RENT ME FLORIDA RENTAL APPLICATION FORM

Attention Applicant: To ensure your application is processed in a timely manner and to avoid delays, please complete this form completely and upload all necessary documentation.

(Be sure to check that all * Required Fields are filled in before submitting.)

Sales Agent: Referred By:

Property Applying for (If known):

Applicant
[*REQUIRED] Full name [include all names you use(d)]:

Home phone: (xxx)xxx-xxxx   Cell Phone: Work phone:

[*REQUIRED] Email:
[*REQUIRED] Social Security number:
[*REQUIRED] Birth Date: (mm/dd/yyyy)

Driver's license number:  State Vehicle make:  Model: Color:
Year:    License plate number/state:  State:

Additional Occupants
How many people will be occupying this property?

List full names of everyone, including children, who will live with you at least 50% of the time:
Name 1: Name 2:
Name 3: Name 4:
Name 5: Name 6:

Rental History (24 Months Required)
[*REQUIRED] Current address:
[*REQUIRED] City:

[*REQUIRED] State:
[*REQUIRED] Zip:
[*REQUIRED] County of residence:

Dates lived at address:
Reason for leaving:
Landlord/manager:
Landlord/manager’s phone:

Have you given notice at your current resident? Yes No

Previous address: City:

State: Zip: County:

Dates lived at address:
Reason for leaving:
Landlord/manager:
Landlord/manager’s phone:

Pets

Do you have any pets? Yes    No Type: None Cat Dog Other
Breed or descriptions of pet: Size: None Small Medium Large Weight: Age:

Miscellaneous
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
Been in jail? Yes    No

Explain any “yes” answer to the above questions (attach sheet if necessary):

Personal References: Non Relative Only
Name: Relationship: Phone:
Address:

Name: Relationship: Phone:
Address:

Emergency Contact: Must be a person not living in the household.
Name:
Relationship:
Phone:
Address:

Income Verification / Employment and Identification

I am including the following with this application:

Name of current employer:
Address of Current Employer:
Employer’s Phone:
Name of supervisor:
Dates employed at this job:
Position or title:

Income
1. Gross monthly employment income (before deductions): $
2. Average monthly amounts of other income: $
Total: $

By initialing below, 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 material false or incomplete statements 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. I also authorize Lessor to obtain a copy of my credit report and to rely upon the information contained in that report in the consideration of this application.

Initials of applicant: [*REQUIRED]    

[*REQUIRED] Payment Information: Credit Card Now In Person- Payment can be given to your rental specialist, mailed or dropped off to our Corporate Offices - 517 Paul Morris Drive, D-3 Englewood, FL 34223. Notice: Your application will not be processed until payment is received by our office.

Credit Card #: Exp. Date:

Card Type: MasterCard Visa Discover American Express

Enter 3 Digit Security Code for Visa, Master Card and Discover or enter 4 Digit Security Code American Express

Name as listed on card:

Credit Card Billing Address:

Street Address: City:

State: Zip:

Be sure that the "Captcha" words or phrase is typed in correctly. Can't read the two words? Just click on the refresh icon (top icon to the right of the "Type the Two Words" field) to retrieve new words or click on the "Audio" (middle icon to the right of the "Type the Two Words" field) icon to hear the words.

Also, double check... did you fill in all required fields? If you have any questions please give us a call 877-400-0354.