Rental Application

PLEASE READ THIS FIRST
Call our friendly staff and bring your completed application to the appointment you schedule with our office along with $75.00 per person (18 or older) in the form of a cashier’s check or money order. Please call our office if you have any questions 772-267-2001.

* Required

FIRST NAME *
MIDDLE NAME
LAST NAME *
BIRTH DATE *
SS# *
     
EMAIL ADDRESS *
PHONE 1 *
PHONE 2 *
   
DRIVERS LICENSE # *
STATE *
OTHER NAMES EVER USED INCL. MAIDEN NAME

 

LIST ALL ADDITIONAL ADULTS AND CHILDREN AGE RELATIONSHIP TO APPLICANT

 

CURRENT ADDRESS
STREET *
UNIT #
CITY *
ST *
ZIP *
HOW LONG (MO/DA/YR) * 
FROM:    TO:
LAST RENT PAID: *
MONTH AMT
OWNER/MANAGER *
OWNER/MANAGER PHONE *
REASON FOR LEAVING *
PRIOR ADDRESS
STREET
UNIT #
CITY
ST
ZIP
HOW LONG (MO/DA/YR) 
FROM:    TO:
LAST RENT PAID:
MONTH AMT
OWNER/MANAGER
OWNER/MANAGER PHONE 
REASON FOR LEAVING


 

EMPLOYMENT

  CURRENT EMPLOYMENT *
EMPLOYER *
ADDRESS *
EMPLOYER PHONE *
OCCUPATION/POSITION *
TYPE OF BUSINESS *
NAME OF SUPERVISOR *
DATES EMPLOYED * FROM: TO:
MONTHLY SALARY *
OTHER INCOME *
  PREVIOUS EMPLOYMENT
 
 
 
 
 
 
  FROM: TO:
 
 

 

REFERENCES      
NAME OF BANK/CREDIT UNION BRANCH OR ADDRESS

        ACCOUNT #

BALANCE
CHECKING
SAVINGS   
CHECKING
SAVINGS   
         
CREDIT CARD/CAR PAYMENTS ADDRESS ACCOUNT # MO PMNT BALANCE

 

PERSONAL REFERENCES ADDRESS/CITY RELATIONSHIP TELEPHONE
       
EMERGENCY CONTACT * ADDRESS/CITY * RELATIONSHIP * TELEPHONE *

 

ADDITIONAL INFORMATION

YES /NO

1. HAVE YOU EVER HAD ANY CREDIT PROBLEMS? *
2. HAVE YOU EVER HAD AN UNLAWFUL DETAINER (EVICTION) FILED AGAINST YOU? *
3. HAVE YOU EVER BEEN EVICTED FOR NON-PAYMENT OF RENT OR ANY OTHER REASON? *
4. HAVE YOU EVER FILED BANKRUPTCY? *
5. HAVE YOU EVER BEEN CONVICTED FOR SELLING, POSSESSING OR MANUFACTURING
    ILLEGAL DRUGS? *
6. HAVE YOU EVER BEEN CONVICTED OF A FELONY? *

7. WILL YOU HAVE PETS? *      YES      NO  HOW MANY?    DESCRIBE
8. WILL YOU HAVE WATER-FILLED FURNITURE IN YOUR RESIDENCE? * DESCRIBE
9. PLEASE EXPLAIN ANY "YES" ANSWERS
11. HOW DID YOU HEAR ABOUT US? *
10. WHEN DO YOU PLAN TO MOVE IN? (DATE) *

 

AUTOMOBILES      
AUTO #1      
YEAR COLOR
MAKE LICENSE #
MODEL STATE
       
AUTO #2      
YEAR COLOR
MAKE LICENSE #
MODEL STATE

 

I HEREBY APPLY TO RENT A HOUSE # AT
FOR $ PER MONTH AND UPON APPROVAL OF MY APPLICATION AGREE TO PAY THE FIRST
MONTH'S RENT OF $   AND A SECURITY DEPOSIT IN THE AMOUNT OF $ .
I WOULD LIKE A  GARAGE   CARPORT
 
If approved, applicant shall pay holding deposit and balance of first month rent and security deposit in the form of cashier's check or money order.

I authorize Robinhood Terrace/Paradise Residential to check my application using all the information I provided. *
Please type your name: *
 

 

 

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