Parent/Student Application

Parent / Student Application

Parent/ Student Residential Application

NON-REFUNDABLE APPLICATION FEE IS $40.00 PER APPLICATION
EACH ADULT RESIDENT MUST COMPLETE AN APPLICATION
The undersigned hereby makes application to rent
Address
commencing

MonthDayYear
Date
at a monthly rental rate of
Rental Amount

Parent Applicant Information
APPLICANT

Parent Information
Parent Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Date

MonthDayYear
Date
Driver's License # / Issuing State
Social Security Number
xxx-xx-xxx
RENTAL HISTORY

Previous 3 years
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Property Manager / Owner

First NameLast Name
Property Manager / Owner Phone #

Area CodePhone Number
Reason for vacating
Previous Address #1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Property Manager / Owner

First NameLast Name
Property Manager/ Owner Phone #

Area CodePhone Number
Reason for vacating
Previous Address #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Property Manager / Owner

First NameLast Name
Property Manager / Owner Phone #

Area CodePhone Number
Reason for vacating
EMPLOYMENT

3 months of the most recent paystubs
Current Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor

First NameLast Name
Supervisor's Phone Number

Area CodePhone Number
Hire Date

MonthDayYear
Date
Position
Monthly Gross Income
Previous Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor

First NameLast Name
Supervisor's Phone Number

Area CodePhone Number
From

MonthDayYear
Date
To

MonthDayYear
Date
Position
Monthly Gross Income
OTHER INFORMATION

Please give any other information which may be helpful in evaluating this application. Be certain to include any additional income. Applicant need not disclose alimony, child support or separate maintenance income or its source.
Other Information:
Filed for bankruptcy
Been evicted from tenancy
Willfully or intentionally refused to pay rent when due
Application Agreement

I RECOGNIZE THAT AS PART OF YOUR PROCEDURE FOR PROCESSING, MY APPLICATION, AN INVESTIGATIVE CONSUMER REPORT MAYBE PREPARED WHERE BY INFORMATION IS OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS AND OTHERS 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. THIS APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGATE OWNER OR OWNER'S AGENT TO EXECUTE LEASE AGREEMENT NOR DELIVER POSSESSION OF PREMISES. ALL INFORMATION PROVIDED WITHIN THIS APPLICATION, TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT.
Parent Signature

Clear
Date & Time

Student Applicant Information
Student Name

First NameLast Name
Student Phone Number

Area CodePhone Number
Student Email
example@example.com
Date of Birth

MonthDayYear
Date
Social Security Number
xxx-xx-xxxx
Driver's Licence # / State
Year, Make & Model
Tag # & State
Rental History

Previous 2 Years
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Type a question
Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Type a question
Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Type a question
Name

First NameLast Name
Phone Number

Area CodePhone Number
EMPLOYMENT INFORMATION

3 MONTHS MOST RECENT PAY STUBS
Type a question
Type a question
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date

MonthDayYear
Date
Name

First NameLast Name
Phone Number

Area CodePhone Number
OTHERS TO OCCUPY THE RESIDENCE
Name

First NameLast Name
Relationship
Sex / Age
Name

First NameLast Name
Relationship
Sex / Age
Name

First NameLast Name
Relationship
Sex / Age
Name

First NameLast Name
Relationship
Sex / Age
Name

First NameLast Name
Relationship
Sex / Age
Do you have any pets?

YesNo
If yes, type and weight;
In case of emergency, notify

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number

Have you ever;

	Yes	No
Filed for bankruptcy
Been Evicted
Willfully or intentionally refused to pay rent when due?

Student Signature

Clear
DateTime

Submit & Pay

Online Payment

Parent / Student Application Fee$40.00

Total $0.00

Credit Card

Should be Empty:

IMPORTANT NOTICE

There is only (1) application fee per Student/Parent applications.

This fee covers both the parent and the student.

Contact Us

Huckabee Realty

149 Oakland Avenue

Rock Hill, South Carolina 29730

(P) 803-325-8020

(F) 803-325-2093

(E) huckabeerlty@comporium.net

Parent / Student Application

Parent/ Student Residential Application

APPLICANT

RENTAL HISTORY

EMPLOYMENT

OTHER INFORMATION

Application Agreement

Rental History

EMPLOYMENT INFORMATION

OTHERS TO OCCUPY THE RESIDENCE

Credit Card

IMPORTANT NOTICE

Contact Us