Download our Rental Application!

Future Residents,

Thank you for choosing our company for finding your new home. Before you submit your application for approval, please take time to read the following information to help you in making your decision.  We have prepared a list of some of the more important polices that we feel you should understand.  After reading, please put your initials beside each one in the space provided to state that you have read each item.

________ * Application Fee:  This is a non-refundable processing fee.

________ * Photo Identification:  At the time of application, you will need to show valid identification.  This can be state or federally issued. Acceptable identification includes a driver’s license, passport, and/or state-issued photo identification card.  Applicants must be 18 years of age or older.

_________ * Credit History:  Applicants are expected to have favorable credit ratings in order to be approved.  An extensive negative credit history is grounds for the denial of an application.  In addition, negative credit history from former landlords and/or past utility bills would also result in denial of application.  Phillips Realty uses information obtained from a consumer credit reporting agency.  We do not discuss or dispute anything in your credit report; you will need to contact the credit bureau that made the report.  We will provide you with the name and address of that credit bureau.

_________ * Rental History:  Phillips Realty requires two year’s of favorable rental and/or mortgage history.  Applicants must supply verifiable landlord or mortgage holder references.  Negative rental history includes, but is not limited to the following: NSF checks, late payments, noise complaints, unfulfilled Lease term, foreclosure, eviction, unpaid balances, and damages to the premises.

__________ * Income/Employment:  Applicants must provide proof of current employment as well as employment for the previous two years. Salary must be verified with each employer by copies of check stubs showing year-to-date salary and taxes, or by showing the last two (2) years of W-2’s.  All additional sources of income must be verified.  If you are self-employed or retired, you must provide proof of income by furnishing copies of federal income tax returns for the previous two years and/or other verifiable documentation acceptable to us.

__________ * Mitigating Circumstances:  At times mitigating circumstances might allow an applicant that does not meet credit, rental or income criteria to be approved.  Poorly rated accounts with zero balance, voluntary repossessions, and poorly rated accounts that are a result of a contested divorce are some examples of mitigating circumstances.  A security deposit from $200 up to two (2) month’s rent or some portion thereof might be required.

_________ * Criminal History:  Applicant agrees to have a criminal background check performed.  Phillips Realty uses information obtained from a consumer credit reporting agency

If you have any questions regarding these or any other items about our procedures, please do not hesitate to contact one of our staff members and they will be happy to assist you.  Again thank you so much for choosing our company and we look forward to serving you.

By signing below, each applicant agrees to having read the aforementioned screening criteria and agrees to abide by Phillips Realty’s requirements.

Applicant Signature: ____________________________________ Date: _________

Applicant Signature: ____________________________________ Date: _________

                          Application Fees:

***Potential Property Address: ____________________________________________________

Applicant’s Information

Name of Primary Applicant:______________________________ cell #__________________

Date of Birth: ____________Home #_____________ Work #: _________________________   Social Security No. __________________________ Driver’s License Number and state of issue: ______________________________________________________________________________

Other Name(s) of Applicant used within the last 3 years ______________________________________________________________________________

Names and Ages of Occupants of the property other than Applicant and relationship to Applicant: _____________________________________________________________________

Number of Vehicles: ________, Color ____________________Make/ Model/ State License Tag#_________________________________________________________________________

Number of pets and Type: ________________________________________________________

**If you have a pet we can not accept Rottweiler, Doberman pinscher, Pit bull or mix breed with any of the above listed. Also we can not accept any puppies or kittens - they must be at least a year old.

*Current Address: ______________________________________________________________

_____________________________________________________________________________

How long? __________________ Reason for Leaving _________________________________

Monthly Rent __________________________________________________________________

Name, Address and Telephone number of previous Owner and Agent _______________________________________________________________________

Previous Address for Primary Applicant within the last three years:

Previous Address:______________________________________________________ From ___________To: ________________ Monthly Rent: ______________________

Reason For Leaving: ____________________________________________________

From ___________ To:________________ Monthly Rent: ______________________

Address: _______________________________________________________________

Reason For Leaving: _____________________________________________________     

Name, Address, and Telephone Number of Owner or Agent: ______________________

_______________________________________________________________________

Employment Information:

Primary Applicant’s Present Employer: _____________________________________________

