Please complete all lines of this form. If an item does not apply, type in"N/A". Please read the Requirements for Residency document before submitting your application. When completed, please print the form and mail to above address.
You must be at least 18 years of age to submit a rental application with our company. An application must be submitted for each applicant 18 years of age or older. All persons who will be signing the lease as a "Resident" must qualify. You must be either: employed with a verifiable employment history, retired, or a full-time college student with co-signer. Your Salary/Income must be verifiable by either: your employer, by copies of your past two paycheck stubs, or your most recent tax records. You must have a positive mortgage or rental history. Your history must be verifiable by either your Landlord (for renters) or your mortgage history (for owners) as reflected on your credit record. First time renters may require additional security deposit and/or guarantor. A positive credit line is required. Accounts placed for collection, reported as a loss or as a charge off within the past three years will constitute negative credit.
Occupancy Limits
1 Bedroom - 2 Occupants, 2 Bedrooms - 4 Occupants, 3 Bedrooms - 6 Occupants
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Name
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Soc. Security #
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Age  Driver's Lic |
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Date of Birth
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Email Address
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Present Address
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Own Rent How long Phone |
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Previous Address
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Own Rent How long Phone |
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Have you ever broken a lease or been evicted from any type of housing?
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Current Employer
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Address
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Phone
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Position
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How long employed Monthly Salary |
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Marital status
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Spouse's Name
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Spouse's
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Social Security # Date of Birth |
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Spouse's Employer
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Address
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Phone
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Position
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How long employed Monthly Salary |
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Other Occupants:
all persons, excluding applicant, to be occupying premises):
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List all vehicles to be parked on the premises (cars, campers, motorcycles, boats)
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Campers, boats, PWC, trailers, etc. must be parked in a designated storage area, not in the rental unit parking lot.
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References
(bank & retail)
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In case of emergency notify
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Name:
Address:
Phone: |
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Property desired
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Dates of occupancy
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Occupancy beyond the initial rental period, if approved by lessor, may constitute rate increase.
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| Applicant represents that all of the above statements are true and correct and hereby authorizes Bernard's Landing S&R, Inc. the authority to validate all above information, references, credit records and criminal records. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and, or forfeiture of deposits if occupancy has taken place. This application shall become part of the Lease Agreement upon acceptance by Lessor. In the event this application is disapproved for any reason, or should Applicant(s) fail to enter into the contemplated Lease Agreement through no fault of Lessor, Lessor shall retain the said deposit as liquidated damages. Should this application be accepted, the Security Deposit must be remitted to Lessor within 7 calendar days after notification of acceptance by Lessor. Failure to remit said balance will result in a rejection of the application. |
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Applicant Signature
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Spouse Signature
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Date
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FOR OFFICE USE ONLY
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Deposit Received
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Accepted By
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Rejected By
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