiums, with applicable by-laws, rules, and regulations. All personal property placed in said premises shall be at the Tenant's risk. I/We agree to apply for all utilities' services before taking occupancy of the leased premises and agree to pay for all applicable utilities' services before taking occupancy of the leased premises and agree to pay for all applicable utilities and all necessary deposits.
A Deposit, which will be applied as the first month's rent in the sum of $__________________________ is made herewith to be held by ___________________________________________, with clear understanding that this application, including each prospective occupant, is subject to approval and acceptance. If this application is not approved and accepted by the Landlord or Landlord's Agent, the deposit will be refunded within fifteen days from rejection date, the applicant hereby waiving addition, a separate Application Processing Fee of in the amount of $____________________________ will accompany this application. These fees are refundable only if the Landlord or Landlord's Agent elects not to process the application. The credit check may take up to five working days to complete after it is received by the Listing Agent. A Security Deposit (which will include any applicable pet deposit) in the amount of $________________ is due and payable to the Landlord or Landlord's Agent prior to occupancy.
After approval and acceptance of the application by Landlord or Landlord's Agent, the applicant agrees to execute a lease in accordance with the terms of the application. The deposit shall be deposited by the Landlord or Landlord's Agent. If the applicant should fail to execute a lease and/or occupy the premises, the applicant agrees that the entire deposit herein provided will be forfeited to compensate the Landlord or Landlord's Agent for vacancy and/or damages suffered. In all instances, the disposition shall conform with the Landlord-Tenant laws of the State of Maryland.
Date: ___________________________
Applicant's Name: ____________________________________________________________
Social Security #: _______________________ Date of Birth __________________________
Drivers License Number _______________________________________________ (Attach Copy)
Home Phone: _________________________ Work Phone: ____________________________
Cell Phone: ________________________ E-Mail: __________________________________
CURRENT RESIDENCE
Current Address _______________________________________________________________
City _____________________________ State _____________________ Zip _____________
Current Rent $____________________ How Long at this address? ____________________
Current Landlord: _____________________________________ Phone #__________________
>> If less than 2 years, please provide name, address, and number of previous residence and landlord.
Previous Address ______________________________________________________________
City _____________________________ State _____________________ Zip _____________
Previous Rent $____________________ How Long at this address? ____________________
Previous Landlord: _____________________________________ Phone #__________________
EMPLOYMENT
Position _____________________ Income $_____________ per month. How Long? _________
Employer: _______________________________________________________________________
Address: ________________________________________________________________________
City _________________________________ State _____________________ ZIP _____________
Supervisor ____________________________________ Supervisor Phone ____________________
>> If less than 2 years, please provide name, address, and number of previous employer.
Previous Position _____________________ Income $_____________ per month. How Long? _________
Previous Employer: _______________________________________________________________________
Address: ________________________________________________________________________
City _________________________________ State _____________________ ZIP _____________
Supervisor ____________________________________ Supervisor Phone ____________________
SPOUSE
Spouse's Name: ______________________________________________________________
Social Security #: _______________________ Date of Birth __________________________
Drivers License Number ___________________________________________ (Attach Copy)
Cell Phone: _________________________ Work Phone: ____________________________
E-Mail: _____________________________________________________________________
Position _____________________ Income $_____________ per month. How Long? _________
Employer: _______________________________________________________________________
Address: ________________________________________________________________________
City _________________________________ State _____________________ ZIP _____________
Supervisor ____________________________________ Supervisor Phone ____________________
>> If less than 2 years, please provide name, address, and number of previous employer.
Previous Position _____________________ Income $_____________ per month. How Long? _________
Previous Employer: _______________________________________________________________________
Address: ________________________________________________________________________
City _________________________________ State _____________________ ZIP _____________
Supervisor ____________________________________ Supervisor Phone ____________________
GROSS MONTHLY INCOME
| Applicant | Spouse | Total | |
| Base Salary | |||
| Bonus & Commissions | |||
| Other Income | |||
| Source | |||
| Total Monthly Income |
ASSETS
| Value / Amount | Bank / Institution | |
| Checking Account | $ | |
| Savings Account | $ | |
IRA/CD/MM/Stocks |
$ | |
Other Liquid Assets |
$ |
DESCRIPTION OF VEHICLES
| Make | Model | Year | Color | License Number | State | |
| 1. | ||||||
| 2. | ||||||
| 3. |
OBLIGATIONS & DEBTS
| Bank / Lender | Balance | Monthly Payment | |
| Automobile | |||
| Automobile 2 | |||
| Loan | |||
| Credit Card 1 | |||
| Credit Card 2 | |||
| Other | |||
| Total Monthly Debt: |
OTHER INFORMATION
List names and ages of dependents that will be residing with you:
List type and age of any and all pets that will be residing with you:
Have you ever filed for bankruptcy? ______________________ When?___________________
Have you ever had a lien or judgement placed against you? ____________________________
Explanation:___________________________________________________________________
IN CASE OF EMERGENCY
In case of emergency, list two relatives not living with you:
Name ______________________________________ Relationship ______________________________
Address ____________________________________ Phone # _________________________________
Name _________________________________________________ Relationship _____________________
Address ____________________________________________________ Phone # ___________________
This information is presented with the understanding that it may be used as a basis for the acceptance of a lease. The undersigned hereby authorizes the agent to disclose to the Landlord, cooperating brokers all or any portions of the information contained in this financial information sheet.
I/We certify the information above to be true and accurate to the best of my (our) knowledge and by our signatures(s) acknowledge receipt of a copy of this financial sheet. I authorize _____________________________ to submit to a credit bureau the information necessary to obtain a consumer credit report and to obtain employment and residency verifications, information and payment history.
Applicant ____________________________________ Date _______________
Applicant ____________________________________ Date _______________
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