RENTAL APPLICATION

Name ________________________________ Direct Phone ____________________

Home Tel #_________________________ Work Phone ___________________________________

Driver's license number ______________________Date of Birth___________________

Present Address _____________________________________________________________________

How long at this address? ______________ Rent ? _________Own? _________ Reason for Moving_________________________________

Owner/Landlord __________________________ Phone ___________________________________

Previous Address _____________________________________________________

How long at this address? ______________ Rent $ __________________ Reason for Moving ________________________________

Owner/Manager _________________ Phone ________

Name and relationship of every person to occupy premises, even if only temporarily (include names and ages of minors): _____________________________________________________

_____________________________________________________

Any pets? ______ Describe ________________________________

Occupation ________________________

Employer ___________________________________________

Phone _______________________________

Duration of Employment _______ Supervisor ________________________________ Phone _________________________

List sources of income (other than employment listed above ___________________________________________

_____________________________________________________

HAVE YOU...

ever filed bankruptcy? ____ ever been evicted? ____ ever been convicted of a felony? ___ ever been foreclosed on? ____. PLease explain:_______________________________________________

Vehicle Make __________ Model ____________ Year _________ License ___________

Vehicle Make __________ Model ____________ Year _________ License ___________

Personal Reference __________________________________

Address _____________________________

Phone ________________

Contact in Emergency ___________________________________

Address _____________________________

Phone ________________

Vehicle (1) Year _________Make _____________________Model ___________________________

Vehicle (2) Year _________Make _____________________Model ___________________________

I declare that the information provided above is accurate and correct. I authorize verification of my references and employment as they relate to my tenancy and to future rent collection.

 ___________________________ _______________________

Application Date_____________________________

your email_____________________________________________________

FAX FORM TO: 239-430-6034 OR SCAN IT AND THEN EMAIL IT TO salomon@7florida.com, please attach copy of your driver's lic.