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D & R Properties
Date: ____________ Application Fee:
$20/Adult
719 W Front
St, Ste 76
Tyler, TX
75702 For Rental of:
___________________________________
903/533-0001
903/533-0010 fax Contemplated Lease Term __________________________
903/780-3963
cell Contemplated Move-In
Date _________________________
Applicant’s Full Name: __________________________ Phone # ________________
DOB________ Sex ___
Social Security # ____________________ Marital Status S M D W Drivers
License # __________ State ____
Height ______ Weight ______ Have you ever used
another name? ___ What was it? _______________ Why? _________________
Present
Address:_______________________________ City _______________ State ____ Zip
_________
Apartment Name
_____________________________ Apt # ____________ Move – In
Date ____________
Name of Property
Owner or Manager _______________________________ Phone # __________________
Fax # _______________
Why leaving?
_______________________________________________ Present Monthly Rent
_________
Previous Address
_____________________________________ City ___________ State ____ Zip
______
Apartment Name
_________________________________ Apt # ______ Dates There
_________________
Name of Property
Owner or Manager ___________________ Phone # ______________
Fax # _______________ Monthly
Rent ______
If you did not
rent your last two residences, please provide the above information on
the last 2 residences you did.
rent (Attach additional page or write on
back of application.)
Your monthly
income must be more than 3 times the monthly rent to qualify.
Present Employer
______________________ Address __________________ City __________ State
____
Kind of Work
_____________________ Start Date: _________________ Work Phone #
_______________
Monthly Income
__________________ Supervisor’s Name & Phone #
______________________________
Please attach
paycheck stub (or copy) for verification.
Previous Employer
______________________ Address __________________ City __________ State _____
Kind of Work
________________ Start/End dates: ___________________ Work Phone #
_______________ Fax # ____________
Monthly Income
__________________ Supervisor’s Name & Phone #
_______________________________
Bank
________________________ Phone ___________ Checking or Savings?
Spouse’s or Co-Applicant’s Full Name: _______________________________ DOB
____________ Sex ___
Marital Status ____ Phone # ______________ SS# ____________________
Drivers Lic # _________ State
___
Height ________ Weight _____
Have you ever used
another name? ___ What was it? ________________ Why?
______________
List Past 2
Residences for if Different from Applicant
Present
Address:______________________________ City _______________ State ____
Zip _________
Apartment Name
___________________________ Apt # ____________ Move – In Date
____________
Name of Property
Owner or Manager ______________________________ Phone #
_________________ Fax #
________________
Why leaving?
____________________________________________ Present Monthly
Rent ________
Previous Address
___________________________________ City ___________ State ____ Zip
______
Apartment Name
________________________________ Apt # ______ Dates there:
________________
Name of Property
Owner or Manager _______________ Phone # _______________
Fax # ______________ Monthly
Rent ______
(If you did not
rent these residences, provide the above information on the last 2
residences you did rent on an
attached sheet or on back of application.)
Present Employer
___________________ Address ______________________ City _________ State
____
Co-Applicant’s Kind
of Work _______________ Start Date: _______ Work Ph #
_____________ Fax #
________________
Monthly Income
____________ Supervisor’s Name & Phone # ____________________________________
Please attach
paycheck stub (or copy) for verification.
Previous Employer
______________________ Address __________________ City __________ State ____
Kind of Work
___________________ Start/End Dates: _______________ Work Phone #
_______________
Monthly Income
__________________ Supervisor’s Name & Phone #
_______________________________
Bank
_______________________ Phone ___________ Checking or Savings?
Occupancy is limited to 2 people
per bedroom.
Other Occupants:
Name
___________________________ Age _______ Relationship
_______________________
Name
___________________________ Age _______ Relationship
_______________________
Name
___________________________ Age _______ Relationship
_______________________
List all vehicles to
be parked on premises (cars, trucks, rec. vehicles, trailers, boats,
motorcycles, etc.)
Make/Model of
vehicle __________________Year_____ Lic # _________________ State
______
Make/Model of
vehicle __________________ Year _____ Lic # _________________ State
______
Will any waterbeds
or water-filled furniture be in the Property? _____ Do you
have a vacuum cleaner?___
Will any occupant
smoke in the dwelling? ____ Will Applicant maintain a renter’s
insurance policy? ____
Any Pets? ___ How
many? ______ Kind and breed: ________________________________
Weight?
___________ Age(s) ________________ Gender: ________________ Neutered?
__________
Declawed?
____________ Rabies Shot Current? ___________ Flea Control Product
Used____________
Other: (Reptiles,
Fish, Birds, etc) and explain manner in which kept
_______________________________
Veterinarian
________________________ Phone # __________________
Has Applicant or
Other Occupant ever been evicted? ____ Broken rental agreement/lease
contract? ____
Declared Bankruptcy?____ Been sued for nonpayment of
rent/damage to property? ______
Lost property due to foreclosure?____
Had any credit problems? ____ Been convicted of a felony? ____
If answer to any of
the preceding questions is Yes, explain (attach additional sheets if
necessary)
If Applicant or
Co-Applicant is a member of the Armed Forces: Has he/she requested or
received military
orders transferring him/her within one year? ____ Is
he/she presently serving temporary orders limiting
his/her stay to one
year or less? ____
Will any person be
signing a Lease Guaranty? ____ Name ______________________________
Relationship
______________ Phone (hm) _______________ (wk) _____________ (fax)_______________
Address
_____________________________City, State, Zip
_____________________________________
The undersigned
persons represent that all the above statements are true and complete
and hereby authorize verification of such
information via credit
reports, rental history reports, and other means and to discuss
information in the consumer report with the
Landlord. Failure to answer
any of the above questions shall entitle the owner to reject this
application. False information given
above shall entitle owner to (1)
reject this application, (2) retain deposit(s) as liquidated damages for
owner’s time and expense of
processing this application, and (3)
terminate resident’s right of occupancy. False information may also
constitute a serious criminal
offense under the laws of this state. In
any lawsuit relating to this application, application agreement or
rights under statute or
government regulations, the prevailing party is
entitled to recover attorney’s fees and all other costs of litigation
from the
non-prevailing party.
Fees and Deposits: Applicant(s) has submitted with this Application the following to
Landlord or Landlord’s representative:
ٱ
a non-refundable fee of __________ to Landlord for processing and
reviewing this Application ($20/Adult)
ٱ
a non-refundable fee of __________ for processing and reviewing
information related to the lease guaranty.
ٱ
an Application Deposit of _______________ in accordance with the
attached Agreement for Application-Deposit.
_________________________________
_________________________________________
Signature of
Applicant
Signature of Co-Applicant
Deposit Agreement:
Deposit $ _________ Date Received _________ Will Hold this Unit
_______________________________
If Applicant(s) fails to qualify, Deposit
will be returned. Application fee is non-refundable. If Applicant
does
qualify but changes mind, Deposit will not be returned.
Please return
application to D & R Properties, 719 W. Front St., Ste. 76, Tyler, TX
75702 with
appropriate application fee for processing & a copy of
your driver's license.
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