Work Phone ___________________________________ Work Phone ___________________________________
Work Fax ___________________________________ Work Fax ___________________________________
Work E-mail ___________________________________ Work E-mail ___________________________________
Vehicle Info
Year ____________ Make ______________________________ License __________________________
Year ____________ Make ______________________________ License __________________________
Year ____________ Make ______________________________ License __________________________
Boat or Trailer? Yes No No trailer parking on driveways. If Yes, Describe
Parking is limited to assigned driveway only. Vehicles over 20 feet or licensed over 24,000 lbs are not allowed
Pets
Do you have any pets? Yes No (policy limits pet at two) No pet shall enter property without written permission from landlord
List Type, Breed, Age _____________________________________ List Type, Breed, Age _________________________________
Character Reference
Name ___________________________________________ Address __________________________________________________
City __________________________________ State _________ Zip _____________Phone ________________________________
Contact In Case of Emergency:
Name ______________________________________ Address ______________________________ Relationship ______________
City __________________________________ State _________ Zip _____________Phone ________________________________
Do you own your own home? Yes No Year Make _____________ Size ______X_____
Have you or your spouse ever been sued for non-payment of rent? Yes No
Have you or your spouse ever been evicted or asked to move out? Yes No
Have you or your spouse ever declared bankruptcy? Yes No
If YES to any of the above questions, please explain:
Please Tell Us How You Heard About or Who Told You About The Property
All pets must be approved in writing prior to the pet being on the property.
Tenants with unauthorized pets are charged a fee of $10 per day any pet is on property unauthorized.
Any dog demonstrating aggressive behavior will be banned from the property and owner forced to remove it immediately.
Commercial Vehicles may not be parked on the property without written permission from Landlord.
Trailers, Boats, RV Vehicles, ATVs and the like may not be parked on the property without written permission from Landlord.
Unlicensed or inoperable motorized vehicles may not be operated or stored on the property without written permission from
Landlord.
Acceptance of this application and any monies deposited is not binding upon the Owner/Agent until approved for leasing by the Owner/Agent. It is further
understood and agreed that if application is approved, any monies deposited with this application will be held as an initial security deposit amount payment.
If applicant withdraws this application, the processing fee will be retained as liquidated damages. It is further agreed and understood that if a home or pad
is held for an applicant for more than three (3) days after the receipt of the security deposit monies and the applicant withdraws the application, the
Landlord shall retain all monies deposited as liquidated damages. If this application is not approved,
less the application fee
, all monies deposited will be
refunded. Applicant(s) further irrevocably authorize(s) Berkley Real Estate LLC, Red Hawk Estates and or Route 66 Estates, to transfer to the Owner-
Landlord at any time, without liability to anyone, any and all deposits herein mentioned or otherwise required in connection with the occupancy of the
applicant(s). Applicant(s) hereby acknowledge(s) and authorizes that the Owner-Landlord, Berkley Real Estate LLC, Red Hawk Estates, Route 66 Estates any
affiliate, agent or employee thereof, may procure any investigative “consumer report” as defined in the Fair Credit Reporting Act, 15 U.S.C. a(d), concerning
the applicant(s), including information as to the character, general reputation, personal characteristics, and mode of living of the applicant(s) and that the
applicant(s) that have the right within a reasonable period of time hereafter to request a complete and accurate disclosure of the nature and scope of the
investigation requested. Applicant(s) hereby authorize(s) the Owner-Landlord and their respective affiliates, agents and employees to disclose to others any
information about the applicant(s) possessed by them to extend such disclosure is not otherwise prohibited by law.
Applicant Signature ______________________________________________________ Date __________________
Applicant Signature _______________________________________________________ Date _________________