Rental Application - Thalhimer Apartments
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Resident
Guarantor
Application #:
Property:
Bldg. #:
Unit #:
Res. #:
LEASE TERM
RENTAL APPLICATION
From:
To:
AGENCY DISCLOSURE: Management hereby discloses, pursuant to Section 55-248.12 of the Code of Virginia (1950) as amended, the applicable
section of the Virginia Residential Landlord and Tenant Act, and any and all other applicable federal or state regulations, that Morton G. Thalhimer,
Inc., 11100 West Broad Street, Glen Allen, VA 23060 is the authorized managing agent for the leased premises.
Page 1 of 2
Source Code:
Date of Application:
APPLICANT INFORMATION
Name:
(First/Middle/Last)
□
SS#:
Verification by Driver’s License
Date of Birth:
/
/
Phone: (
)
Email:
Present Address:
STREET
CITY
STATE / ZIP
Present Landlord:
Phone: (
)
Monthly Rent:
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Are you a leaseholder?
Yes
No
Are you an occupant only?
Yes
No
Length of Occupancy:
Previous Address:
(If less than 2 years at present address)
STREET
CITY
STATE / ZIP
Previous Landlord:
Phone: (
)
Monthly Rent:
□
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Are you a leaseholder?
Yes
No
Are you an occupant only?
Yes
No
Length of Occupancy:
EMPLOYMENT HISTORY
Current Employer:
FIRM NAME & ADDRESS
CITY
STATE / ZIP
Position:
Hire Date:
Supervisor:
Length of Employment:
Work Phone*: (
)
Gross Annual Income: $
*Human resources and/or supervisor’s work phone#
Other Income:
Employer:
(Trust, Annuities, Soc. Sec., PT employment, etc.)
FIRM NAME & ADDRESS
CITY
STATE / ZIP
Position:
Hire Date:
Supervisor:
Length of Employment:
Work Phone*: (
)
Gross Annual Income: $
*Human resources and/or supervisor’s work phone#
Previously Employed by:
(If at current place of emploment for the less than 6 mths)
FIRM NAME & ADDRESS
CITY
STATE / ZIP
Position:
Hire Date:
Supervisor:
Length of Employment:
Work Phone*: (
)
Gross Annual Income: $
*Human resources and/or supervisor’s work phone#
FINANCIAL REFERENCES
*No motorcycles, recreational or commercial vehicles are allowed without management’s permission.
Savings Account:
BANK/ADDRESS
Checking Account:
BANK/ADDRESS
Automobile*:
MAKE/MODEL
YEAR
TAG NO.
STATE
MONTHLY PAYMENT
FINANCED BY
Automobile*:
MAKE/MODEL
YEAR
TAG NO.
STATE
MONTHLY PAYMENT
FINANCED BY
Total Monthly Obligations (i.e. Charge Cards, Loans, etc.) :
Continued next page >
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