Application Form

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RENT ME FLORIDA RENTAL
APPLICATION FORM

A $99.00 application fee is required for the first person and then a $15.00 fee is required for each additional person over the age 18 that plan to live at the property. A separate form must be completed for each applicant. A complete credit and background check will be processed.

Application Fee must be paid in advance. We accept money orders or credit cards. Please be advised that there are no refunds once application is submitted either in online, in person, fax or email.

Should your application be approved and you enter into a one year lease you will receive a Reward of a 3day/2night stay at your choice of one of 25 locations in the USA compliments of RENT ME FLORIDA.

* Required

Payment Information:

*Credit Card #:

*Card Type: MasterCard Visa Discover American Express

*Exp. Date:

* Enter 3 Digit Security Code for Visa, Master Card and Discover or enter 4 Digit Security Code American Express

*Name as listed on card:

*Billing Address:

*Street Address: *City:

*State: *Zip:

Sales Agent:

Referred By:

Property Applying for (If known):

Applicant
*Full name [include all names you use(d)]:

*Home phone: (xxx)xxx-xxxx Work phone:
*Email:
Social Security number:
Birth Date (mm/dd/yyyy)
Driver’s license number: State
Vehicle make: Model: Color:
Year: License plate number/state: State:

Additional Occupants
List full names of everyone, including children, who will live with you at least 50% of the time:
Name 1:
Name 2:
Name 3:
Name 4:
Name 5:
Name 6:

Rental History (24 Months Required)
Current address: City:

State: Zip: County:

Dates lived at address:
Reason for leaving:
Landlord/manager:
Landlord/manager’s phone:

Previous address: City:

State: Zip: County:

Dates lived at address:
Reason for leaving:
Landlord/manager:
Landlord/manager’s phone:

Pets

Do you have any pets? Yes No
Type:
Breed or descriptions of pet:
Size: Weight:

Miscellaneous
Do you smoke? Yes    No
Have you ever:
Filed for bankruptcy?    Yes    No
Been sued?    Yes    No
Been evicted? Yes    No
Been convicted of a crime?    Yes    No
Been in jail? Yes    No

Explain any “yes” answer to the above questions (attach sheet if necessary):

Personal References: Non Relative
Name:
Relationship:
Phone:
Address:

Name:
Relationship:
Phone:
Address:

Emergency Contact
Name:
Relationship:
Phone:
Address:

Employment (List last two years)
Name of current employer:
Address of Current Employer:
Employer’s Phone:
Name of supervisor:
Dates employed at this job:
Position or title:

Employer	Address	Phone	Supervisor	Dates Employed	Position Or Title

Please upload your last two months paycheck stubs: (If appl.)

Income
1. Gross monthly employment income (before deductions): $
2. Average monthly amounts of other income: $
Total: $

By initialing below, I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers and personal references. I also authorize Lessor to obtain a copy of my credit report and to rely upon the information contained in that report in the consideration of this application.

Initials of applicant:* Date: * (dd/mm/yyyy)