Rental Application

The following application must be completed in its entirety.

Rental Application
Name and phone number of current and previous landlord.
Proof of income. Two (2) most recent pay stubs, social security statement, unemployment statement, etc.
Name and contact information of your employer.
A current photo identification.
$25 non-refundable application fee per adult (Cash or Money Order Only).

*All rent payments will be automatically withdrawn from your checking account, savings account, or credit card between the 1st-5th of each month. This is known as Auto-Pay or E-Pay.

*Your application will not be processed until it is completed in its entirety.

Upon completion of your application, submit it with a member of our staff and it will be processed within 48 hours, pending contact with your current landlord. A member of our staff will contact you after your application has been processed.

We do business in accordance with the Federal Fair Housing Law (The Fair Housing Amendments Act of 1998).

It is illegal to discriminate against any person because of race, color, religion, sex, handicap, familial status or national origin.

Rental application requirements:

Valid Photo Identification
Verification of Continuous employment for at least six (6) month period.
No prior evictions or Bankruptcies within the last five (5) years.
Net income must equal at least double the rent amount per month.
No outstanding Bills (utility, car payments, school loans, etc.) or history of late payments per screening report.
Former Landlord Reference.

*We may ask for a co-signer and/or additional deposit money if requirements are not met.

Please call (717) 885-8686 when application is complete.

Property Information

* Property applying for * Move date * Rent Amount * Rent Term Security Deposit Total due upon acceptance

Please tell us about yourself

* First Name * Middle Name * Last Name * Date of Birth * Social Security Number Drivers License Number Email Address * Cell Phone Home Phone
* Have you ever been charged with a crime?
* Are you a registered sex offender?

Other occupants

Please list all other proposed occupants.

Name Relationship Date of Birth
Name Relationship Date of Birth
Name Relationship Date of Birth

Employment

Current Employer

Employer Name Occupation Work Phone Work Address Supervisor's Name Income Start Date

Previous Employer

Employer Name Occupation Work Phone Supervisor's Name Income Start Date Reason for leaving

Pets

List all pets that would be living at the property. There is a $250 pet deposit per pet and a $25 monthly fee per pet.

* How many pets do you have?

Obligations

* Please list any monthly obligations: (EX. car payments, credit card payments, school loans, child support, alimony)

Additional Income

* List any verifiable sources and amounts of income you wish to have considered: (Food stamps, Child support income, SSI, Cash assistance)

Residential History

Current Residence

* Street Address Suite/Apt * City * State * Zip * Monthly Rent * Utilities You Pay * Rent Paid To * Landlord * Landlord Phone * Move-in Date * Reason for leaving * Do you agree to showing us your current residence to verify cleanliness?

Previous Residence

* Street Address Suite/Apt * City * State * Zip * Monthly Rent * Owner/Agent * Phone * Reason for leaving

Credit History

* We may run a credit check and a criminal background. Is there anything negative we will find?
Credit Score
* Have you ever had a landlord tenant complaint filed against you?
* Have you ever been evicted from a residence?
* Have you had two or more late rental payments in the past year?
* Have you ever willfully or intentionally refused to pay rent when due?

Bank Accounts

Bank Name Account Type
Bank Name Account Type

Personal References/Emergency Contacts

* Name * Phone * Address * Relationship
* Name * Phone * Address * Relationship

Vehicle Information

Make/Model Year License Plate State Color
Make/Model Year License Plate State Color

Tenant Declines Move In

If Tenant Declines to move in after the security deposit has been collected, Tenant forfeits the entire deposit.

* How did you hear about us?

Authorization

* The above information, to the best of my knowledge, is true and correct.

Permission to Release Information

* I hereby authorize and permit Steve Foote, Steve Foote's companies, or any agent thereof to perform background checks and obtain information about me, now and from time to time in the future, from credit reporting sources, current and previous landlords, personal and professional references, utility companies, employers, banking institutions, law enforcement agencies and any other business, agency, organization, person or entity.

I hereby authorize, give permission to and instruct all parties to disclose any informtaion requested about me to Steve Foote, Steve Foote's companies, or any agent thereof.

I further authorize and permit Steve Foote, Steve Foote's companies, or any agent thereof to obtain any updated information on any future occasion for rental renewal consideration or for purposes of collection, should that be deemed necessary, and hereby authorize, give permission to and instruct all parties to fully cooperate and provide full disclosure of all requested information to such inquiries.

Thank you to all parties for your cooperation with this matter.

* Name * Date

* Type the letters shown above

* Breed	* Weight	* Age