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Application Form
Company Name:
Makowsky Ringel Greenberg LLC
Application To Rent:
Fields marked (
*
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Referral
Agent Name:
Date:
Rent Amount: $
Referred By :
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Applicant Information
*
First Name:
*
Last Name:
Middle Name:
Other Names Used In The Last Ten Years:
*
Work Phone #:
Home Phone #:
*
Cell Phone #:
*
Email Address:
*
Social Security Number (no dashes):
*
Date Of Birth:
*
Driver's License Number:
*
Driver's License Expiration:
*
State Driver's License Issued In:
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Other ID
I am a member of the Armed Forces (including the National Guard and Reserves):
Yes
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Citizenship (Country):
Spouse Information
Include My Spouse
Spouse First Name:
Spouse Last Name:
State Driver's License Issued:
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Driver's License Number
Middle Initial
Social Security (no dashes)
Date Of Birth:
Name all other persons who will occupy the property
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Present Address Information
*
Present Address:
*
Present City:
*
Present State:
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*
Present Zip:
*
Present Move In Date:
Present Move Out Date:
Present Landlord/Owner Name:
Present Landlord/Owner Phone #:
Time Living at Present Address
Present Reason for Moving:
Present Rent Amount: $
Previous Address
Previous Address:
Previous City:
Previous State:
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Previous Zip:
Previous Move In Date:
Previous Move Out Date:
Previous Landlord/Owner Name:
Previous Landlord/Owner Phone #:
Previous Reason for Moving:
Previous Rent Amount:
Previous Address:
Previous City:
Previous State:
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Pets
*
Will You Have Pets?
Yes
No
Type
Breed
Color
Weight
Present Employer
*
Current Gross Income $:
Current Gross Income Per (choose one):
Week
Month
Year
Present Employer Name:
Present Employer Address:
Present Supervisor Name:
Present Supervisor Phone #:
When did you start with the present employer?
Present Employer City State Zip:
Prior Employer
Prior Address:
Prior Supervisor Name:
Prior Employer City State Zip:
Other Income (Source)
Amount Per Month (Please provide documentation):
Source
Banking/Creditor Information
Bank Name
Bank Address
Name of Creditor or Credit Card
Creditor/Credit Card Address
Creditor/Credit Card Phone Number
Monthly Payment
Emergency Contact
*
Person to Notify:
Address:
Relationship:
*
Phone:
Personal Reference
Name:
Address:
Length of Acquaintance:
Occupation:
Phone:
Automobile Information
Make
Model:
Year:
License Number:
State:
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NH
NJ
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NV
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OH
OK
OR
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RI
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UT
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VT
WA
WI
WV
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Make:
Model:
Year:
License Number:
State:
- Select -
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AR
AZ
CA
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DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
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NE
NH
NJ
NM
NV
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Questions
*
Have you ever been Evicted or Asked to Move?
Yes
No
If yes, please explain:
*
Is any occupant a registered sex offender ?
Yes
No
If yes, please explain:
Has applicant had credit problems, slow-pays or delinquencies?
Yes
No
If yes, please explain:
*
Have you ever been convicted of a felony?
Yes
No
If yes, please explain:
Will applicant maintain renters insurance?
Yes
No
If yes, please explain:
Will any waterbed or water-filled furniture be on the property?
Yes
No
If yes, please explain:
*
Have you ever filed Bankruptcy?
Yes
No
If yes, please explain:
*
Have you ever breached a lease or rental aggreement?
Yes
No
If yes, please explain:
Is applicant or spouse active in the military?
