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1710-E TROLLEY RD, SUMMERVILLE, SC 29485
PHONE (843) 873-4911 FAX (843) 851-2559 E-mail: rbpm@rbproperties.com Web Page: www.rbproperties.com INCLUDE A NON-REFUNDABLE FEE $25
SECURITY DEPOSIT WILL NEED TO BE PAID
BY CASH, MONEY ORDER, OR CASHIERS CHECK.
Property Address:______________________________________ Move
in Date: ________________________________
Applicant: ____________________________________________ SSN:
___________________ DOB: ______________
Present Address: ______________________________________ City:
___________________ ST:_____ Zip
_______
Home Phone #: ________________ Cell # : _________________ E-mail:_____________________________________
Past/Present Landlord: _________________________________
Phone #: _________________/__________________
Monthly Rent: $______________ From: __________________ To:
________________________________________
Current Employer: ____________________________________ From:
__________________
To: ________________
Person to Contact:______________________________________ Phone # __________________/__________________
Monthly Gross Income $_________________________________ Other Income: (Explain)$_______________________
Co-Applicant: ________________________________________ SSN: ___________________ DOB: _____________
Present Address: ______________________________________ City: ____________________ St: ____ Zip ________
Home Phone #: ______________ Cell #: ___________________ E-mail: ___________________________________
Past/Present Landlord:
_________________________________ Phone
#:__________________/_________________
Monthly Rent: $_____________ From: ___________________ To: ________________________________________
Current Employer: ____________________________________ From: ___________________ to: ________________
P Person to Contact: ____________________________________ Phone #: _________________/___________________
Monthly Gross Income: $_______________________________ Other Income: (Explain)$_________________________
Have you ever been evicted or broken a lease? ______________ If yes, Explain: _______________________________
Why
are you leaving your present address:
_______________________________________________________________
List all other persons to be occupying the Premises:
Name: __________________________ Age______________ Name: __________________________ Age_______ Name: __________________________ Age______________ Name: __________________________ Age________
Name: __________________________ Age______________ Name:
__________________________ Age________
Pets: Yes or No How Many?_______ What Kind?_____________________________ Age________________________ Name/address/Phone#/ of nearest relation in case of Emergency:___________________________________________________
What brought you to R& B Properties? ( ) Newspaper ( ) Yard Sign ( ) Web Page ( ) Other Realtor_________________________
Do
you (or any occupant) have a criminal record? If so explain:
____________________________________________________
It
is understood that subject property will remain on the rental market
until valid lease is consummated and security deposit paid in full.
This office will use the Equifax Credit Reporting Service to get a credit and background check regarding this application. Landlord and
If you are turned down based on your credit report, you have the right to a copy of your credit report, under the Fair Credit
Reporting Act,
From Equifax. Delinquent
accounts are turned over to Credit Adjustment Bureau for collection.
This property is offered without respect to race, color, religion, sex,
national origin, handicap, or familial status.
Agency Disclosure: R & B Properties, Inc. serves as agent for the
owner. We are required by law to treat both parties fairly.
APPLICANT: ___________________________________ CO-APPLICANT:
_________________________________
FINDER: _______________________________________ DATE OF
APPLICATION: __________________________
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