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RESIDENTIAL LEASE APPLICATION: received___date_______
The Red House, 399 Watersedge Terrace, Nr. Elgin,
78621
Each occupant and co-applicant 18 years
or older must submit a separate
application.
Property Address: 399 Watersedge Terrace, Elgin, Texas 78621
(Located off 969, E. of Webberville, Off Lazy River Lane – across
from Fire Station. Then left on to Watersedge terrace)
Anticipated: Move-in Date: Monthly Rent: $ Security
Deposit: $ _
Applicant was referred to Landlord by:
Real estate agent (name)
(phone)
____ Newspaper ____Sign ____ Internet ____Other
Applicants name (first, middle,
last)_______________________________________________________
Is there a co-applicant? ____ yes
____ no If
yes, co-applicant must submit a separate application.
Applicant's former last name (maiden or married) _
Email ____________________________________________________ Home
Phone__________________________________
Work Phone __________________________~
Cell/Mobile______________________________________________
Soc. Sec. No. Driver License No. in (state)__________________________________________________________
Date of Birth Marital Status Citizenship (country)______________________________________________________
Emergency Contact: Name: ____________________________
Address: __________________________________________
Phone: E-mail: ______________________________________
Name all other persons who will occupy the Property:
Name: Relationship: Age: _______________________________________
Name: Relationship: Age: ________________________________________
Name: Relationship: Age: _______________________________________
Name: Relationship Age ________________________________________
Applicant's Current Address:________________________________________________________________________
Apt ______
______________________________ (city,_______________
state,____________ zip)____________
Landlord's Name:____________________________________ Email:
_____________________________
Phone:
______________________
Cell__________________________________
Date Moved-In___________________________ Move-Out Date
_______________________ Rent $__________ _
Reason for move:
______________________________________________________________________________________________________
Previous Landlord's name ______________________________________ Email
_______________________________
Phone:_______________________________ Day
__________________________________:
Date Moved-In ________________________________ Date Moved-Out
Rent $ _________________________
Reason for move: .
________________________________________________________________________________________________________
Applicant's Current Employer:
_______________________________________________________________________________________________
Address:_____________________________________________________ ,
city________________________, state____________________,
zip___________________
Supervisor's Name: Phone: ________________________________________
E-mail: __________________________________________
Start Date: ______________________________ Gross Monthly
Income:_______________________________ $ Position:
_____________________________________
Note: If Applicant is self-employed,
Landlord may require one or more previous year's tax return attested
by a CPA,
attorney, or other tax professional.
Applicant's Previous Employer:
_____________________________________
Address:
___________________________, city___________________,
state____________________, zip_________________________
Supervisor's Name:________________________________ Phone:
_____________________________
E-mail: _______________________________________________
Employed from to Gross Monthly Income: $___________________________
Position:
_______________________________________
Describe other income Applicant wants considered:
______________________________________
List all vehicles to be parked on the Property
Year__________ Make ____________ Licence__________________________________
State ____________
Year__________ Make ____________ Licence__________________________________
State ______________
Year__________ Make ____________ Licence__________________________________
State ______________
List all pets to be kept on the property (dogs, cats fish and
other pets)
Type/breed
Name
Color
Weight Age Gender Neutered?
Declawed? Shots Current?
__________ ___________ __________ ______
______ ________ No __ Yes___ No ___ Yes __ Yes __ No ___
__________ ___________ __________ ______
______ ________ No __ Yes___ No ___ Yes __ Yes __ No __
__________ ___________ __________ ______
______ ________ No __ Yes___ No ___ Yes __ Yes __ No ___
__________ ___________ __________ ______
______ ________ No __ Yes___ No ___ Yes __ Yes __ No __
Will any waterbeds or
water-filled furniture be on the Property? Yes ____ No______
Does anyone who will occupy the Property smoke?
Yes____ No____ __
Will Applicant maintain renter's insurance? Yes____ No_____
Is Applicant or Applicant's spouse, even if separated, in military?
Yes ____ No_____
If yes, is the military person serving under orders limiting
the military person's stay to one year or less?
_____________________________________________________________________ __
Has Applicant ever: been evicted? Yes ___ No___
been asked to move out by a landlord? Yes __
No_
breached a lease or rental agreement? Yes________ No_______
filed for bankruptcy? Yes_______________ No _____________
lost property in a foreclosure? Yes
_____________ No _____________
had credit problems, slow-pays or delinquencies? Yes____________ No
_____________
been convicted of a crime? Yes______________ No ___________
Is any occupant a registered sex offender? Yes___________ No
___________
Are there any criminal matters pending against any
occupant? Yes ___ No _____
Does any occupant have any
addictions? Yes ______ ____ No ________________
Any additional information Applicant wants considered? ____ ____
_______________________
Explanation
______________________________________________________________________________________________________
__________________________________________________________________________________________________________
___
Authorization: Applicant authorizes
Landlord and Landlord's agent, at any time before, during, or after any
tenancy, to: {1 ) obtain a copy of Applicant's credit report (2) obtain a
criminal background check related to
Applicant and any occupant; and(3) verify any rental or employment history or
verify any other information related to this application with persons
knowledgeable of such information;
Notice of Landlord's Right to Continue to
Show the Property: Unless Landlord and
Applicant enter into a separate written agreement otherwise, the Property
remains on the market until a lease is signed by all parties and Landlord may
continue to show the Property to other prospective tenants and accept another
offer.
Privacy Policy: landlord maintains a privacy policy that is available upon
request.
Acknowledgement &
Representation:
(1) Siqninq this application indicates that Applicant has had the
opportunity to review Landlord's tenant selection criteria. which is
available upon request. The tenant selection criteria may include factors
such as criminal history, credit history. current income and rental
history .. (2) Applicant understands that providinq inaccurate
or incomplete information is qrounds for rejection of this application
and may be grounds to declare Applicant in breach of any lease the
Applicant may sign.
(3) Applicant represents that the statements in this application are
true and complete.
Applicant's Signature______________________________________________Date__________________________
Applicant's Signature______________________________________________Date__________________________
For Landlord's Use
Date _______________________________ notified Applicant by phone_________
mail________ email __________
in person that Applicant (s) was : approved _______ not approved______
Reason _________________________________
Hilary Page
12451 Queensbury Lane,
Houston, Texas 77024
Email : hpage2@comcast.net
Web site: www.hilarypage.com
Phone: 713 467 8709
Cell: 832 212 0801
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