Application For Residency - Malibuusf

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11711 N. 50th Street Tampa. Florida. 33617 Leasing 813-988-8777 Fax 813-899-4877
Application For Residency
Date:_____________________ How did you hear about us? ________________________________________________
Applicant's Full Name:_______________________________________________________________________________
Home Phone# _______________________________ Cell Phone# ___________________________________________
Date of Birth: ______________________Social Security Number ________/___________/________________________
Present Address: __________________________________________________________________________________
City/State/Zip:____________________________________________County:__________________How Long?________
Driver's License# _______________________________________________________State: ______________________
Type of Vehicle:_______________Year: _________Make: _________Tag: ____________State:_____Color___________
Employer: _______________________________Address: _________________________________________________
Phone#:_________________Occupation:___________________How long?____________Monthly Income___________
Present Landlord's Name and Address:___________________________________Phone#________________________
Have you ever broken a lease agreement, or left owing money to an owner or landlord YES
NO
Have you ever been arrested, pleaded no contest, or convicted of a misdemeanor or felony: YES
NO
If you answered YES to either of the above please explain:_________________________________________________________________________
Emergency Contact Name: ___________________ _________Relationship ___________________________________
Phone_______________________________________Cell___________________________________________________________
CORRECT INFORMATION: Applicant represents that all of the above statements are true and complete, and hereby authorized
verification of above information, including residential history, employment history, credit records, and criminal history/court records.
Applicant acknowledges that false information may constitute grounds for rejection of this application, termination of right of occupancy
and of forfeiture of deposits and may constitute a criminal offense under the laws of this state.
SECURITY DEPOSIT AGREEMENT: Applicant has paid an "Application Reservation Fees" of _______________ in consideration for
owner taking said apartment off the market, and/or placing applicant on a priority waiting list, while considering approval of this
application. If applicant is approved, but fails to promptly enter into the contemplated Lease, the application reservation fee shall be
liquidated damages to the owner. The application reservation fees, with the exception of the application fee, will be refunded only if
application has been rejected. Keys will be furnished only after the contemplated lease and other rental documents have been properly
executed by all parties and only after applicable rentals and reservation fees have been paid. This application is preliminary only and
does not obligate owner or owner's agent to execute a lease or deliver possession of the proposed premises. Possession of keys will
not be provided until fully executed guaranty forms are received. If forms are not received within five (5) days of lease execution or prior
to schedule date of lease commencement, whichever is earlier, the lease will default at option of Owner and all reservation fees,
including deposits shall be forfeited.
APPLICANT'S SIGNATURE ___________________________________________________DATE _________________________________

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