EMPLOYMENT HISTORY - to be completed by each applicant
Employer’s Name:
Employer’s Address:
City:
State:
Zip:
Telephone:
How long have you been employed by this company?
Position Held:
Supervisor's Name:
Telephone:
Current Annual Salary: $
Additional lncome:$
Source
Employer’s Name:
Employer’s Address:
City:
State:
Zip:
Telephone:
How long have you been employed by this company?
Position Held:
Supervisor's Name:
Telephone:
Current Annual Salary: $
Additional lncome:$
Source
RESIDENCE HISTORY (To be completed by each applicant)
Present Address:
City:
State:
Zip:
Telephone:
Landlord/mortgage holder's name:
Telephone:
Length of time at present address:
Monthly payment:$
Reason for moving:
Previous Address:
City:
State:
Zip:
Telephone:
Landlord/mortgage holder's name:
Telephone:
Length of time at present address:
Monthly payment:$
Reason for moving:
BANK AND CREDIT REFERENCES
Bank:
Branch:
Checking account:
Savings account:
Credit Card Company:
Account number:
Credit Card Company:
Account number:
VEHICLE INFORMATION
Applicant Driver License
State:
Expires:
Applicant Driver License
State:
Expires:
Number of vehicles including company cars, boats, RVs, etc.:
Make
Model
Year
Color
Own/Lease/Finance
Tag State
Tag No.
EMERGENCY NOTIFICATION
In case of emergency please notify:
Telephone:
Address:
Relationship
In case of emergency please notify:
Telephone:
Address:
Relationship
Telephone number where you can be reached once this application has been processed:
How did you find out about this property?
TERMS AND CONDITIONS
For consideration of the rental property outlined on page one, a holding deposit of one month’s rent plus a $50.00 application fee has been secured. Owner agrees to take this property off the market once this
application is approved. If I do not qualify under Owner's qualifications for residency, I understand
this deposit, less the $50 application fee, will be refunded. If I follow through and lease the property, this
deposit shall be credited towards my security deposit. I understand that if I do not take occupancy, the holding
deposit shall be forfeited.
I/we hereby authorize Owner/Landlord to contact credit services, personal and credit references given herein, plus my/our employers to verify the information stated in this application, and to use the above credit card for payment of the $50.00 application fee, and should I/We enter into any Lease Agreement, this credit card and/or bank account information may be used for any or all payment(s) due to Owner/Landlord. I/We also authorize Owner/Landlord to report my/our unsatisfied obligations to the proper authorities after l/We vacate said property. I/We also authorize Owner/Landlord to share the information on this application and related verification data to anyone Owner/Landlord feels is part of the qualifying process. I/We acknowledge this application is the property of Owner/Landlord.
Horizon Mobile Home Villas Rental Application