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Rental Application Form
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Please print out the rental application and fax to 919-468-1570 or mail P.O.BOX 1274, Cary, NC 27512 Property address applied for___________________________________________________________________
Desired occupancy date_____________ Length of lease______________________________
Applicant ________________________ date of birth__________________________________
Applicant’s social security number ____________ Driver License #______________________
Co-Applicant ________________________________date of birth____________________
Co-applicant’s social security number _______________Driver License # ________________
Name and ages of other occupants________________________________________________________________
Pets(specify)_____________________________________weight/age______________________________
Does anyone occupying the residence smoke? No___________________Yes______________
Present address________________________________________________________________
Email: ________________________Home phone # __________________ Work phone #_________________________Cell #____________________________ Work Email:_____________________________
Present Landlord/Mortgage company____________________________________________________________
Landlord/ mortgage company’s phone # ___________________Payment ____________
Length of Stay_________________________________________________
Previous address (if less than 2 years) _______________________________________________________________
Previous landlord/mortgage_______________ phone ________Payment________
Applicant’s employer ________________________Position_________________________
Monthly Income ______________ Supervisor________________phone # _______________
Address of employer_____________________________________________________________
How long employed ________________ Subject to transfer (yes/no) ____________________
Co-Applicant’s employer ________________________Position________________________________________
Monthly Income ______________ Supervisor_________________ phone #_______________
How long employed_________________Subject to transfer (yes/no) ___________________
Have you ever been evicted from any leased property?______________________________
Reason for eviction_______________Have you ever been convicted of a felony? __ _______
Name ___________________________________Relationship_____________________
Address________________________________________________________________
street city state zip code
Phone # ____________________ Cell # ______________________________________
Nearest Relative:
Name _________________________________Relationship__________________________________
Address____________________________________________________________________________
city …..........................................................state....................zip code.....................
Phone # _____________________Cell # __________________Email:_____________
Rental Application Fee: _______________________
Security Deposit Agreement
Applicant has deposited the sum of $_____________________, receipt of which is acknowledged as an
interest bearing deposit and not as a rental payment. This deposit will be applied as a security deposit if the
rental agreement is executed, or retained by the property manager to cover the cost of taking and processing
the application should, through no fault of the property manager, the applicant fail or refuse to occupy the
premises on the agreed upon date of occupancy. In the event this application is not approved or for any
reason the rental agreement is not executed, this deposit will be refunded. However, if costs are incurred in
checking out-of-town references, this cost will be deducted from the deposit. Where pets are permitted, a
$250 Pet deposit shall be paid by the applicant which is refundable. There is a non-refundable application fee of $50.
WE HEREBY AUTHORIZE CARY-RALEIGH REALTY AND/OR A THIRD PARTY TO CONTACT THE
LOCAL CREDIT BUREAU FOR VERIFICATION OF OUR CREDIT HISTORY. ALSO, TO CONTACT THE REFERENCES WE PROVIDED TO VERIFY OUR EMPLOYMENT AND RENTAL HISTORY.
This application is made with the understanding that it is subject to acceptance and executed rental agreement covering said premises.
_______________________________Applicant /date
NAME
_______________________________ Co-applicant/ date NAME
Name of Agent who showed you the property: ________________________________
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