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Quality Rental Homes David J Hostman P O Box Elmira

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Quality Rental Homes David J Hostman P O Box Elmira Powered By Docstoc
					Quality Rental Homes / David J. Hostman, P. O. Box 158 Elmira, MI 49730
989-732-0599 / Numerical or voice Pager #989-920-7341 Maintenance 989-920-0989 or 989-732-0083 *** A COPY OF THE S/S CARD & DR. LIC. FOR EACH APPLICANT IS MANDATORY***
Rental address:___________________________________________ Todays date: _________ Available on: ____
(Conditions of Occupancy) A RENTAL APPLICATION FEE OF $ .00 IS DUE WITH THIS APPLICATION. ******NOTE: Application must be completely filled out.****** Type lease: MO/MO or Term Date rent begins___________FIRST Months Rent $50.00 + $__________. SECOND Months rent $______ **Sec. Dep. $_______ All agreements carry a 30 day notice to Landlord of impending move & A $20.00 late fee applicable if over 7 days late. Tenant pays all Utilities. All appliances are maintained by Tenant after 30 days. Agreement subject to $100.00 Maintenance/REPAIR Deductible AFTER 30 days OCCUPANCY. INITIALS = X___________ X_______________ X____________ X__________
Non-Refundable Exit Janitorial Fee $175.00 OR SMOKERS $200.00. Pet fee $20.00 one pet, & $10.00 per month each ADDITIONAL pet.

NAME OF PERSON UTILITIES WILL BE IN: _________________________________. S/S __________________________ Name_______________________________________________________________________________________________ Present Address___________________________________________________________________HOW LONG?________ SOCIAL SECURITY # Home Phone ___________D/O/B_________ Dr. Lic #_____________________

Applicant’s present employer, address & phone # is =________________________________________________________ ______________________________________________________________________________________________________ Applicant’s position________ Mo. Gross Income_____________ Length of Employment___________ Full/Part Time____ Married/Single/Widowed_______ Separated/Divorced_______From Whom:______________________________________ State______Vehicle Make & Model______________Lic. #__________State_______ Credit cards: Name, Address & Account #__________________________________________________________________ Bank Name__________________/Chg Acct #___________________________ Svgs Acct#___________________________

Address =

Your account # is printed at the bottom of your checks.

PRESENT LANDLORD “PHONE # & ADDRESS”: _________________________________________________________ Present Rent $_____per mo. How long there?______ Pets?______ number & description of your pet(s)__________________ Have you ever been evicted?___ Have you ever filed bankruptcy___? Do you have a co-signer if required? __________ DO YOU OBJECT TO A SCHEDULED IN-HOME VISIT AT YOUR PRESENT RENTAL? ______________

SPOUSE OR ASSOCIATE: ________________________________________________________________________
Their S/S# ______ - _______ _ ________. Dr. Lic# _________________________ State__________ D/O/B______ Their Present Employer, address & Phone_______________________________________________________________ Position______________ Gross Mo. Income$_____________ Length of Employment___________ Full/Part-time_________ Credit cards: Names & Account #_________________________________________________________________________ Bank Name__________________/Chg Acct #___________________________ Svgs Acct#___________________________
Address = Your account # is printed at the bottom of your checks.

NAME & RELATIONSHIP OF EVERY PERSON TO LIVE WITH YOU IN THE RENTAL, INCLUDE AGES OF MINORS ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Personal References Name & Address List two, a relative or friend not a spouse or child =

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PAGE 2 OF 2…. Rental Unit Address: _________________________________________________ BY SIGNATURE HERETO IT IS AGREED AND UNDERSTOOD BY THE PARTIES THAT AFTER TENANCY BEGINS, SHOULD TENANTS FAIL TO SIGN AND RETURN THE RENTAL AGREEMENT OR LEASE, THE TERMS AND CONDITIONS OF SAID RENTAL AGREEMENT OR LEASE WILL CONSTITUTE THE SOLE VERBAL AGREEMENT BETWEEN SAID PARTIES. X X Additional information, if any:
NON-REFUNDABLE HOLD PAYMENT “OPTION” (NOT ASSOCIATED WITH DAMAGE SECURITY DEP)
Check here if Hold Option is selected __________. Premise must be available for occupancy by _________________

I (We) hereby pay to the owner/landlord, the sum of “ONE MONTHS RENT” as a full NON-REFUNDABLE_HOLD FEE on the above premises in payment for reservation and removal from availability to other perspective Tenants of said premises for me (us), pending execution of a rental agreement. I (We) understand that my (our) payment is entirely NON-REFUNDABLE and will not under any circumstances be returned to me (us) if this application is approved and I (we) are unable (FOR ANY REASON) to fulfill the conditions of occupancy and take possession of said premises by signing the rental agreement. The payment will be returned to me (us) if this application is not approved OR the unit isn’t ready to occupy by above date - providing all of the above questions are answered correctly & truthfully. NOTE!! THE ENTIRE NON REFUNDABLE HOLD MONIES YOU PAY US WILL BE CREDITED TO YOUR ACCOUNTS UNPAID BALANCE UPON YOUR OCCUPANCY AND EXECUTION OF A RENTAL AGREEMENT.
I (We) hereby grant permission – effective prior to my (our) Tenancy and at any time during my (our) Tenancy and for associated debt collection purposes for my (our) rent and or damage money due after my (our) Tenancy, to David J Hostman owner/Landlord and to his Agent(s) – to verify through any credit Bureau the validity of all the above statements to be true and correct. Owner/agent has the right to investigate and verify my (our) credit, employment and income records. Owner/agent has the right to investigate my (our) present and past landlord references. Owner/agent has my (our) permission to do a public records search for civil / criminal record and lawsuits. I (We) understand that this application does not constitute any oral and /or written commitments on the part of the owner/agent. I (We) certify that the preceding information is accurate and complete and I (We) acknowledge that inaccuracies and/or omissions may be the basis of immediate cancellation of my (our) application by Owner/agent. I authorize that machine copies of this authorization are to be considered as if they were the original signed document.

Signature of applicant(s) below: X= XS/S#} S/S#}

DATE:_________________

XX-

S/S#} S/S#}

IT IS AGAINST THE LAW TO DISCRIMINATE AGAINST PROSPECTIVE TENANTS ON THE BASIS OF RACE, RELIGION, NATIONAL ORIGIN, AGE, OR DISABILITY. LOCAL OR STATE LAWS MAY INCLUDE ADDITIONAL CLASSES WHICH ARE PROTECTED FROM DISCRIMINATION IN HOUSING.
Owner / Landlord notes:

Section 8 Grants accepted. For MSHDA Otsego County applications call 1-989-275-7265 or Grayling Housing Commission Otsego County Applications - lobby pick up @ 308 Lawndale (348-9314). Antrim County MSHDA 231-377-7155.
09-08-03 Ed. Revised


				
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