* Required fields
*The address of the home you are looking to rent:
*Agent or Homeowner. Name:
*Agent or Homeowner Phone:
Agent or Homeowner E-mail:
*Date when I want to occupy (mm/dd/yy):
*Rent amount ($ per month):
TO APPLY, THE FOLLOWING IS REQUIRED:
All application must be filled out and signed by the applicant on all pages of the application.
A separate application is required for all adults, 18 years and older, NO EXCEPTIONS.
Applicants may be required to be approved by a condo/homeowners association and may have to pay an
additional application fee.
A processing fee in cash, cashier's check, money order or credit card must accompany each application.
NO APPLICATION WILL BE PROCESSED WITHOUT A PROCESSING FEE.
Reliable documentation and telephone numbers for all income must be provided, no exceptions.
Photo documentation (driver's license, military ID or state ID) is required
All intended occupants must be listed below.
You must disclose ALL pets, vehicles of any nature and water filled furniture on this application.
YOU ARE HEREBY NOTIFIED OF THE FOLLOWING PROCEDURES AND POLICIES:
The processing fees in NON-REFUNDABLE.
Pets must be approved by the lessor.
If you have water filled furniture, you must supply the lessor with proof ofinsurance.FS83.535.
When approved, a holding deposit must be paid within one (1) business day in order to hold the
property and refuse other applicants. If applicant defaults on renting the property at the agreed time,
the holding deposit will be forfeited.
Prior to move in, all monies owed must be paid in full with CERTIFIED FUNDS (cashier's check or money
order) PRIOR TO RENTING.
*I, the Undersigned Applicant, affirm the information contained in this two page application is true and correct and authorized Home Seekers, Inc. and Landlord to verify all information contained in this application. Misstatements, either false or incorrect shall be deemed reason for denial of occupancy. I understand due to the Fair Credit Reporting Act, I will not be furnished a copy of my credit report from Home Seekers, Inc. nor Landlord. I understand that the information obtained from this application will be turned over to the Landlord and that the final decision for acceptance or denial rests with the landlord. I understand this application is the property of the Landlord and HomeSeekers, Inc.
* I ALSO AFFIRM THE FOLLOWING WILL BE A RESIDENT OF THE PROPERTY.
List names (First & Last) and ages of all prospective tenants, including yourself:
*Primary Occupant Name: DOB
2nd Occupant Name: DOB (mm/dd/yy):
3rd Occupant Name: DOB (mm/dd/yy):
4th Occupant Name: DOB (mm/dd/yy):
5th Occupant Name: DOB (mm/dd/yy):
6th Occupant Name: DOB (mm/dd/yy):
7th Occupant Name: DOB (mm/dd/yy):
8th Occupant Name: DOB (mm/dd/yy):
Address (full address):
Day phone (w/area code):
Evening phone w/area code):
Cell phone w/area code):
*Date of birth (mm/dd/yy):
*Social Security Number:
*Drivers license number:
*Drivers licence state:
Please Answer the Following
Do you have any pets?: Yes No
If so, how many?:
Are you a smoker?: Yes No
Will you have any water filled furniture?: Yes No
If so, please specify:
Have you ever declared bankruptcy: Yes No
If so, when?:
Have you ever been evicted?: Yes No
If so, please specify?:
Have you ever been convicted of a felony?: Yes No
If so, please specify?:
Have you ever been convicted of a misdermenor?: Yes No
If so, please specify?:
Have you ever refused to pay rent?: Yes No
If so, when and why?:
Check with your the agent/owner regarding the reports they require:
The total amount can be paid now by credit card, or later by calling our office. By filling in credit
information, the applicant authorizes Tompkins Management Company to charge the credit card:
AUTHORIZATION TO PREFORM CREDIT CHECK
The applicant hereby consents to and authorizes the Landlord's investigation into the credit worthiness of the Applicant. Such consent and authorization is given with respect to any and all persons who may conduct an investigation of the Applicant's credit worthiness on behalf of the Landlord, including independent contractors and credit agencies retained by Landlord for such purpose.
Applicant grants such consent and authorization to Landlord for the period commencing as of the date of this application and terminating at the date set for the termination of the proposed lease. Applicant acknowledges that Landlord may conduct a credit investigation of Applicant at any time from the date hereof up to the ending date.
This applicant hereby waives any and all claims, past, present or future, which the Applicant may have against the Landlord by reason of any credit investigation made pursuant to Applicant's consent and authorization herein given to the Landlord.
We are not responsible for withdrawal, approval of tenant by landlord, or change in price without notice. If for any reason the landlord cannot deliver possession of the premise to the tenant, there shall be no liability for any expense caused by such delay or termination.
* Digital Signature: to sign this agreement, enter your full legal name
Before you click Submit, please select "File" then "Print" from the menu bar, sign the printed copy on the line below and
fax this application to 954-582-2818.