Rental Application Mail to or drop off at:
Fax to: (607) 722-6650 D3VON, LLC
Phone:
Separate application required from each adult applicant (age 18 or older). All adults living at the rental must sign the
lease.
Address
of Property to Be Rented: ________________________ Term:
from ________ to ________
Amounts Due Prior to Occupancy
First month's rent $____________________
Security deposit (equal to 1 months rent) $____________________
Other (e.g., extra months rent security deposit for pets): $____________________
Car Make/Model: _________________ Color: _______ Year: _______
City, State, ZIP:_____________________ Reason for Leaving: ______________
Landlord/Manager: __________________ Landlord's Phone: (____)__________
City, State, ZIP:_____________________ Reason for Leaving: ______________
Landlord/Manager: __________________ Landlord's Phone: (____)__________
Current Employer Name, Address (street, city, state):
___________________________________
Name of
Supervisor: ____________________
Dates
Employed at This Job: ____________________ Position or Title: ___________________
------------------------
Previous Employer Name, Address
(street, city, state):
__________________________________
Name of
Supervisor: ____________________
Dates Employed at This Job: ____________________ Position or Title: ___________________
1. Your gross monthly employment income (before deductions): $ ________
2. Average monthly amounts of other
income (specify
sources): $ ________
Major Obligation(s): Creditor
__________________
Amount Owed ______ Monthly
Payment _______
Creditor
__________________
Amount Owed ______ Monthly
Payment _______
Describe the number and type of pets you want to have
in the rental property: ____________________________________________
Describe water-filled furniture you want to have in
the rental property: __________________________________________________
Do you smoke? [
] yes [ ] no
Have you ever:
Filed for bankruptcy? [
] yes [ ] no
Been sued? [
] yes [ ] no
Been evicted? [
] yes [ ] no
Been convicted of a crime? [ ] yes [ ] no
Explain any yes listed above: ________________________________________________________________________________
I certify that all the information given above is true
and correct and understand that my lease or rental agreement may be terminated
if I have made any false or incomplete statement in this application. I
authorize verification of the information provided in this application from my
credit sources, current and previous landlords and employers and personal
references.
Date
_______________ Applicant
signature __________________________________
(authorization to check references)
Consent to Contact References and Perform Credit Check
I
authorize Devon McBride (the landlord) to obtain information about me
from my credit sources, current and previous landlords, employers, and personal
references to enable him to evaluate my rental application. I give permission
for the landlord or its agent to obtain a consumer report about me for the
purpose of this application, to ensure that I continue to meet the terms of the
tenancy, for the collection and recovery of any financial obligations relating
to my tenancy, or for any other permissible purpose.
(The
Consumer Credit Report is obtained from Experian at a cost of $9.95, paid by applicant. Make check payable to D3VON, LLC, or fill
out credit card authorization form and submit with application.)
_______________________________ _________________
Applicant signature (authorization to check credit) Date
_______________________________ _________________________________
Social Security Number Billing address (if different
from current address)