Maryland Rental Application Form Page 2
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1
2LIST TWO CREDIT REFERENCES :
Name
Account #
Open
Closed
Name
Account #
Open
Closed
Number of autos
Make
Year
License # (State)
Make
Year
License # (State)
CHECK IF YOU HAVE A:
Washer
Dryer
Dishwasher
Freezer
Refrigerator
Piano
Waterbed
Pets
kind of pet
full grown weight
lbs
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
It is understood that the premises are to be used as a residence to be occu p ied by not more than _____________________
persons, and that occupancy is subject to possession being delivered by present occupant. An application fee in the sum of
$_____________________, received on _____________________, is being held by ____________ _________ with the clear
understanding that this application, including each prospective applicant, is subject to approval and acceptance by Landlord. I hereby
authorize Landlord to obtain information it deems desirable in the processing of my application including: credit reports, civil or
criminal actions, rental history, employment/salary details, police and vehicle records, and any other relevant information, and release
the Landlord, its agent and/or employees from all liability for any damage whatsoever incurred in furnishing or obtaining such
information. Upon approval of this application, the applicant agrees to execute a lease before possession is given, and to pay any
balance due on the security deposit and the first month’s rent within five (5) days after being notified of acceptance.
Pursuant to Section 8-213, entitled “Applications for leases; deposits,” of the Real Property Article, Annotated Code of
Maryland, 1999, as amended, if the Landlord requires from a prospective tenant an applicati o n fee, and the fee exceeds $25.00, then
the Landlord must return the fee, subject to the exceptions below, or be liable to the prospective tenant for twice the amount of the fee
in damages. Any money paid to the Landlord by the prospective tenant prior t o signing a lease, is considered to be the application fee.
The fee must be returned not later than 15 days following the date of occupancy or the written communication, by either party to the
other, of a decision that no tenancy will occur. The Landlord may retain only that portion of the fee expended for a credit check or
other expenses arising out of the application, and must return that portion of the fee not expended on behalf of the tenant making
application. Section 8-213 does not apply to any Landlord who offers four or less dwelling units for rent on one parcel of property or
at one location, or to seasonal or condominium rentals.
Applicant’s Signature
Date
Applicant’s Signature
Date
Landlord’s Name (print)
Landlord’s Signature
Date
ESTERQUE
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01/02
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Parent category: Business