399 Palm Coast Pkwy., NW
Suite 2
Palm Coast, FL 32137
Office 386-447-3395
Fax 386-447-3389
RENTAL / CREDIT APPLICATION
PERSONAL INFORMATION
Rental Property Address: _____________________________________________
Term of Rental: ______month to month _______lease from _______to _______
Tenant’s Financial Obligation Prior to Occupancy:
First Month’s Rent $ ___________
Security Deposit $ ___________
Pet Deposit $___________
Application fee $___________
Other $___________
APPLICANT INFORMATION:
Name (full name): _______________________________________________
Social Security: _______________________ Date of Birth: ________________
Drivers License/ID Number: ______________________ State_____________
Home#: ____________________________ Cell#: _______________________
Work#: _________________________
CO-APPLICANT INFORMATION:
Name (full name): ______________________________________________
Social Security: _______________Date of Birth: __________________
Drivers License/ID Number: _______________________ State: _________
Home #: __________________________ Cell#: _______________________
Work#: ___________________________
RENTAL INFORMATION:
Current Address: _______________________________________________________
Dates lived at this address: From: _________________ to: __________________
Reason for leaving: ______________________________________________________
Landlord/Manager: ____________________________ Phone# __________________
I ______________________________authorize Sunburst Realty Group, Inc. to verify my previous Rental History with my previous landlord listed above.
Previous Address: _______________________________________________________
Dates lived at this address: From: _________________ to: __________________
Reason for leaving: ______________________________________________________
Landlord/Manager: ____________________________ Phone# __________________
I ______________________________authorize Sunburst Realty Group, Inc. to verify my previous Rental History with my previous landlord listed above.
APPLICANT INCOME:
Gross Monthly Employment Income before deductions: $__________________
Gross Monthly Income from other sources (average) $__________________
TOTAL GROSS MONTLY INCOME $__________________
APPLICANT EMPLOYMENT INFORMATON:
Current Employer/Name and Address: ________________________________________________________________________
________________________________________________________________________
Phone: ________________________
Supervisor: ____________________ Phone: ______________________
Length of Employment: _________________Still employed? ____ yes_____no
I _______________________________ authorize Sunburst Realty Group Inc. to verify my current employment status
CO-APPLICANT EMPLOYEMENT INFORMATION:
Current Employer/Name and Address: ________________________________________________________________________
________________________________________________________________________
Phone: ________________________
Supervisor: ____________________ Phone: ______________________
Length of Employment: _________________Still employed? ____ yes_____no
I _______________________________ authorize Sunburst Realty Group Inc. to verify my current employment status.
The premises shall be occupied only by the Tenant and the following persons:
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have pets: ________ yes _______ no
If yes, Breed _______________________ weight _______ Name________________
Do you smoke? ___________ yes _______ no
Do you plan to have water filled furniture on the rental property? _____yes ____no
If yes, explain __________________________________________________________
Have you ever been evicted? _____yes _____ no
Have you ever filed bankruptcy? _______ yes ________no. If yes explain ________________________________________________________________________________________________________________________________________________
APPLICANTS/S EMERGENCY CONTACT INFORMATION:
Name: _________________________________ Relationship: ___________________
Address: __________________________________ Phone: _____________________
Name: _________________________________ Relationship: ___________________
Address: __________________________________ Phone: _____________________
I hereby certify and affirm that all information provided above is true and correct. I fully understand that my lease or rental agreement may be terminated if I have made any false, misleading or incomplete statement in this application. I hereby authorize verification of all information provide in this application, including credit information, via credit bureaus and /or contact with current and previous employers and previous landlords. YOUR SECURITY DEPOSIT WILL NOT BE REFUNDABLE AFTER 3 BUSINESS DAYS FROM THE DATE THIS APPLICATION IS SIGNED, UNLESS YOUR APPLICATION IS DENIED.
_______________________________________ _____________________
APPLICANT DATE
_______________________________________ _____________________
CO-APPLICANT DATE