Rent to Own Application

Thank You for visiting Offsite Realty & Property Management.

Please take a minute and fill out or rental application. When completed please send to the address below and an Associate will be in touch with you.

Offsite Realty & Property Management

1790 Imperial Golf Course Blvd #305A

Naples, FL 34110

Personal Information

Date:

Application Taken By:

E-mail Address

Phone No.

Name of Applicant

Date of Birth

Social Security No.

Driver’s License No.

Present Address

City

State

Zip

Prior Address

City

State

Zip

How long have you lived at present address?

How long have you lived at prior address?

Name of Landlord

Telephone

Prior Landlord

Telephone

How many will be living in this unit?

Adults

Children

Pets

Weight of Pets

Employer

Occupation

Current Salary

How Long?

Contact Person

Telephone

Spouse Information

Name of Spouse

Date of Birth

Telephone:

Social Security No.

Driver’s License No.

Employer

Occupation

Current Salary

How Long?

Contact Person

Telephone

Bank Information

Bank Name		Branch
Telephone	Address

Checking Account No.
Savings Account No.

Personal/Credit References

Name	Relationship	Telephone

Credit Grantor	Address	Telephone

Other Information

Number of Vehicles (Including company cars)

Make/Model

Year

Color:

Tag No.

State

Make/Model

Year

Color:

Tag No.

State

Make/Model

Year

Color:

Tag No.

State

HAVE YOU EVER

Filed for Bankruptcy

Yes

If yes, when?

Been served an eviction notice or been asked to vacate a property you were renting?

Yes

Willfully or intentionally refused to pay rent when due?

Yes

If yes, when?

Been sued for unlawful detainer?

Yes

How were you referred to us?

Newspaper (name)

Realtor (Name)

Other

Rental Unit Applied for

Commencement Date

Term

Rent/Month

Acknowledgement

I/We, the undersigned, understand that is the leasing agent and representative for the owner/landlord and that the leasing agent’s fees will be paid by the owner/landlord. The undersigned acknowledge that this written notice was received prior to the undersigned receiving a lease agreement.


Applicant’s Signature	Date		Co-Applicant’s Signature	Date

Consent to Obtain Credit/Employment Information

I/We authorize to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

I/We declare under penalty of perjury that the information listed in this application is true and correct.

Executed on this day of ________ __ , 20___ , in the city of

_____________ , state of _______________ .


Applicant’s Signature	Date		Co-Applicant’s Signature	Date

The undersigned authorizes landlord, leasing agent, and representatives of owner/landlord to contact the undersigned's current or previous landlord, and current employer, and further, by a copy of this Application, authorizes any said landlord or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent or its representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned's number of children, employment, occupation, general health, financial, and criminal history information.

For Office Use Only – Do Not Write Below

Application		Person Contacted	Remarks

	Present Landlord

	Previous Landlord

	Applicant’s Employment

	Co-Applicant’s Employment

	Bank

	Reference (1)

	Reference (2)

	Reference (3)

	Other

	Driver’s License/ID

	Credit Bureau

Verification completed by:

Date:

Remarks:

Monies Received

Date	Description	Amount
	Application Fee	$
	Security Deposit	$
	Rental Fee	$

THIS APPLICATION:

Is Approved

Is Not Approved