Application to Rent from Rosi Slater - Nelson Road Rentals
Date _____________
Name_____________________________________________________________
Phone_____________________________________________________________
Current address_____________________________________________________
Reason for leaving current address _____________________________________
Name and current phone number for present landlord ______________________ _________________________________________________________________
How long at this address? ____________________________
Name and current phone number of last previous landlord __________________ __________________________________________________________________
How long at this address?____________________________
Number of persons in family wanting to rent ______________
Name/number of person to notify in case of emergency _____________________ _________________________________________________________________
Name of employer __________________________________________________
Phone number of employer ___________________________________________
Name of last previous employer and phone number ________________________ __________________________________________________________________
Applicant understands and accepts the following:
No smoking is allowed in residence ; Absolutely no pets allowed unless approved and authorized by landlord; Renter to maintain yard, including mowing and watering; Renter to pay rent on the 1st of the month with no exceptions; 30 days notice must be given to terminate lease, either by renter or landlord; All adults residing in the residence are jointly liable for all rent and damage incurred during term of occupancy.
Failure to abide by any of the above items will result in immediate termination of the lease. Applicant represents that statements made above are true and correct and hereby authorizes verification of references given. The undersigned upon the basis of the above statement makes application to rent housing accommodations designated as (circle one) 889 925 Nelson Road, the rental which is $_________ per month and upon approval by the owner of this application, agrees to sign lease agreement and complete a condition of premises form supplied by landlord.
________________________________________ ________________________________________
Applicant signature Date Applicant signature Date