Rental Management Form printable pdf download

RENTAL MANAGEMENT, INC

AGENT____________________________

CHECKING AGENT _______________________

P.O. BOX 1591 - 602 N. SALISBURY BLVD.

DATE RECV’D_____/_____/_____

DENIED

APPROVED (CIRCLE ONE)

SALISBURY, MD. 21802

TIME RECV’D_____________________

DATE APPROVED OR DENIED ____/____/____

*******IMMEDIATELY PLACE APPROVED APPS. ON WAITING LIST *******

**********YOU MUST HAVE VERIFIABLE INCOME OF SOME TYPE FOR YOUR APPLICATION TO BE APPROVED**********

DATE OF APPLICATION: _____/_____/_____ COMPLEX OR AREA DESIRED:________________________________________ # OF BEDROOMS DESIRED:________

APPLICANTS FULL NAME:_________________________________________________________ DATE OF BIRTH:_____/_____/_____ PHONE#____________________

SOCIAL SECURITY #::_______-_______-_______ DRIVER’S LICENSE#:_____________________________________________________ STATE____________________

CO- APPLICANTS FULL NAME:___________________________________________________ DATE OF BIRTH:_____/_____/_____ PHONE#______________________

SOCIAL SECURITY #::_______-_______-_______ DRIVER’S LICENSE#_______________________________________________________ STATE___________________

FULL NAMES OF ALL OTHER RESIDENTS

RELATIONSHIP

DATE OF BIRTH

SOCIAL SECURITY #_______

****MULTI-FAMILY UNITS - WE DO NOT ALLOW PETS**** - :

DO YOU OWN ANY PETS:________ IF SO DESCRIBE:__________________________________________

PRESENT ADDRESS: _________________________________________________________________________________________MOVE IN DATE: ______/______/______

PRESENT LANDLORD:_________________________________________ PHONE #:_________________ ADDRESS:____________________________________________

MONTHLY RENT_____________ REASON FOR MOVING:____________________________________________________________________________________________

PREVIOUS ADDRESS:_________________________________________________________________________ DATES: FROM_____/_____/_____ TO_____/_____/_____

PREVIOUS LANDLORD:________________________________________ PHONE #_____________ ADDRESS:_________________________________________________

MONTHLY RENT____________ REASON FOR MOVING:_____________________________________________________________________________________________

APPLICANT EMPLOYED BY:_________________________________________________________________________ HOW LONG?________YEARS ________MONTHS

EMPLOYER’S ADDRESS___________________________________________________________ PHONE #:________________ POSITION___________________________

SUPERVISOR__________________________________________ WAGES BEFORE TAXES $__________________WEEKLY BI-WEEKLY MONTHLY BI-MONTHLY

CO-APPLICANT EMPLOYED BY:____________________________________________________________________ HOW LONG?_________YEARS_________MONTHS

EMPLOYER’S ADDRESS___________________________________________________________ PHONE #:________________ POSITION__________________________

SUPERVISOR__________________________________________ WAGES BEFORE TAXES $___________________WEEKLY BI-WEEKLY MONTHLY BI-MONTHLY

CREDIT REFERENCE_____________________________________________________PHONE #_______________ ADDRESS:_____________________________________

OTHER REFERENCE_____________________________________________________PHONE #________________ADDRESS_____________________________________

INCLUDE YOURSELF AND ALL HOUSEHOLD RESIDENTS: PLEASE CHECK ANSWER - FOR EACH ‘ YES’ ANSWER, PROVIDE DETAILS IN CHART BELOW

WILL ANY MEMBER OF YOUR HOUSEHOLD BE EMPLOYED FULL TIME, PART TIME OR SEASONALLY IN THE NEXT 12 MONTHS: YES______ NO______

DOES ANY MEMBER OF YOUR HOUSEHOLD WORK FOR SOMEONE THAT PAYS THEM CASH?................................................................

YES______ NO______

DOES ANY MEMBER OF YOUR HOUSEHOLD NOW RECEIVE OR EXPECT TO RECEIVE INCOME FROM ANY OF THE FOLLOWING SOURCES:

CHILD SUPPORT -- YES NO

SPOUSAL SUPPORT -- YES NO

SOCIAL SECURITY OR SSI BENEFITS – YES

INCOME FROM A PENSION OR ANNUITY -- YES NO

UNEMPLOYMENT OR WORKER’S COMP. BENEFITS -- YES NO

PUBLIC ASSISTANCE (AFDC, ETC)-- YES NO

REGULAR CASH CONTRIBUTIONS FROM INDIVIDUALS NOT LIVING IN THE UNIT-- YES NO

IS ANYONE IN YOUR HOUSEHOLD ON LEAVE OF ABSENCE FROM WORK FOR - LAY-OFF, MEDICAL, MATERNITY, OR MILITARY LEAVE — YES NO

ARE YOU AN IN HOME CHILD CARE PROVIDER -- YES NO

DOES ANY MEMBER OF YOUR HOUSEHOLD RECEIVE INCOME FROM ASSETS INCLUDING INTEREST ON CHECKING OR SAVINGS

ACCOUNTS, INTEREST AND DIVIDENDS FROM CERTIFICATES OF DEPOSITS (CD’S), STOCKS OR BONDS, LIFE/UNIVERSAL POLICIES

OR INCOME FROM THE RENTAL OF PROPERTY -- YES NO

FOR EACH TYPE OF INCOME ANSWERED ‘YES’, GIVE THE SOURCE OF THE INCOME AND INCOME FROM THAT SOURCE IN THE NEXT 12MONTHS.

_______________________________________________________________________________________________________________________________________________

FAMILY MEMBER

SOURCE/TYPE OF INCOME

ANTICIPATED ANNUAL INCOME

________________________________________________________________________________________________________________________________________________

ANY ASSETS DISPOSED OF FOR LESS THAN FAIR MARKET VALUE IN THE TWO (2) YEARS BEFORE THE EFFECTIVE DATE OF THIS APPLICATION WILL

BE COUNTED AS ASSETS IF DIFFERENCE BETWEEN THE MARKET VALUE AND THE AMOUNT RECEIVED EXCEEDS $1,000.

THE TOTAL COMBINED ASSET VALUE FOR THIS HOUSEHOLD IS LESS THAN $5,000. YES______ NO______

DO YOU OWN A VEHICLE(S), IF SO LIST-

VEHICLE- YEAR/ MAKE/MODEL/COLOR/TAG #____________________________________________________________________________________________________

VEHICLE YEAR/ MAKE/ MODEL/COLOR/TAG #____________________________________________________________________________________________________

Rental Management Form

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