Rental Application — Stors Realty Group

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Fields marked * are required. One person per application. Please make sure everything is complete and accurate before submitting.

Application to Rent

I hereby make application to rent (property address / unit) *

…to be used as a dwelling unit.

Your Information

First name *

Middle name

Last name *

Phone number *

Email *

Date of birth *

Social Security number *

Driver's license # *

State issued *

Your Current Employment

Name of employer *

Your position *

Employer address *

Your start date *

City *

State *

Zip *

Employer's phone *

Your supervisor *

Monthly salary ($) *

Salary is *

Your Personal History

Have you ever…

Your Vehicle

Make

Model

Color

License plate number

State

Pets

Do you own any pets? *

Yes No

Other Residents

List the legal names and ages of ALL other people who will occupy this unit.

In Case of Emergency

Emergency contact *

Phone *

Address *

City *

State *

Lease Terms

Rent amount ($) *

Security deposit ($) *

Non-refundable application fee ($) *

Lease term *

Move-in date *

Please Read Carefully

I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I hereby authorize the Landlord or Landlord's agents to verify the information on the application. Verification or re-verification of any information contained in the application will be retained by Landlord. I hereby authorize Tenant Data Services Inc. to obtain information about me, including, but not limited to, this application, my credit, my tenant history, my check writing history, any court records and/or my criminal record, and I hereby authorize & instruct any entity or person contacted by Tenant Data Services Inc. or the Landlord or Landlord's agents to release such information to them. Upon request, Landlord, Landlord's agents, or Tenant Data will provide the name & phone number of the source of the information used in the verification process.

I have read and agree to the statement above. *

Applicant signature (type full legal name) *

Date *

✓

Thank you — your application was submitted!

We've received your rental application and will review it shortly. A member of Stors Realty Group will contact you about next steps.