Property Rental Application

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Property Management Division
APPLICANT-PLEASE FILL OUT TOP PORTION ONLY AND SIGN AT BOTTOM
(Please submit individual forms for each residence in past three years)
The person (s) named below have applied for a rental property at AgentOwned Realty:
Name________________________________________________________________
Address _______________________________________________________
Landlord Name ______________________________________
Landlord Phone _____________________
Fax: _________________________
To be completed by Landlord:
Lease dates: ______________________
Was lease fulfilled? ________________________
Rental amount: ____________________
# of Late Payments: _________
How Late? _____________
# of NSF Checks ___________
Paid? ______________
Proper notice given to vacate? _______________ Full Deposit refunded? _______________
Would you rent to them again? __________________
Additional Comments: ___________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________________
____________________________________
Applicant Signature
Date
Landlord Signature
Date
Landlord, please return via fax or email to:
____________________________________________________________________

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