MARYLAND RENTAL/LEASE APPLICATION
USE BLACK INK AND
PLEASE PRINT CLEARLY!
VERIFY I.D. / SSN / ADDRESS INFO
Applicant:
SSN#:
/
/
LAST
FIRST
MIDDLE
Drivers Lic. #/State:
/
DOB:
/
/
Co-Applicant:
SSN#:
/
/
LAST
FIRST
MIDDLE
Drivers Lic. #/State:
/
DOB:
/
/
Present Address:
Rent Amt: $
City
State:
Zip:
Current Landlord:
Phone: (
)
Previous Address
Rent Amt: $
City
State:
Zip:
Has an eviction ever been filed against you?
Yes
/
No
Previous Landlord:
Phone: (
)
Date From:
to
Present Employer:
Position:
Date From:
to
Gross Income: $
per week [ ]
month[ ]
yr [ ]
Bank Name:
Savings Acct. #
Checking Acct. #
Co-Applicant’s Employer:
Position:
Date From:
to
Gross Income: $
per week [ ]
month[ ]
yr [ ]
Bank Name:
Savings Acct. #
Checking Acct. #
Others who will occupy premises:
Pets? Yes or No
A
, non-refundable application fee (money order, certified or cashier’s check), per Social Security number, must be made payable to
and a legible photocopy of each applicant’s driver’s license must be submitted with this application.
Upon approval by the landlord of this application, the first full-month’s rent (money order, certified or cashier’s check) must be made payable to
. A security deposit (money order, certified or cashier’s check) will also be collected from the applicant.
TERMS: APPLICANT CERTIFIES THAT ALL INFORMATION GIVEN TO EVALUATE THIS APPLICATION TO RENT/LEASE IS CORRECT AND
COMPLETE. APPLICANT AUTHORIZES ALL INQUIRIES BY ,
AGENT AND/OR NATIONAL TENANT NETWORK DEEMED NECESSARY TO EVALUATE THIS APPLICATION. APPLICANT FURTHER
UNDERSTANDS THAT ANY FALSE, INACCURATE, OR INCOMPLETE INFORMATION IS GROUNDS FOR IMMEDIATE REJECTION. APPLICANT
SPECIFICALLY AUTHORIZES AND REQUESTS ALL PRESENT AND PREVIOUS EMPLOYERS, MORTGAGE HOLDERS, LANDLORDS, RENTAL
AGENTS, CREDIT GRANTORS, BANKS, ACCOUNTANTS, STOCK BROKERS, AND ANY GOVERNMENT AGENCY TO RELEASE ANY
REQUESTED INFORMATION IN THE EVALUATION OF THIS APPLICATION. CBRB UTILIZES THE SERVICES OF NATIONAL TENANT
NETWORK TO PERFORM BACKGROUND CHECKS AND CREDIT REPORTS.
If I rent the unit, I understand my rental history including lease violations and information I provide on this application may be reported to
and maintained by National Tenant Network for up to 7 (seven) years after I vacate the premises.
Applicant Signature:
Date:
Co-Applicant Signature:
Date: