Rental Application

Barnes and Phillips Real Estate Rental Application

Application Date:

The Non-Refundable Application Fee is $50.00 per Married Couple or Single Adult

Rental Address:

Monthly Rent: $

Date Lease is to Begin:

Security Deposit(s)

Initial Term of Lease:

Non-Refundable Pet Deposit: $

Applicant (Full Name:

SSN #:

Present Address:

Driver's License #:

Home Phone: ( )

Date of Birth:

Spouse's Name:

SSN #:

Email Address:

Driver's License #:

Date of Birth:

Name of Apt / Condo:

Phone: ( )

Dates of Residency:

Name of Landlord or Mortgage Co:

Phone: ( )

Address:

Mtg. No.:

Previous Address:

Your Apt. No.:

Name of Apt / Condo:

Phone: ( )

Dates of Residency:

Name of Landlord or Mortgage Co:

Phone: ( )

Address:

Mtg. No.:

Prior Address:

Your Apt. No.:

Name of Apt / Condo:

Phone: ( )

Dates of Residency:

Name of Landlord or Mortgage Co:

Phone: ( )

Address:

Mtg. No.:

Applicant Employer's Name & Address:

Work Phone: ( )

How Long:

Position:

Monthly Gross Income: $

Previous Employer Name & Address:

How Long:

Position:

Monthly Gross Income: $

Spouse Employer's Name & Address:

Work Phone: ( )

How Long:

Position:

Monthly Gross Income: $

Previous Employer Name & Address:

How Long:

Position:

Monthly Gross Income: $

Persons to Occupy Dwelling:

Age

Social Security #

Non-relative Reference Not Living With You:

Relation:

Name:

Phone: ( )

Address:

Non-relative Reference Not Living With You:

Relation:

Name:

Phone: ( )

Address:

Non-relative Reference Not Living With You:

Relation:

Name:

Phone: ( )

Address:

Pets: YES ( ) NO ( )

Breed:

Weight:

Car Tag:

State:

Make:

Model:

Year:

Car Tag:

State:

Make:

Model:

Year:

Have you ever been evicted or had an eviction filed against you? YES ( ) NO ( )

Have you ever willfully or intentionally refused to pay rent when due? YES ( ) NO ( )
If Yes, Please Explain:

Have you ever been arrested for or convicted of a felony or pled to a crime? YES ( ) NO ( )
If Yes, Please Explain:

Applicant's Initials: ( ) ( ) ( )

AUTHORIZATION: I hereby authorize Barnes & Phillips Real Estate Inc., to verify all information contained on the application and conduct a full background check including but not limited to credit, bank account, employment, eviction, criminal background checks and authorize Barnes & Phillips Real Estate Inc., to contact any persons or companies listed on the application.

ASSOCIATION APPROVAL: Where applicable, this contract is subject to and contingent upon the prospective tenant(s) being approved by the condominium/homeowners association. The prospective Resident(s) will pay any non-refundable application fee required by the condominium/homeowners association and make application for association approval within 1 day from the effective date of this contract. Occupancy shall not be permitted prior to association approval. In the event that the prospective Resident(s) are not approved by the association and/or Barnes & Phillips Real Estate this contract will terminate and any rents and/or good faith deposits paid will be refunded to the prospective Resident(s). Refunds are subject to applicant(s) funds having cleared our bank account. The non-refundable application fees paid to the association and to Barnes & Phillips Real Estate are not refundable under any circumstance.

CORRECT INFORMATION: I affirm that all the information on this application is true, accurate, complete and correct and agree that if this is not so, my application may be denied and/or my lease will be held in default and I may be subject to eviction.

APPLICATION FEE: I hereby agree to pay a non-refundable application fee of $50.00. If my application is approved a $35.00 lease fee will be due.

GOOD FAITH DEPOSIT: I hereby deposit the sum of $_______________ with Barnes & Phillips Real Estate Inc., as a good faith and/or holding deposit in connection with this rental application. If I do not cancel this application within 12 hours from the date of this application in writing and by hand delivery to the rental office, and my application is approved, and I fail to enter into a Rental Agreement or fail to take possession under the terms of my Rental Agreement if one has been signed I understand and agree that the entire Good Faith Deposit shall be forfeited by me. In addition, if I have already entered into a Rental Agreement, I will be held liable for all rents and damages as set forth in the Rental Agreement. If my application is not approved, or I have cancelled this application within the time period set forth above, I will receive a refund of my Good Faith Deposit in full within 30 days. If my application is approved, a rental agreement is signed, and I take possession of the rental property, the Good Faith Deposit shall be applied towards my security/damages deposit.

I hereby affirm that I have read the application, lease agreement and all addendums and that I understand all the terms and all charges due.

____________________________________________ Signature of Applicant	________________ Date
____________________________________________ Signature of Applicant	________________ Date
____________________________________________ Signature of Applicant	________________ Date

DO NOT WRITE BELOW OFFICIAL USE ONLY
	R #:
	Property Address:
Security Deposit:	$
Rent:	$
Pro-Rate:	$
Charlotte City Water Deposit:	$
Sales Tax (7%):	$
County Tax (4%):	$
Application Fee: Non Refundable	$
Pet Fee: Non Refundable	$
Lease Fee:	$
Cleaning Fee : (light cleaning only)	$
Sub Total:	$
Good Faith Deposit Received:	$
Balance Due:	$
	Date:
	Move-In Date:
	Date Balance Paid:

We are in full compliance with the FEDERAL FAIR HOUSING ACT. We ensure each and every individual that apply with us there will be no discrimination based upon Race, Color, Religion, Sex, Handicap, Familial Status, or National Origin.

Application Processing and Time Frame:
Processing an application normally takes between 2-3 days. In some cases approval of homeowner associations, condo associations, homeowners, or unforeseen circumstances may require some applications to take longer. You will be contacted immediately upon determination of approval or denial. All adult applicants over the age of 18 must submit a fully completed, dated and signed rental application and application fee.

The Application:
Upon receipt of your rental application and application fee, you can expect and hereby authorize that we will (1) check your credit report; and (2) check the public records for any past evictions; and (3) verify your employment; and (4) verify your previous landlord references; and (5) do a criminal background check. We would encourage you not to apply if you have bad credit, bad references, have ever been evicted in the past or have a criminal record. Co-signers may be considered on an individual basis.

Once you have been notified of your approval, you must place (at a minimum) a Good Faith deposit (by cashier's check or money order), equal to at least one months rent, within 24 hours of your approval notification. Once approved and payment of the Good Faith deposit is paid your Good faith deposit is non-refundable. In the event that you fail to enter into the lease agreement or refuse to take possession of the property on or before your applied for beginning rental date, you shall forfeit these funds as liquidated damages. Due to the high demand for rental homes, we will not hold the property you applied for off the rental market for more than 24 hours unless you provide the required holding deposit. If you do not comply with this requirement, we may rent the home you applied for to someone else, and your application fee is non-refundable.

All applicants must see the interior of the property before an application can be submitted. The property must be accepted in, "AS IS" condition before an application can be accepted, except where there is written agreement for maintenance or repair items. Any such maintenance or repair request (if any) must be written and included with your application. If your maintenance and repair request are acceptable to Barnes & Phillips Real Estate then that agreement will be written in the lease or lease addendum. Verbal representations are non-binding. In the event that the manager shall receive two or more unrelated applications for the same property, the applicant understands the manager may select the applicant desiring the property in "AS IS" condition, over another applicant requesting maintenance or repairs. In all cases, the application fee is Non-Refundable.

All initial funds, the Good Faith deposit - first months rent and security deposit must be paid by cashiers check or money order payable to Barnes & Phillips Real Estate. Subsequent months thereafter may be paid by check.

Cost:
Barnes & Phillips Real Estate requires from all applicants a non-refundable application fee of $50.00 per married couple or single adult, 18 years of age or older. We require first months rent, security deposit equivalent to rent or greater, $35.00 lease fee (if application is approved), $250.00 non-refundable pet fee (if applicable) and $250.00 water utility deposit (if applicable). WE DO NOT REQUIRE A LAST MONTHS RENT. Incomplete applications or applications submitted without the proper application fees will not be considered. Application fees will not be refunded for incomplete applications.

Resident Selection Criteria:
Applicants must have a combined gross income of at least two (2) times the monthly rent. Incomes must be verified in writing, applicant may provide recent pay stubs. A minimum of 3 years residential history is required. Rental history must be rated satisfactory or better, with no record of evictions. We reserve the right to require a co-signer and/or a higher security deposit. Co-signers are accepted at the managers discretion only, must meet all requirements, must reside in the State of Florida and must pay the $50.00 application fee.

Credit history and/or Civil Court Records must not contain judgements, eviction filings, collections, liens or bankruptcy within the past three (3) years. We will not provide you with the credit report or tell you of its contents; however, we will provide you with the name of the credit reporting agency so you may receive a copy from the credit bureau. All information collected for the approval or denial of this application is considered confidential in nature and for company use only.

Self employed applicants may be required to produce upon request two (2) years of signed tax returns or IRS 1099 forms. Non-employed applicants must provide proof of income.

If you have been convicted of a felony within the past five (5) years, this is cause for rejection. Applicant must not have a felony record that was adjudicated guilty or had adjudication withheld for the past five (5) years, or any conviction of any length of time for any drug related, sexual related, murder related or arson related crime.

Valid current photo ID documentation (driver's license, military ID, or State ID) is required.

Previous rental history reports from previous landlords must reflect timely payment, sufficient notice of intent to vacate, no complaints regarding noise, disturbances or illegal activities, no NSF checks, and no damage to rental property or failure to leave the property clean and without damage when you left the property.

Current occupancy standards are a maximum of 2 persons per bedroom, except for infants under 4 years of age. However, some city and county municipalities and/or homeowners associations prohibit more than two (2) unrelated adults to reside in a single family dwelling unit.

