Application

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There is a $25.00 application fee per  person over the age of 18

TV Realty RENTAL APPLICATION

 

DATE:____________________

Applicant’s Full Name: ___________­___________________________________________________________________

Present Address: ________________________________________________ Phone: (_____) ______________________

City: __________________________ State: _______ Zip: ____________ Cell Phone: (_____) ______________________

Social Security Number: _____________________________________________ Date of Birth: _____________________

Driver’s License Number: __________________________________ Email: ____________________________________

Co-Applicant Name: ________________________________________________________________________________

Present Address: ________________________________________________ Phone: (_____) ______________________

City: __________________________ State: _______ Zip: ____________ Cell Phone: (_____) ______________________

Social Security Number: _____________________________________________ Date of Birth: _____________________

Co-Applicant D/L Number: _________________________________ Email: ____________________________________

How Many Persons will occupy this apartment (including self)?  _______________  Please list below.



Name                                             Age                 Relationship Name                                             Age                 Relationship


Name                                             Age                 Relationship Name                                             Age                 Relationship

EMPLOYMENT HISTORY

Current Employer: __-_______________________________________________________________________________

Present Address: ______________________________________________________ Phone: (_____) ________________

Supervisor’s Name: ______________________________________ Employed From: _______________To: ___________

Position: ____________________________________________ Salary: ______________________ week / month / year

Co-Applicant Employer: _____________________________________________________________________________

Address: _____________________________________________________________ Phone: (_____)________________

Supervisor’s Name: ______________________________________ Employed From: _______________To: ___________

Position: ____________________________________________ Salary: ______________________ week / month / year

If less than 1 year at current employer, list previous employers and phone numbers:

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

 

RENTAL HISTORY

(Previous Rental History Is Required)

 

Current Landlord: ___________________________________________________ Phone: (_____) __________________

Landlord’s Address: _________________________________________ How long at this address: ___________________

If Current Landlord is Less Than One Year or Currently Not Renting, Please Give Previous Landlord:

_________________________________________________________________________________________________

Address Rented: ___________________________________________________ Dates Rented: ____________________

Co-Applicant Landlord: ______________________________________________ Phone: (_____) __________________

Landlord’s Address: _________________________________________ How long at this address: ___________________

If Current Landlord is Less Than One Year or Currently Not Renting, Please Give Previous Landlord:

_________________________________________________________________________________________________

 

PROPERTY INTERESTED IN: __________________________________________ DATE NEEDED: ___________________

Do you have a pet? _________________ What Type? ______________ Weight? __________ Age: _________________

Have you ever filed for bankruptcy? _____________________ Been evicted from tenancy? ________________________

Late on your rent payments? _______________________ Refused to pay rent when it was due? ____________________

Been convicted of a felony? _____________ Smoker? _________ Who referred you to TV Realty? __________________

 

Applicant: Who to contact in case of emergency: __________________________ Phone: (_____) __________________

relationship: ____________________________ address: __________________________________________________

Co-Applicant: Who to contact in case of emergency: ________________________ Phone: (_____) __________________

relationship: ___________________________ address: ___________________________________________________

Verification of Residency / Employment

 Phone: 815-378-7962  –  Fax: 815-748-3485

I hereby authorize my Landlord / Employer and / or credit agency to disclose the information requested below to Tv Realty.




Applicant name (print) Applicant signature Social Security Number

 

 




Co-Applicant name (print) Co-Applicant signature Social Security Number

 

Please return the application to TV Realty.  We will contact your landlord / employer for further information.  Thank you.

From: TV Realty

The applicant referenced above has applied for rental property and has indicated you as their Landlord / Employer.  Please complete the following information and return it to us at your earliest convenience.

I.  Landlord       Address: ___________________________________________________________________

Lease Dates: ___________________________________________________________________________
How many people signed to the lease: __________________________________________________________
Rent Amount: $___________________________  Security Deposit: $________________________________
Amount of past due balance: $_______________________________________________________________
Number of late payments: __________________________________________________________________
Number of NSF checks in the last 12 months: ____________________________________________________
Have any unauthorized persons lived in this unit: _________________________________________________
Has this resident been found with a pet: _____________________________  Is it permitted: _______________
Have there been any noise problems: __________________________________________________________
Have the police been called regarding the applicant or guests: ________________________________________

If yes, please explain: _________________________________________________________________

Has the applicant or guests acted in a physically violent or verbally abusive manner toward neighbors or staff: _______

If yes, please explain: _________________________________________________________________

Amount of security deposit refunded to tenant: $__________________________________________________

Please explain: ______________________________________________________________________

Would you rent to this resident again: __________________________________________________________
Other problems: _________________________________________________________________________
Are you related to this applicant: ________________________________  If yes, how: ____________________

II.  Employer       Employee Name: _____________________________________________________________

Starting date: ___________________________________________________________________________
Salary: ________________________________________________________________________________
Continued Employment expected: _____________________________________________________________
Are you related to this applicant: ________________________________  If yes, how: _____________________

III. Landlord / Employer – Thank you for your assistance!




Signature Title Date

 

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