LEASING APPLICATION FOR DICK SIMONS PROPERTIES

3858 Summer Ave. Memphis, TN 38122                               Phone: 901-864-0000

    WWW.901FORRENT.COM                                                                                

 

IMPORTANT!!!

Before proceeding: THE UTILITIES ARE NOT INCLUDED WITH THE RENTALS. IF YOU ARE UNABLE TO HAVE THE MLGW BILL PUT IN YOUR NAME,

DO NOT CONTINUE.

Ø  THERE IS A $25 FEE FOR YOUR  CREDIT REPORT AND EMPLOYMENT CHECK.

Ø  PETS ARE ALLOWED ONLY WITH A $150 PET DEPOSIT / PER PET (INSIDE OR OUTSIDE)

Ø  STOVE AND REFRIGERATOR ARE NOT INCLUDED. (EXTRA  $35.00 and up a month fee for each appliance ) A REFUNDED DEPOSIT OF $35.00 FOR EACH APPLIANCE IS REQUIRED AND WILL BE RETURNED IF NO BALANCE IS OWED ON RENT AND APPLIANCES ARE LEFT CLEANED AND COMPLETE.

PROPERTY LOCATION__________________________________________________ DATE_______________

RENT _____________________  DEPOSIT________________  PET DEPOSIT___________________

NAME OF APPLICANT____________________________________________________________________

SS#___________________AGE______DATE OF BIRTH____________________

MARRIED_______SINGLE_______DIVORCED_______SEPARATED___________

CELL #________________________HOME #______________________ WORK # ______________________

E MAIL ADDRESS (S)_________________________________________________________________________

PRESENT ADDRESS___________________________________CITY_______________ ZIP CODE________

HOW LONG________________RENT___________ LANDLORDS NAME____________________________

PHONE #___________________ CELL PHONE #________________ REASON FOR MOVING___________

NAME OF SPOUSE OR CO APPLICANT/S___________________________________

SS#____________________AGE_________DATE OF BIRTH_________________ CELL #_______________

HOME #__________________ WORK PHONE_________________EMAIL ADDRESS___________________

CO-APPLICANT PRESENT ADDRESS_________________________CITY___________ ZIP CODE_____

NAME & AGES OF CHILDREN______________________________________________________________

_____________________________________________________________________________________________

WHO ELSE WILL BE LIVING IN THE PROPERTY____________________________________________

_____________________________________________________________________________________________

APPLICANT EMPLOYED BY_________________________________________________________________

ADDRESS___________________________________CITY________________ST____ ZIP CODE____

SUPERVISORS NAME____________________ SUPERVISORS PHONE #_______________________

LENGTH OF EMPLOYMENT______SALARY_$______WEEKLY_$_____MONTHLY_$_____OTHER_$_____

SHORT JOB DESCRIPTION____________________________________________________________________

OTHER INCOME_____________________________________________________________________________

SPOUSE CO-APPLICANT EMPLOYED BY___________________________________________________

ADDRESS______________________________CITY_______________ST__________ ZIP CODE_________

SUPERVISORS NAME______________________________ SUPERVISORS PHONE #___________________

LENGTH OF EMPLOYMENT______SALARY_$______WEEKLY_$_____MONTHLY_$_____OTHER_$_____

SHORT JOB DESCRIPTION___________________________________________________________________

OTHER INCOME_____________________________________________________________________________

PREVIOUS ADDRESS___________________________________LANDLORDS PHONE #_______________

NEAREST RELATIVE____________________________PHONE__________________________

ADDRESS___________________________________________________________________________________

CLOSEST FRIENDS NAME_________________________________________PHONE_____________________

ADDRESS___________________________________________________________________________________

(OVER)

BANK_____________________ACCOUNT#___________SAVINGS#__________

PRESENT DEBTS

1.___________________BALANCE___________MONTHLY PAYMENTS_______

2.  __________________BALANCE___________MONTHLY PAYMENTS________

3.  __________________BALANCE___________MONTHLY PAYMENTS________

VEHICLE 1  _______________________COLOR_____________TAG#______________

VEHICLE 2.________________________COLOR_____________TAG #_____________

FINANCED THRU_______________________________________________________

APPLICANTS DRIVERS LICENSE #______________________________________

SPOUSE OR CO APPLICANTS DRIVERS LICENSE #_______________________

DOES APPLICANT OR SPOUSE HAVE AN ARREST RECORD________ EXPLAIN__________________

_____________________________________________________________________________________

HAVE YOU EVER GONE BANKRUPT? _____REASON___________________________________________

 

PET(S) _______BREED___________DO YOU HAVE A PIT BULL   YES_____NO___________

 

WILL THERE BE CIGARETTE SMOKING IN THE HOUSE ___YES________NO___________

DATE YOU WOULD LIKE TO MOVE IN__________________________________

DO YOU NEED APPLIANCES____________IF YES THERE IS A $35.00 and up A MONTH EXTRA FEE FOR EACH APPLIANCE!!!

 

NOTICE TO APPLICANT: UPON ACCEPTANCE BY THE OWNER / AGENT YOU WILL PAY A NON REFUNDABLE DEPOSIT OF $___________TO HOLD THE PROPERTY UNTIL YOU SIGN YOUR LEASE AND TAKE POSSESSION. AT THAT TIME YOUR DEPOSIT WILL BE CONVERTED AND BECOME YOUR SECURITY DEPOSIT. IF FOR ANY REASON YOU DO NOT SIGN A LEASE THEN THE DEPOSIT SHALL BE RETAINED TO APPLY ON THE ADMINISTRATIVE COSTS AND EXPENSES INCURRED BY THE LANDLORD ASSOCIATED WITH YOUR APPLICATION PROCESS AND YOU WAIVE ANY RIGHT TO ANY REFUND OF SAID DEPOSIT. YOU MUST PAY THE FIRST MONTH’S RENT BEFORE OCCUPYING THE PROPERTY.  NO PETS ARE PERMITTED, NOW OR LATER, IN OR ON THE PROPERTY WITHOUT AN ADDITIONAL PET DEPOSIT.  THIS IS AN APPLICATION ONLY AND IS SUBJECT TO APPROVAL BY OWNERS. I AGREE TO ALLOW DICK SIMONS PROPERTIES TO DO A CREDIT CHECK ON ME NOW AND IN THE FUTURE IF NECESSARY.  I UNDERSTAND THAT I HAVE TO PAY A $25.00 CREDIT CHECK FEE, AND AN ADDITIONAL $10.00 PER APPLICATION.  THE $25.00 IS NON REFUNDABLE. ONCE YOU TAKE THE APPLICATION WHETHER OR NOT YOU RETURN IT.  I UNDERSTAND THAT THIS APPLICATION WILL BECOME PART OF THE LEASE.

AGREED                                                                                                       DATE                        

AGREED                                                                                                       DATE                        



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