Endless Horizons Realty

Click HERE to access printable form

Endless Horizons Realty, Inc.
423 Green Acres Road
Ft. Walton Beach, FL 32547
850-315-0111

RENTAL APPLICATION

Address of Rental Property _________________________________________________

Date of Occupancy ______________________ Lease Term _______________________

Applicant’s Name __________________________________ Date of Birth _________ Sex _____

Social Security # _____________________ Driver’s Lic. # ____________________

Present Address __________________________ City _______________ State _____ Zip ________

For how long? _________ Home # _________________ Cell # ________________

Landlord’s Name _______________ Phone # ______________ Rent/Mtg Payment _____________

Reason for leaving present address _________________________________________________________________________________

Previous Address _______________________ City _________________ State ______ Zip ________

For how long? _______ Landlord’s Name ________________ Phone # _____________________

Previous Rent or Mortgage Payment ___________________

Reason for leaving previous address
________________________________________________________________________________

Employer ______________________ Address ___________________________

Work Phone # __________________ Position/Rank (Military) __________ For how long? _________

Gross Monthly Salary $______________ Supervisor’s Name ______________________

2nd Employer _____________________ Address ______________________ Wk # _______________

Position ___________ For how long? ________ Gross Monthly Salary __________ Supervisor _____

Marital Status: Single ____ Married ____ Divorced ____ Separated ____

Spouse’s Name ____________________________________ Date Of Birth __________ Sex ______

Social Security # ________________________________ Driver’s Lic. # ____________________

Employer ________________________ Address __________________________

Wk Phone # ________ Position __________ For how long? _________ Monthly Salary ___________

List all residents who will reside at the property:

Name ______________________ Age ______ Relationship _________________

List the name of one professional reference (including doctors, lawyers), first shirt if military:

Name ______________________ Phone # ___________ Relationship ________________

List the name of at least one personal reference (friend or relative) not including father and mother:

Father ____________________ Phone # ____________ Work # ___________________

Mother ____________________ Phone # ____________ Work # ___________________

          Name ____________________ Phone # _____________ Relationship ______________

          Name ____________________ Phone # _____________ Relationship _______________

What type of pets do you have? Pets will require additional rent and/or pet fee and owners written permission. TYPE ____________ BREED ____________ WEIGHT ________lbs.

List all vehicles to be parked on the premises (cars, trucks, motorcycles, trailer, boats, RV):

Make __________ Model __________ Yr ______ Plate # _______________ State _____

Have you or your spouse ever had an eviction case filed against you? YES / NO

Have you or your spouse ever broken a rental agreement or lease contract? YES / NO

Have you or your spouse ever refused to pay rent when due? YES / NO

Have you or your spouse ever been sued for non-payment of rent or damages to rental property? YES / NO

Have you or your spouse ever been convicted of a felony? YES / NO

Do you have any pending lawsuits filed against you? YES / NO

If you answered yes to any please explain: ___________________________________________________
_______________________________________________________________________________________________________
_____________________________________________________________________

How were you referred to us? ___________________________________________________

CORRECT INFORMATION

Applicant represents that all of the above statements are true and complete, and hereby authorizes present and past Landlords and Employers, Banks, Credit References, and any other person to release information regarding applicant’s credit, rental, employment and/or criminal histories. Applicant acknowledges that false information herein may constitute a criminal offense under the laws of this state. A copy of this authorization may be accepted as an original.

Applicant’s Signature _____________________________________ Date __________________

Spouse’s Signature _______________________________________ Date __________________

Endless Horizons Realty, Inc. will assist all persons without regard to Race, Color, Creed, Sex, Religion, National Origin, Familiar Status, Marital Status, Handicap, or Ancestry.