Grand Heritage Real-Estate

Property Management Department

Application is made to lease premises known as ___________________________________

For ______ year(s) beginning on the ______ day of _________________, 20_______ for the monthly rent of

$___________ payable in advance eon the first day each month.  Rent commences on the _________________ day of ______________________, 20______.  It is understood the premises are to be used as a family residence occupied by not more than _______ persons; and that occupancy is contingent upon property being vacated by present occupant.  All personal property placed in said premises shall be at tenant´s risk.  A deposit in the sum of

$_____________ is made herewith to be held by _________________________________, with a clear understanding that this application, including each prospective occupant, is subject to approval and acceptance.  If this application is not approved and accepted by the owner or agent, the deposit will be refunded.

IF THIS APPLICATION IS APPROVED, A DEED OF RELEASE MUST BE EXECUTED WITHIN __________ DAYS OTHERWISE APPLICANT WILL BE LIABLE FOR LIQUIDATED DAMAGES. 
____ Check  ____ Cash ____ Money Order  ____Travel´s Checks

WHERE CAN YOU BE REACHED PRIOR TO THE LEASE TERM? 

Home Phone: _______________________    Work Phone: ________________________

IT IS IMPORTANT THAT ALL OF THE FOLLOWING INFORMATION BE GIVEN:

1.  Applicant´s Name (print) _________________________________________________      Age: _________

               a) If member of Armed Forces give Rank and Branch: ________________________

               b) Social Security No. _______________________________    
               c) Driver´s License No. ______________________________

2. Applicant Employed By: ______________________________________________  
    How Long? ___________

    Business Address: ________________________________________ 
    Phone No. ______________ Ext. ______

    Position: _____________________________  Annual Salary $__________________     
    Supervisor: ___________________________

    Other Income $ ________________    Source: __________________________________

3. Children: How Many? ________   Boys _______   Girls ______   Ages ______________

    Do you have pets? _________ What kind? ___________   Breed? _______________          
    How Many? _________  

4. Present Address: _______________________________________________________ 
    How Long? ___________

    Name of Landlord: _________________________  Phone No. ________________ 
    Rent per Month $_________

5. Previous Address: ______________________________________________________
    How Long? __________

    Name of Landlord: _________________________  Phone No. ________________ 
    Rent per Month $_________

6. Spouse: ___________________________________________   Age: _________

    Social Security No. _______________________   
    Driver´s License No. ____________________

    Employed By: _____________________________________________________  
    How Long? _____________

    Phone No. _____________________________    Ext. ___________

    Position: ______________________  Annual Salary $ _______________  
   Supervisor: ____________________

Business Reference:

    Name of Firm: _________________________________________________________

    Address of Firm: _______________________________________________ 
    Phone No. ___________________

    Bank: _____________________________________________ 
   Checking Account: ____________________________________________

    Savings Account No. __________________________________________

   
Name and Address of nearest relative: ______________________________________________

Credit Reference:

    Name of Firm: _______________________________________  
    Account No. ________________________________________

    Address: ____________________________________________________________

    Name of Firm: _______________________________________  
    Account No. ________________________________________

    Address: _____________________________________________________________

7. Monthly Payments:   Car $_______________   Charge Accounts $ _______________  
    How Many? _________

    Total Monthly Payments $________________________

IF APPLICANTS IS SELF-EMPLOYED, PLEASE ATTACH PHOTOSTATS FOR PAST TWO YEARS OF:

a)      Individual US Tax Form 1040

b)      Self-Employment US Tax Schedule C

SPECIAL NOTICE TO APPLICANT PAID ON AN HOURLY OR WEEKLY BASES:

a)      Attach Form W-2 for the past tow years with your application

I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE.  I HEREBY AUTHORIZE THE PERSON OF FIRM TO WHOM THIS APPLICATION IS MADE, ANY CREDIT BUREAU OR OTHER INVESTIGATIVE AGENCY EMPLOYED BY SUCH PERSON, TO INVESTIGAGE THE REFERENCES HEREIN LISTED OR STATEMENTS OR OTHER DATA OBTAINED FROM ME OR FROM ANY OTHER PERSON PRETAINING TO MY CREDIT AND FINANCIAL RESPONSIBILITY.  PLEASE READ BEFORE SIGNING APPLICATION: 

Sales Agent: _________________________________         
Applicant: __________________________________

 Do Not Write In this Space                                                     
Applicant: __________________________________