Missing!
PRELIMINARY RENTAL APPLICATION
This is a preliminary rental application. There is no fee to complete this preliminary application. However, if your application is selected to be processed for prospective tenancy, you will be sent a link
to complete your credit and background check online. There is a fee to
conduct a credit and background check. The fee is normally between $35 and $50.00
per person. Thank you.
TENANCY WILL BE DENIED IF you misrepresent any information on the application. If misrepresentations are found after the rental agreement is signed, your rental agreement will be terminated.
Full Name (including middle, if any)  |
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| Current Street Address |
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| City, State, Zip |
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| Reason for Leaving |
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| Email address |
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| Telephone |
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| Facsimile |
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| Social Security Number |
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| Date of Birth |
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| Drivers License State |
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| Drivers License Number |
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| Drivers License Expiration Date |
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| Car Make, Model and Year |
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| Car License Plate Number |
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| 2nd Car Make, Model and Year |
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| 2nd Car License Plate Number |
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| Current Landlord's Name |
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| Current Landlord's Telephone |
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| Current Landlord's Email |
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| Current Rental Amount |
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| Previous Street Address |
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| Previous City, State, Zip |
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| Reason for Leaving |
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| Previous Landlord's Name |
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| Previous Landlord's Telephone |
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| Previous Landlord's Email |
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| Occupation |
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| Current Employer |
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| Current Employer Address |
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| Current Employer Telephone |
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| Current Employer Email |
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| How long with current employer? |
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| Annual Salary |
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| Number of Adults to Occupy Rental Unit? |
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| Number of Children under 18 to Occupy Rental Unit |
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| Please list all occupants |
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| Do you have any pets? If so, what kind? |
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| How many pets? |
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| Requested Move-In Date |
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| Property Address Requesting to Lease |
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| 1st Credit Reference and Telephone Number |
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| 2nd Credit Reference, Address and Telephone Number |
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| 1st Personal Reference, Address and Telephone Number |
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| 2nd Personal Reference, Address and Telephone Number |
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| Have you ever been evicted as a tenant? |
Yes No |
| If yes, why? |
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| Hve you ever been convicted of a criminal offense? |
Yes No |
| If yes, for what? |
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| In case of emergency, please notify (name, address and contact number)? |
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This is to advise that I the undersigned hereby authorize BEAULIEU
REALTY LLC, the person or firm to whom my application has been submitted
to obtain a consumer credit report , to conduct a criminal record
search, an eviction search and to make any other inquiries as deemed
necessary in determining eligibility for tenancy and assessing credit
worthiness.
I understand that the information set out in the rental
application form may be used for the purposes of responding to
emergencies, ensuring the orderly management of the tenancy, complying
with legal requirements and for collection purposes should rent be left
owing or rental property damaged at termination of lease or end of
tenancy.
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| Electronic Signature (type name) |
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| I hereby certify that the information indicated on this application
is true and accurate and that my electronic signature shall have the same legal effect
as if made under oath; that I am the person making application and that my name appears above. |
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LIST OF REQUIRED DOCUMENTS:
Drivers License
Proof of Income:
If self employed - prior year tax return
Last four pay stubs
Any other proof of income you would like to use
PLEASE FAX REQUIRED DOCUMENTS TO: 1-800-854-1610
or
YOU MAY EMAIL THEM TO: kb@br-team.com
Thank you. |
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