Occupancy application

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					                          Stonebrook Homeowners Association
                            Renters Reference of Florida, Inc.
NOTE:
   1. IF ANY QUESTION IS NOT ANSWERED OR LEFT BLANK, THIS APPLICATION WILL BE RETURNED, NOT
        PROCESSED AND NOT APPROVED.
   2. A $100.00 PER APPLICANT NON-REFUNDABLE SCREENING FEE, ANYONE OVER THE AGE OF 18 YEARS OLD
        MUST PAY THE APPLICATION FEE IN THE FORM OF A MONEY ORDER OR CASHIER’S CHECK. PLEASE MAKE
        CHECK PAYABLE TO STONEBROOK HOMEOWNERS ASSOCIATION. Personal checks will NOT be accepted.
   3. PRINT LEGIBLY OR TYPE ALL INFORMATION.
   4. APPLICATIONS MUST BE RECEIVED BY THE STONEBROOK BOARD AT LEAST THIRTY (30) DAYS PRIOR TO
        OCCUPANCY DATE. PLEASE SUBMIT THREE (3) COPIES OF ALL PAGES.
   5. YOU MUST INCLUDE A COPY OF YOUR LEASING AGREEMENT.
   6. OCCUPANCY PRIOR TO THE APPROVAL OF THE BOARD IS PROHIBITED AND TENANTS WILL BE EVICTED AT
        OWNERS EXPENSE.
   7. APPLICANT MUST PROVIDE AT LEAST FIVE (5) YEARS RESIDENCY AND WORK HISTORY WITH APPLICATION.
   8. APPLICATIONS AND MONEY ORDERS/CASHIER’S CHECK MUST BE MAILED TO (NO PERSONAL CHECKS);
                                     Stonebrook Homeowners Association
                                   c/o Alton Madison Property Management
                                                P.O. Box 901773
                                           Homestead, Fl 33090-1773



                             APPLICATION FOR OCCUPANCY APPROVAL


COMPLETE ALL QUESTIONS AND FILL IN ALL BLANKS (PLEASE PRINT)


INTENDED LEGNTH OF LEASE ____________________________ (minimum of one (1) year)
HOMEOWNER ACCOUNT # ________ TODAY’S DATE ______________ DATE OF OCCUPANCY _________________
NAME _________________________________________________________________________________________________
SOCIAL SECURITY # _____________________________________________________________________________________
DRIVERS LICENSE # _________________________________________________ STATE ______________________________
EMAIL ADDRESS: ________________________________________________________________________________________
SPOUSE ________________________________________________________________________________________________
SOCIAL SECURITY # _____________________________________________________________________________________
MAIDEN NAME _________________________________________________________________________________________
DRIVERS LICENSE # _________________________________________________ STATE ______________________________
EMAIL ADDRESS: ________________________________________________________________________________________
NUMBER OF PEOPLE WHO WILL OCCUPY UNIT:
ADULTS ____________ (over age 18) CHILDREN ______________ (under age 18)
NAMES & AGES OF CHILDREN WHO WILL OCCUPY RESIDENCE _____________________________________________
________________________________________________________________________________________________________
IN CASE OF EMERGENCY, NOTIFY: ________________________________________________________________________
________________________________________________________________________________________________________


PART I-RESIDENCE HISTORY (LIST ATLEAST (5) YEARS RESIDENCE HISTORY – ATTACH ADDITIONAL PAGES IF NEEDED)


A. PRESENT ADDRESS ______________________________________________________    PHONE _________________
  DATES OF RESIDENCY _______________________________________________________________________________
  NAME OF LANDLORD OR MORTGAGE CO. ___________________________________________________________
  __________________________________________________________________________ PHONE __________________
  ADDRESS ___________________________________________________________________________________________
  MTG # ______________________
B. PREVIOUS ADDRESS (IF LESS THAN FIVE (5) YEARS AT CURRENT ADDRESS)
_______________________________________________________________________________________________________