Yes
No
If yes, please explain:
*
Digitally signed by applicant:
Digitally signed by spouse:
*
Digitally signed by applicant:
*
Email:
*
Password:
*
Confirm Password:
Applicant represents that all of the above statements are true and complete and hereby authorizes verification of such information. Applicant is aware that Lessor shall rely on such information, which may or may not be verified, in making the decision to approve this application. Information given above determined to be false, either before or after approval of this application, shall be grounds for owner's disapproval of this application, forfeiture of any application deposit(s) by applicant, and/ or termination of right of occupancy; further, it may constitute a serious criminal offense under the laws of this State. Pertinent Lease Information and Special Conditions 1. Renter’s Insurance Requirement. Prior to taking possession of the apartment, the applicant must provide proof of renter’s liability insurance in the amount of $100,000. The applicant must maintain renter’s insurance throughout the term of the lease and any extensions or month-to-month residency. Insurance may be purchased through MRG’s preferred provider (Assurant) or from a company of the applicant’s choosing. Should the applicant elect to use a third-party insurer, the policy’s declaration page naming Insurance Tracking, PO Box 979166, Miami, FL 33197-9166 as the Interested Party must be provided at the time that the lease is signed. Without proof of renter’s insurance, we are not able to execute a lease agreement. 2. Application Fee (not refundable). Applicant must deliver to lessor an 'Application Fee' which defrays the cost of the credit report, necessary to verify applicant's credit, and a criminal background check. 3. Administrative fee (not refundable). Applicant must deliver to lessor an 'Administrative Fee' which partially defrays the cost of the administrative paperwork. 4. Reservation Deposit. Applicant has deposited a “Reservation Deposit” in the amount stated above. In return, Lessor agrees to reserve an apartment unit of the above described type while Owner considers approval of Applicant and Co-Applicants. Co-Applicants are other persons who are listed as “Residents” above or in the attached Lease Agreement. Upon acceptance of the Rental Application by the Owner or Agent, the Reservation Deposit will no longer be refundable. 5. Withdrawal / Disapproval of Application. The Application Fee, the Administrative Fee, and the Reservation Deposit may not be withdrawn by Applicant or any Co-Applicant. If Applicant or any Co-Applicant withdraws his/her application or notifies Lessor that he/she has changed his/her mind about taking the unit after Lessor has approved the application for rental, the Reservation Deposit of all applicants will be retained by Lessor as liquidated damages. Applicant and all Co-Applicants must sign the Lease Agreement within three (3) days after receiving notice of Lessor’s approval; failure to do so will result in Owner retaining Reservation Deposit as liquidated damages. The Reservation Deposit will be refunded only if Owner disapproves Applicant or any Co-Applicant. 6. Security Deposit. Once the Resident takes legal possession of the premises, the monies held initially for the Reservation Deposit will be transferred and held for the related Security Deposit. 7. Payment. Makowsky Ringel Greenberg, LLC, accepts checks and money orders for processing fees. MasterCard®, Visa®, Discover®, and American Express® are accepted through PayLease®. Transaction fees will apply. Ask your Agent for additional information regarding this service. PRE-RENTAL CRIMINAL BACKGROUND INVESTIGATION CONSENT FORM MAKOWSKY RINGEL GREENBERG LLC, conducts criminal background investigations on all prospective residents 18 years of age or older in accordance with applicable federal and state law. An unsatisfactory criminal background check revealing a serious charge including, but not limited to, conviction of a felony or deferred adjudication of a felony or a misdemeanor for a crime against a person, or property, or illegal manufacturing or delivery of a controlled substance will result in denial of the application. Not all crimes disqualify prospective residents. Crimes that result in denial of residency are those which pose a serious threat to the health, safety, and welfare of persons living and working in our apartment community, taking in account not only the type of crime, but also the circumstances under which it occurred. In the event the criminal background check reveals any pending criminal cases, the applicant may be offered residency conditionally upon the dismissal or favorable resolution of the pending charge. If the resident is convicted of the charge, the lease agreement shall be terminated immediately. The fact that we perform criminal background checks does not mean that our residents and occupants have no prior or current criminal histories, and we cannot and do not guarantee that this community is free from crime. There may be resident or occupants that have resided in our community prior to this requirement going into effect. Additionally, our ability to verify this information is limited to the information made available to us by the resident credit reporting services used. The undersigned applicant (“Applicant”) by signing where indicated below, hereby authorizes MAKOWSKY RINGEL GREENBERG LLC either directly or through a third party service provider to investigate Applicant’s criminal history record and to review any information pertaining to Applicant which may be maintained by any Federal, State, or local law enforcement agency.
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