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Email: Rentals@HuckabeeRealty.com


RESIDENTIAL LEASE APPLICATION


If you are interested in leasing one of our properties, please fill out the secured information form below and E-mail to us, or print a copy and fax or mail to us.

Non-refundable application fee is $35.00 per application.

Each adult resident must complete an application.

If you are a student, please have parents fill out the top portion of lease application,
and as a student, fill out the bottom student portion.


Upon receipt of the $35.00 non refundable application fee, we will process the application in full.



The undersigned hereby makes application to rent (Address)

Applicant

Full Name: Current Phone #:
Email Address:
Birthdate: SS#:
Driver's License Number: D.L. State:
If you are a parent of a student applying for a lease, please enter the students name in the box below.


Rental History For Previous Three Years
1. Current Address:
City: State: Zip:
Date of Occupancy: Reason for Leaving:
Property Manager or Owner: Phone:

2. Previous Address:
City: State: Zip:
Date of Occupancy: Reason for Leaving:
Property Manager or Owner: Phone:

3. Previous Address:
City: State: Zip:
Date of Occupancy: Reason for Leaving:
Property Manager or Owner: Phone:

Employment Information
1. Present Employer:
Address, City, State, Zip: Supervisor: Phone: Date Hired:
Position: Salary:

2. Previous Employer:
Address, City, State, Zip: Supervisor: Phone: Date Hired:
Position: Salary:

Credit References
1. Address:
2. Address:
3. Address:

Spouse
Spouse must complete an application; however, only one application fee is applicable.

Other Information:
1:

Have you ever:

           Filled for bankruptcy                              
           been evicted from tenancy                          
           willfully or intentionally refused to pay rent     
Your vehicle make/model: Tag #: State:

Others to Occupy House:

    Name                     Relationship         Sex      Age    
1:
2:
3:
4:

Do you have any pets?:
If yes, Type: Weight lbs.


I recognize that as part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with my neighbors, friends and others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living. Also, I agree to sign the lease currently in use by Huckabee Realty.

Properties will not be held until application(s) is received, approved and security deposit is received.

All information provided within this application, to the best of my knowledge, is true and correct.

Enter your name and current date in the box below. Name printed here is an electronic acceptance of the lease application.
Name and Current Date::
                  

Student Applicant Information


Full Name: Current Phone #:
Email Address:
Birthdate: SS#:
Driver's License Number: D.L. State:
Students, please enter your parents or guardians name in the box below.


Rental History For Previous Three Years
1. Current Address:
City: State: Zip:
Date of Occupancy: Reason for Leaving:
Property Manager or Owner: Phone:

2. Previous Address:
City: State: Zip:
Date of Occupancy: Reason for Leaving:
Property Manager or Owner: Phone:

3. Present Employer:
Address, City, State, Zip: Supervisor: Phone: Date Hired:

Credit References
1. Address:
2. Address:
3. Address:

Enter your name and current date in the box below. Name printed here is an electronic acceptance of the lease application.
Name and Current Date::
                                                
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