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Monthly Winter Rental Application
Property Information
Rental Properties you are applying for
(in order of preference)
1st Choice:
--
Rent:$
2nd Choice:
--
Rent:$
3rd Choice:
--
Rent:$
Lease Dates Preferred:
(Enter dates as mm/dd/yyyy)
From:
To:
Personal Information
Your Name
Soc.Sec.#
Telephone
Telephone 2
Spouse Information
Spouse Name
Spouse SS#
Telephone
Rental History
Current Address:
Length of Occupancy
Choose one
< 1 Year
1 - 2 Years
3-5 Years
>5 Years
Monthly Rent:
$
Landlord Name:
Land Lord Address:
Phone #
Notes
Rental Info
How many people will occupy the property
1
2
3
4
5
Occupant 1
Occupant 2
Occupant 3
Occupant 4
Number of Pets
NONE
1
2
3
Type of pet(s)? (Be specific)
Employment Info
Name of Employer
Employer Phone
How long?
1
2
3
Position Held
Annual Income
Other Income
Spouse Employment Info
Name of Employer
Employer Phone
How long?
1
2
3
Position Held
Annual Income
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Please Review
This application shall not be construed as a lease agreement.
This application is made subject to Owner's approval and may be dissapproved without designating cause.
It is understood if this application is approved, the deposit made will be held as security for the performance of all terms and conditions of the Lease Agreement by the applicant. However, if this application is approved by the Owner and the applicant does not enter into a Lease Agreement, the deposit made shall not be refunded. In the event this application is not approved, the deposit will be returned to the applicant and both parties shall have no further liability to each other.
All questions must be answered in order for application to be considered.
Applicant(s) authorize the REALTOR to verify the foregoing information and to make credit and reference inquiries deemed necessary by them. Applicant(s) also authorize the release of information contained on this application or sought by such inquiries.
An
APPLICATON FEE OF $40.00
(non-refundable)
must be paid by check or money order made payable to Siebert Realty and mailed to:
Siebert Realty
ATTN: our rental department
601 Sandbridge Road
Virginia Beach, VA 23456
before final approval of application.
Submission of this application is authorization for item "E." referenced above in lieu of signature.