  PART II-EMPLOYMENT & BANK REFERENCES (LIST ATLEAST (5) YEARS EMPLOYMENT HISTORY FOR EACH ADULT –
                                   ATTACH ADDITIONAL PAGES IF NEEDED)
A. EMPLOYED BY ____________________________________________________________ PHONE _________________
  HOW LONG ______________ DEPT. OR POSITION _______________________ MONTHLY INCOME _____________
  ADDRESS ___________________________________________________________________________________________
B. SPOUSE'S EMPLOYMENT ___________________________________________________ PHONE _________________
  HOW LONG ______________ DEPT. OR POSITION _______________________ MONTHLY INCOME_____________
  ADDRESS ___________________________________________________________________________________________
C. BANK REFERENCE ______________________________________________________________ PHONE ____________
  HOW LONG _______ CK. ACCT # _______________________________ SAV. ACCT # _________________________
  ADDRESS _________________________________________________________
D. BANK REFERENCE ______________________________________________________________ PHONE ____________
  HOW LONG _______ CK. ACCT # _______________________________ SAV. ACCT # _________________________
  ADDRESS _________________________________________________________
E. I UNDERSTAND THAT ANY VIOLATIONS OF THE TERMS, PROVISIONS, CONDITIONS, AND COVENANTS OF
STONEBROOK DOCUMENTS PROVIDES CAUSE FOR IMMEDIATE ACTION AS THEREIN PROVIDED OR TERMINATION
OF THE LEASEHOLD UNDER APPROPRIATE CIRCUMSTANCES.
  1. I HAVE RECEIVED A COPY OF THE RULES AND REGULATIONS AND UNDERSTAND THAT I MUST ABIDE BY THEM:
         YES ____ NO _____
  2. I UNDERSTAND THAT I WILL BE ADVISED BY THE BOARD OF DIRECTORS OF EITHER ACCEPTANCE OR DENIAL OF
THIS APPLICATION.
  3. I UNDERSTAND THAT THE ACCEPTANCE FOR LEASE AT STONEBROOK IS CONDITIONED UPON THE TRUTH AND
ACCURACY OF THIS APPLICATION AND UPON THE APPROVAL OF THE BOARD OF DIRECTORS. ANY
MISREPRESENTATION OR FALSIFICATION OF INFORMATION ON THESE FORMS WILL RESULT IN THE AUTOMATIC
REJECTION OF THIS APPLICATION. OCCUPANCY PRIOR TO BOARD APPROVAL IS PROHIBITED.
  4. I UNDERSTAND THAT THE BOARD OF DIRECTORS OF STONEBROOK AND/OR ALTON MADISON PROPERTY
MANAGEMENT MAY CAUSE TO BE INSTALLED AN INVESTIGATION OF MY BACKGROUND AS THE BOARD MAY
DEEM NECESSARY. ACCORDINGLY, I SPECIFICALLY AUTHORIZE THE BOARD OF DIRECTORS, RENTERS REFERENCE
AND/OR ALTON MADISON PROPERTY MANAGEMENT TO MAKE SUCH INVESTIGATION AND THAT THE BOARD OF
DIRECTORS, RENTERS REFERENCE AND/OR ALTON MADISON PROPERTY MANAGEMENT ITSELF SHALL BE HELD
HARMLESS FROM ANY ACTION OR CLAIM BY ME IN CONNECTION WITH THE USE OF THE INFORMATION
CONTAINED HEREIN OR ANY INVESTIGATION CONDUCTED BY THE BOARD OF DIRECTORS.


IN MAKING THE FOREGOING APPLICATION, I AM AWARE THAT THE DECISION OF THE STONEBROOK BOARD OF
DIRECTORS AND/OR ALTON MADISON PROPERTY MANAGEMENT WILL BE FINAL AND NO REASON WILL BE GIVEN
FOR ANY ACTION TAKEN BY THE BOARD OF DIRECTORS. I AGREE TO BE GOVERNED BY THE DETERMINATION OF
THE BOARD OF DIRECTORS.


  APPLICANT SIGNATURE: _______________________________________________________________________


  APPLICANT SIGNATURE: _______________________________________________________________________


      PART III-CHARACTER REFERENCES (ALL REFERENCES WILL BE CONTACTED, PLEASE PROVIDE ACCURATE
                                                   INFORMATION)


1. ___________________________________________________________________ RES. PHONE ________________
 ADDRESS __________________________________________________________ OFC. PHONE ________________
2. ____________________________________________________________________ RES. PHONE ________________
 ADDRESS __________________________________________________________ OFC. PHONE ________________
3. ____________________________________________________________________ RES. PHONE ________________
 ADDRESS __________________________________________________________ OFC. PHONE ________________


NUMBER OF CARS (to be parked here) ______________________
MAKE __________ MODEL _______ YEAR ___ PLATE # __________ STATE _____
MAKE __________ MODEL _______ YEAR ___ PLATE # __________ STATE _____


If this application is NOT legible or is not completely and accurately filled out, Renters Reference of Florida, Inc.
(and the Association) will not be liable or responsible for any inaccurate information in the investigation and
related report (to the Association) caused by such omissions or illegibility.
By signing, the applicant recognizes that the Association or their agent, may investigate the information
supplied by the applicant and a full disclosure of pertinent facts may be made to the association.
The investigation may be made of the applicant's character, general reputation, personal characteristics,
police arrest record, and mode of living as applicable.


  APPLICANT SIGNATURE: _______________________________________________________________________


  APPLICANT SIGNATURE: _______________________________________________________________________


APPLICANT(S): Most banks, financial institutions, mortgage companies and employers require your signature
and name printed. Make sure ALL THREE Authorization Forms are completed as indicated.


ALL PARTS OF THESE FORMS ARE REQUIRED-DO NOT SEPARATE THEM




NOTE: THREE ORIGINAL COPIES OF EVERY PAGE ARE REQUIRED.
AUTHORIZATION TO RELEASE BANKING, CREDIT, RESIDENCE, EMPLOYMENT, AND POLICE
RECORD INFORMATION TO;


   1. The Stonebrook Homeowners Association Board of Directors
   2. Renters Reference of Florida Inc.
   3. Alton Madison Property Management


I HAVE NAMED YOU AS A REFERENCE ON MY APPLICATION FOR RESIDENCY.


You are hereby authorized to release and give to the below mentioned party(s) or their
Attorney or Representative, any and all information they request concerning my banking,
credit, residence, employment and background in reference with my/our application made
for residency.


DESIGNATED PARTY:
I hereby waive any privileges I may have with respect to the said information in reference to
its release to the previously mentioned party(s).


Photocopies of this Authorization may be made to facilitate multiple inquires. In the event
you do receive a photocopy of this Authorization, it should be treated as an original and the
requested information should be released to facilitate my/our application for residency.


_____________________________________________ __________________________________
(Applicant's Signature)                             (Applicant's Name Printed)


_____________________________________________ __________________________________
(Spouse's Signature)                                (Spouse's Name Printed)