Rental Application Form - Maryland Consumer Relations Department
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4RENTAL APPLICATION
PLEASE COMPLETE ALL FIELDS
USE N/A IF NOT APPLICABLE
APPLICANT INFORMATION—ONE APPLICATION PER ADULT OCCUPANT
DRIVER’S LIC. & STATE
APPLICANTS NAME
LAST
FIRST
M.I
BIRTHDATE
SS#
/
/
EMAIL ADDRESS
HOME PHONE NUMBER
CELL PHONE NUMBER
PRESENT ADDRESS
APT#
CITY
STATE
ZIP CODE
RENT/OWN – AMOUNT PER MONTH
HOW LONG AT THIS ADDRESS
LANDLORD/MORTAGE CO.
PREVIOUS ADDRESS
APT#
CITY
STATE
ZIP CODE
HOW LONG AT THIS ADDRESS
RENT/OWN
LANDLORD/MORTAGE CO.
NAME OF PERSONS TO OCCUPY APARTMENT
RELATIONSHIP
DATE OF BIRTH
__________________________________________________________________________
___________________________________________
_________________________________________________________
__________________________________________________________________________
___________________________________________
_________________________________________________________
__________________________________________________________________________
___________________________________________
_________________________________________________________
EMPLOYMENT
PRESENT EMPLOYER
POSITION
PHONE NO.
NO. OF YEARS
SALARY $
PER
EMPLOYER ADDRESS
SUPERVISOR
CITY
STATE
ZIP CODE
PREVIOUS EMPLOYER
POSITION
PHONE NO.
NO. OF YEARS
SALARY $
PER
PREVIOUS EMPLOYER ADDRESS
SUPERVISOR
CITY
STATE
ZIP CODE
OTHER SOURCES OF INCOME
BANK REFERENCES
LOCATION (BRANCH)
CHECKING ACCOUNT NO.
SAVINGS ACCOUNT NO.
ADDITIONAL INCOME-DESCRIBE SOURCE AND HOW TO VERIFY
$
PER
PERSONAL
NO. OF VEHICLES TO BE PARKED AT COMMUNITY
VEHICLES- MAKE / MODEL (1)
LICENSE NO.
COLOR
YEAR
(2)- MAKE / MODEL
LICENSE NO.
COLOR
YEAR
IN CASE OF EMERGENCY, CONTACT:
RELATIONSHIP
ADDRESS
PHONE NO.
NUMBER OF PETS
TYPE(S) / BREED
NAME S)
AGE S)
WEIGHT S)
COLOR(S)
DATE OF LAST RABIES
VACCINATION(S)
HOW DID YOU HEAR ABOUT US?
PRIMARY SOURCE
OTHER SOURCE
IF LOCATOR / BROKER, PLEASE LIST NAME OF AGENT AND COMPANY
IF RESIDENT REFERRAL, PLEASE LIST CURRENT RESIDENT’S NAME
MOISTURE AND MOLD
MOISTURE ISSUES AND APPARENT MOLD GROWTH MAY HAVE BEEN DISCOVERED FROM TIME TO TIME WITHIN THE COMMON AREAS AND INDIVIDUAL APARTMENT UNITS
WITHIN THIS PROPERTY. AS WITH ANY OTHER PROPERTY, THERE MAY BE MOISTURE AND MOLD ISSUES AT THIS PROPERTY IN THE FUTURE AND YOUR COOPERATION
AND COORDINATION WITH THE MANAGEMENT COMPANY’S AND/OR OWNER’S INSPECTION PROCESS AND ANY NECESSARY AND APPROPRIATE CORRECTIVE ACTION MAY
BE REQUIRED. SHOULD YOU HAVE ANY MAINTENANCE ISSUES REGARDING MOISTURE AND/OR MOLD GROWTH, YOU MUST PROMPTLY REPORT THEM TO THE
MANAGEMENT COMPANY AND/OR OWNER SO THAT THEY CAN BE PROMPTLY ADDRESSED BY TRAINED PERSONNEL AND/OR SUITABLY QUALIFIED CONTRACTORS
