Residential lease application

Residential Lease Application

Each occupant and co-applicant 18 years or older must submit a separate application.

Step 1 of 2

Property Address*
Street Address Address Line 2 City State ZIP Code
Anticipated Move-in Date*
MM slash DD slash YYYY
Anticipated Monthly Rent*
Anticipated Security Deposit*
Initial Lease Term Requested*
Months
Property Condition: Applicant is strongly encouraged to view the Property prior to submitting any application. Landlord makes no express or implied warranties as to the Property's condition. Applicant requests Landlord consider the following repairs or treatments should Applicant and Landlord enter into a lease:
Untitled*
Applicant was referred to Landlord by
- Real Estate Agent
- Newspaper
- Sign
- Internet
- Other
Other Referred By
Real Estate Agent Name
Real Estate Agent Phone
Real Estate Agent Email
Applicant's name (first, middle, last)*
Applicant's former last name (maiden or married)
Is there a co-applicant?*
- Yes
- No
If yes, co-applicant must submit a separate application.
Email*
Home Phone*
Work Phone*
Mobile/Pager*
Soc. Sec. No.*
Driver License No.*
Driver License No. State*
Date of Birth*
MM slash DD slash YYYY
Height*
Weight*
Eye Color*
Hair Color*
Marital Status*
Citizenship (country)*
Emergency Contact: (Do not insert the name of an occupant or co-applicant)
Name*
Address*
Phone*
Email*
Number of other persons who will occupy the Property*
Occupant 1 - Name*
Occupant 1 - Relationship*
Occupant 1 - Age*
Occupant 2 - Name*
Occupant 2 - Relationship*
Occupant 2 - Age*
Occupant 3 - Name*
Occupant 3 - Relationship*
Occupant 3 - Age*
Occupant 4 - Name*
Occupant 4 - Relationship*
Occupant 4 - Age*
Applicant's Current Address*
Street Address Apt. No. City State ZIP Code
Landlord or Property Manager's Name*
Landlord or Property Manager's Email*
Phone (Day)
Phone (Night)
Phone (Mobile)
Fax
Date Moved-In*
MM slash DD slash YYYY
Move-Out Date*
MM slash DD slash YYYY
Rent $*
Reason for move*
Applicant's Previous Address*
Street Address Apt. No. City State ZIP Code
Landlord or Property Manager's Name*
Landlord or Property Manager's Email*
Phone (Day)
Phone (Night)
Phone (Mobile)
Fax
Date Moved-In*
MM slash DD slash YYYY
Move-Out Date*
MM slash DD slash YYYY
Rent $*
Reason for move*
Applicant's Current Employer*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor's Name*
Phone*
Fax
Email*
Start Date*
MM slash DD slash YYYY
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
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor's Name*
Phone*
Fax
Email*
Employed from*
MM slash DD slash YYYY
Employed To*
MM slash DD slash YYYY
Gross Monthly Income $*
Position*
Describe other income Applicant wants considered*
Number of Vehicles to be parked on the Property*
Vehicle 1 Type*
Vehicle 1 Year*
Vehicle 1 Make*
Vehicle 1 Model*
Vehicle 1 License Plate No/State*
Vehicle 1 Monthly Payment*
Vehicle 2 Type*
Vehicle 2 Year*
Vehicle 2 Make*
Vehicle 2 Model*
Vehicle 2 License Plate No./State*
Vehicle 2 Monthly Payment*
Vehicle 3 Type*
Vehicle 3 Year*
Vehicle 3 Make*
Vehicle 3 Model*
Vehicle 3 License Plate No./State*
Vehicle 3 Monthly Payment*
Vehicle 4 Type*
Vehicle 4 Year*
Vehicle 4 Make*
Vehicle 4 Model*
Vehicle 4 License Plate No./State*
Vehicle 4 Monthly Payment*
Will any pets (dogs, cats, birds, reptiles, fish, and other pets) be kept on the Property?*
Pet 1 - Type & Breed*
Pet 1 - Name*
Pet 1 - Color*
Pet 1 - Weight*
Pet 1 - Age in Yrs.*
Pet 1 - Gender*
Pet 1 - Neutered*
Pet 1 - Declawed*
Pet 1 - Shots Current*
Pet 1 - Bite History*
Pet 2 - Type & Breed*
Pet 2 - Name*
Pet 2 - Color*
Pet 2 - Weight*
Pet 2 - Age in Yrs.*
Pet 2 - Gender*
Pet 2 - Neutered*
Pet 2 - Declawed*
Pet 2 - Shots Current*
Pet 2 - Bite History*
Pet 3 - Type & Breed*
Pet 3 - Name*
Pet 3 - Color*
Pet 3 - Weight*
Pet 3 - Age in Yrs.*
Pet 3 - Gender*
Pet 3 - Neutered*
Pet 3 - Declawed*
Pet 3 - Shots Current*
Pet 3 - Bite History*
Pet 4 - Type & Breed*
Pet 4 - Name*
Pet 4 - Color*
Pet 4 - Weight*
Pet 4 - Age in Yrs.*
Pet 4 - Gender*
Pet 4 - Neutered*
Pet 4 - Declawed*
Pet 4 - Shots Current*
Pet 4 - Bite History*
Will any waterbeds or water-filled furniture be on the Property?*
Does anyone who will occupy the Property smoke?*
Will Applicant maintain renter's insurance?*
Is Applicant or Applicant's spouse, even if separated, in military?*
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?*
been asked to move out by a landlord?*
breached a lease or rental agreement?*
filed for bankruptcy?*
lost property in a foreclosure?*
had any credit problems, including any outstanding debt (e.g., student loans or medical bills), slow-pays or delinquencies?*
been convicted of a crime? If yes, provide the location, year, and type of conviction below.*
Is any occupant a registered sex offender? If yes, provide the location, year, and type of conviction below.*
Is there additional information Applicant wants considered?*
Additional comments*
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's agent or property manager maintains a privacy policy that is available upon request.

Fees: Applicant submits a non-refundable fee of $50 to Betty Black Real Estate (entity or individual) for processing and reviewing this application.

Acknowledgement & Representation:
(1) Signing 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 providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee 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*
MM slash DD slash YYYY

AUTHORIZATION TO RELEASE INFORMATION
RELATED TO A RESIDENTIAL LEASE APPLICANT
Use of this Form By Persons Who Are not members of the texas association of realtors™, Inc. is not authorized.
Texas Association of REALTORS™, Inc. 2018
I,*
(Applicant), have submitted an application to lease a property located at
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
The landlord, broker, or landlord's representative is: Realty Exchange Group/Betty Black Real Estate (name) 2801 Santa Fe (address) Corpus Christi TX. 78404 (city, state, zip) (361)654-5555 (phone) (361)654-7368 (fax) [email protected] (e-mail) I give my permission:
(1) to my current and former employers to release any information about my employment history and income history to the above-named person; (2) to my current and former landlords to release any information about my rental history to the above-named person; (3) to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person; (4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and (5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.
Applicant's Signature*
Date*
MM slash DD slash YYYY
Note: Any broker gathering information about an applicant acts under specific instructions to verify some or all of the information described in this authorization. The broker maintains a privacy policy which is available upon request.

Residential lease application

Residential Lease Application

Each occupant and co-applicant 18 years or older must submit a separate application.

Step 1 of 2

AUTHORIZATION TO RELEASE INFORMATIONRELATED TO A RESIDENTIAL LEASE APPLICANT

AUTHORIZATION TO RELEASE INFORMATION
RELATED TO A RESIDENTIAL LEASE APPLICANT