Immediate Supervisor: _____________________________How long? ____________________ Date Hired? _________________Telephone__________________________________________

Address: ______________________________________________________________________

Employed As: __________________________________________________________________

Monthly net Income: ____________________________________________________________

If Employed For Less than one year by present employer, previous employer: ______________________________________________________________________________

How Long? ________________________ Date hired? _________________________________

Immediate Supervisor ___________________________________________________________

Address_______________________________________________________________________

Telephone _____________________ Employed As ____________________________________

Monthly Net Income ____________________________________________________________

Other Income

*Applicant need not disclose alimony, child support, or separate maintenance income or its source, unless Applicant wishes it to be considered for the purpose of this application for lease.

Other income: ____________________ Source:*______________________________________

Name Of Nearest Relative (other than spouse): _____________________________________

Relationship _____________________________ Telephone_____________________________

Address_______________________________________________________________________

Co-Applicant’s Information:

Name of Applicant:______________________________________________________________

Property Address: _______________________________________________________________

Date of Birth: ____________Home #_____________ Work #: ___________________________

Social Security No. __________________________ Driver’s License Number and state of issue: ______________________________________________________________________________

Other Name(s) of Applicant used within the last 3 years ______________________________________________________________________________

Names and Ages of Occupants of the property other than Applicant and relationship to Applicant: _____________________________________________________________________

Number of Vehicles: ________, Color ____________________ Make/ Model/ State License Tag#_________________________________________________________________________

Number of pets and Type: ________________________________________________________

Current Address: _______________________________________________________________

                             _______________________________________________________________

How long? ________________________ Reason for Leaving ___________________________

Monthly Rent __________________________________________________________________

Name, Address and Telephone number of previous Owner and Agent ______________________________________________________________________________

Previous Address within the last three years:

PreviousAddress:____________________________________From________To:____________ Monthly Rent: _________________________________________________________________

Reason For Leaving: ____________________________________________________________

From ___________ To: ________________ Monthly Rent: _____________________________

Address: ______________________________________________________________________

Reason For Leaving: ____________________________________________________________   

Name, Address, and Telephone Number of Owner or Agent: _____________________________

______________________________________________________________________________

Co-Applicant Employment Information:

Co-Applicant’s Present Employer:__________________________________________________

Immediate Supervisor: _______________________________How long?___________________

Date Hired?_________________ Telephone _________________________________________

Address: ______________________________________________________________________

Employed As: __________________________________________________________________

Monthly net Income: ____________________________________________________________

If Employed For Less than one year by present employer, previous employer: ______________________________________________________________________________

How Long? _____________________ Date hired? ____________________________________

Immediate Supervisor ___________________________________________________________

Address_______________________________________________________________________

Telephone _____________________ Employed As ____________________________________

Monthly Net Income ____________________________________________________________

Other Income

*Applicant need not disclose alimony, child support, or separate maintenance income or its source, unless Applicant wishes it to be considered for the purpose of this application for lease.

Other income: ____________________ Source:*______________________________________

Name Of Nearest Relative (other than spouse): _____________________________________

Relationship _____________________________ Telephone_____________________________

Address_______________________________________________________________________

Application Authorizes Phillips Realty to verify the foregoing information contained on this application or sought by such inquiries.

In making this application, it is understood that an investigation consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends, to others with whom Applicant is acquainted and credit report check. This inquiry includes information as to the character, general reputation, personal characteristics and mode of living for Applicant. Applicant has the right to make a written request within a reasonable period of Applicant. Applicant has the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation.

If this application is accepted by Phillips Realty, Applicant agreed to execute a rental agreement of the Property in the form which has been exhibited to Applicant by Phillips Realty, and agrees to pay the rental for one month before occupation of the property.

____________________________                                ____________________________

Signature of Applicant                                                 Signature of Co-Applicant

The undersigned acknowledges receipt from Applicant on ________________________,

20___, of $___________ by cash or check payable to Phillips Realty as a security deposit on the property. Which shall be refunded if this application is not approved. Applicant, herby pays $____________ as a non-refundable application fee.

____________________________                              

Signature of Applicant                                                 

 ____________________________

Signature of Co-Applicant

This rental application is accepted on _________________, 20_____.

_____________________________

            Linda Phillips

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