No pets (with the exception of medically necessary pets) of any kind are permitted without the specific written permission of Barnes & Phillips Real Estate and an additional Non-Refundable administrative fee of $250.00 per pet. Some properties may require higher fees or higher rent amounts. If a higher fee or rent amount is required, you will be notified at the time of the application. The following pets will not be accepted under any circumstances, GERMAN SHEPHERDS, DOBERMANS, BULLDOGS, CHOWS, OR ROTWEILLERS.

Some Homeowner and Condominium Associations may require a separate application. If such is the case, you must also apply separately to such association and approval by the homeowners or condo association is a necessary prerequisite to our approval of your application.

Any exceptions to these criteria will need to be submitted in writing to Barnes & Phillips Real Estate for consideration. If approval is given for such exceptions, additional security deposit, co-signers and/or additional higher rent may be required.

Other Issues:

Rents are due on the 1st of each month and are considered late after the 5th. If rents are late they are subject to various fees that will be spelled out in the Lease Agreement.

Keys will be released on the first (1st) day of occupancy as stated in the lease agreement. Request for keys earlier must be accompanied with additional pro-rated rent and must have Barnes & Phillips Real Estate prior approval.

Security deposits are security for faithful performance by tenants of all terms, covenants and conditions of the lease agreement and tenants may not dictate that the security deposit be used for any rent due. Unless claimed due to a breach of lease of damages, the security deposit is refundable when the tenants move out of the property at the expiration of the lease term. All deposits will be mailed to tenants forwarding address. Deposit can not be picked up at our office.

Maintenance and Repair - When you rent a home from our company, we strive to ensure that all items are in good working order. Please report any maintenance or repair request as soon as it is noticed. If the repair is found to be the fault of the tenant. The tenant will be responsible for the bill.

Notice of Delivery Fees: Future tenants will be charged a $35.00 delivery fee should our office be required to post ANY notices to the tenant(s). Such as 3 day & 7 day notices

This Rental Procedure and Application is hereby made an integral part of my/our rental application. I/we do hereby acknowledge that I/we understand and agree to the terms of application and rental procedure as described herein. I/we further acknowledge that I/we have seen and previewed the rental property (both inside and outside) for which we are applying.

Thank you for applying with Barnes & Phillips Real Estate Inc!

____________________________________________ Signature of Applicant	________________ Date
____________________________________________ Signature of Applicant	________________ Date
____________________________________________ Signature of Applicant	________________ Date

PLEASE READ CAREFULLY

DISCLOSURE

This document serves solely as a clear and conspicuous written disclosure as required by the Federal Fair Credit Reporting Act set forth in Section 604 (b) to the applicant that a social security, motor vehicle verification, education, previous employment, credit, character, general reputation, personal characteristics, mode of living and a criminal background verification may be obtained for the purpose of this tenant application. By the signature below, the Applicant acknowledges that BACKGROUND INFO USA. has made this disclosure.

APPLICANT AUTHORIZATION AND CONSENT FOR RELEASE OF INFORMATION

This release and authorization acknowledges that Barnes & Phillips Real Estate may now, or at any time while I am renting, conduct a verification of my education, previous tenant history, credit history, contact personal references, motor vehicle records, conduct drug testing and to receive any criminal history information pertaining to me which may be in the files of any Federal, State or Local criminal justice agency, and to verify any other information deemed necessary to fulfill the landlord requirements. The results of this verification process will be used to determine tenant eligibility under Barnes & Phillips Real Estate tenant polices. In the event that information from the report is utilized in whole or in part in making an adverse action decision with regard to your potential renter, before making the adverse decision, we will provide you with a copy of the consumer report and a description in writing of your rights under the law. I authorize Background Info USA., and any of its agents, to disclose orally and in writing the results of this verification process to the designated authorized representative of Barnes & Phillips Real Estate

I have read and understand this release and consent, and I authorize the background verification. I authorize persons, schools, current and former employers, and other organizations and Agencies to provide Background Info USA. with all information that may be requested. I hereby release all of the persons and Agencies providing such information from any and all claims and damages connected with their release of any requested information. I agree that any copy of this document is valid as the original.

I do hereby agree to forever release and discharge Barnes & Phillips Real Estate Background Info USA. and their associates to the full extent permitted by law from any claims, damages, losses, liabilities, costs and expenses, or any other charge or complaint files with any Agency arising from retrieving and reporting of information. According to the Federal Fair Credit Reporting Act, I am entitled to know if employment was denied based on information obtained by my prospective employer and to receive a disclosure of the public record information and of the nature and scope of the investigative report.

CONFIDENTIAL INFORMATION FOR POSITIVE IDENTIFICATION PURPOSES ONLY

________________________________________________________________________________________________________________________________________

Applicant Last Name First Name Middle Name

________________________________________________________________________________________________________________________________________

List Other Names Used Date of Birth Social Security Number

________________________________________________________________________________________________________________________________________

Drivers License Number State Drivers License Issued Last name listed on Drivers License

________________________________________________________________________________________________________________________________________

Current Address City/State/Zip

________________________________________________________________________________________________________________________________________

Previous Address City/State/Zip

________________________________________________________________________________________________________________________________________

Previous Address City/State/Zip

________________________________________________________________________________________________________________________________________

Applicant’s Signature Today’s Date

To submit this form please print and fax to (941) 743-7829