RETAINED BY MANAGEMENT AND/OR OWNER. I ACKKNOWLEDGE HAVING READ AND UNDERSTAND: ____
RENTAL / CRIMINAL HISTORY
WE RESERVE THE RIGHT NOT TO LEASE TO ANY INDIVIDUAL WHO HAS BEEN EVICTED, BROKEN A PRIOR LEASE, DECLARED BANKRUPTCY, BEEN SUED FOR NON-PAYMENT
OF RENT OR DAMAGE TO RENTAL PROPERTY, CONVICTED OF CERTAIN CRIMES, ARRESTED FOR CERTAIN CRIMES WHERE A TRIAL IS PENDING, OR WHO IS LISTED BY THE
FBI AS A FUGITIVE OR A TERRORIST. TO DETERMINE APPLICANT’S ELIGIBILTY, PLEASE ANSWER THE FOLLOWING QUESTIONS:
HAS ANY APPLICANT EVER BEEN EVICTED OR ASKED TO MOVE OUT? YES____ NO ____ BROKEN A RENTAL AGREEMENT OR LEASE? YES____ NO ____ DECLARED
BANKRUPTCY? YES____ NO ____ BEEN SUED FOR NON-PAYMENT OF RENT OR FOR DAMAGE TO RENTAL PROPERTY? YES____ NO ____
HAS ANY APPLICANT EVER BEEN CONVICTED OF A FELONY, ANY CRIME INVOLVING VIOLENCE, ANY CRIME INVOLVING DRUGS, DAMAGE TO PROPERTY, OR A SEXUAL
OFFENSE? YES____ NO ____ BEEN ARRESTED FOR ANY OF THE FOREGOING OFFENSES WHERE A TRIAL IS PENDING? YES____ NO ____
CONSENT
APPLICANT HEREBY CONSENTS TO ALLOW LESSOR TO OBTAIN CREDIT INFORMATION, CRIMINAL HISTORY (INCLUDING A CONFIRMATION THAT THE APPLICANT IS NOT
LISTED ON THE FBI’S “MOST WANTED FUGITIVES” AND “MOST WANTED TERRORISTS” LISTS) AND RELATED INFORMATION REGARDING THE APPLICANT FOR THE PURPOSE
OF DETERMINING WHETHER OR NOT TO ENTER INTO AN APARTMENT LEASE WITH APPLICANT.APPLICANT UNDERSTANDS THAT, SHOULD APPLICANT LEASE AN
APARTMENT, LESSOR SHALL HAVE A CONTINUING RIGHT TO REVIEW APPLICANT’S CREDIT INFORMATION, RENTAL APPLICATION, PAYMENT HISTORY, OCCUPANCY
HISTORY, CRIMINAL BACKGROUND HISTORY AND RELATED INFORMATION FOR ACCOUNT REVIEW PURPOSES AND FOR IMPROVING APPLICATION METHODS. APPLICANT
UNDERSTANDS THAT PROVIDING FALSE, FRAUDULENT OR MISLEADING INFORMATION IS GROUNDS FOR DENIAL OF RESIDENCY OR TERMINATION OF APPLICANTS’S RIGHT
OF OCCUPANCY. I ACKNOWLEDGE HAVING READ AND UNDERSTAND: _____
ACKNOWLEDGEMENT
WHILE MANAGEMENT’S POLICY IS TO OBTAIN A STANDARD CRIMINAL BACKGROUND CHECK, PERFORMED BY A NATIONAL SCREENING COMPANY, ON ALL APPLICANTS,
MANAGEMENT CANNOT GUARANTEE THAT A BACKGROUND CHECK HAS BEEN PERFORMED ON ALL RESIDENTS. NOR IS MANAGEMENT ABLE TO GUARANTEE THE
ACCURACY OR COMPLETENESS OF THE INFORMATION OBTAINED FROM THE SCREENING COMPANY OR THAT THE LACK OF A CRIMINAL RECORD GUARANTEES THE
SAFETY OF ALL RESIDENTS. APPLICANT UNDERSTANDS THAT THE MANAGEMENT COMPANY AND OWNER ARE RELYING ON THE INFORMATION IN THIS APPLICATION AND
ITS ACCURACY. THE LEASE MAY BE CANCELED IF THE APPLICANT HAS MADE ANY MISLEADING OR FALSE STATEMENTS IN THIS APPLICATION. I ACKNOWLEDGE HAVING
READ AND UNDERSTAND: _____
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