For your convenience we have supplied this internet application. Please print application and fill out completely. Mail or fax the application to PSC Property Management.
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I HEREBY AUTHORIZE YOU TO RELEASE INFORMATION REGARDING
MY TENANCY TO THE INQUIRING LANDLORD.
_
__________________________________________________
_____________________TENANT SIGNATUREDATE
DATE RESIDENTIAL RENTAL APPLICATION
Date:_______________________
PSC Properties, LLC 563 Old Summit Bridge Rd., Middletown DE 19709 email: debbie@psccontracting.com Phone: (302) 832-2076 Fax: (302) 838-2999
Phone: (302) 832-2076 Fax: (302) 838-2999TO THE APPLICANT: We sincerely thank you for your application. Please help us to promptly process this application
by clearly and completely filling in all of the information. Blank spaces may delay approval and serve as grounds for rejection.
Move-In Date:___________Apartment Address _________________________________________ Term: 1 year
Apartment Address _________________________________________ Term: 1 yearPERSONAL INFORMATION
Applicant Name:______________________________________ Date of Birth:______________________________
E-mail Address:______________________________________ Phone #:__________________________________
Co-Applicant Name:___________________________________Date of Birth:______________________________
E-mail Address:_______________________________________Phone #:_________________________________
APPLICANT’S RENTAL HISTORY:
Present Address_______________________________________ City & State___________________ Zip________
Length of time at present address _________________________________________________________________
Landlord or Mortgage Holder ____________________________ Phone # ( )_______________________________
Monthly Rent $__________________ Reason for Moving _____________________________________________
Voluntary _____ Involuntary ______ (Check One)CO-APPLICANT’S RENTAL HISTORY: (if different from applicant)
Present Address_______________________________________ City & State___________________ Zip________
Length of time at present address _________________________________________________________________
Landlord or Mortgage Holder ____________________________ Phone # ( )____________________________
Monthly Rent $__________________ Reason for Moving _____________________________________________
Voluntary _____ Involuntary ______ (Check One)
Have you ever:Been Evicted: _____YES ______NO Co-Applicant: ______YES _______NO
Been Evicted: _____YES ______NO Co-Applicant: ______YES _______NO Filed Bankruptcy: _____YES______NO ______YES_______NO
Refused to pay rent: _____YES______NO ______YES_______NO
_____________________________________________________________________________________________________
EMPLOYER INFORMATION (Applicant)
Your current employment status: □ Employed Full-Time □ Employed Part-Time □ Unemployed □ Retired □Student
Name of Company___________________________________ How long employed _____________________Address___________________________________________________________________________________Telephone # ( )_________________________ Position ____________________ Department ____________Immediate Supervisor Name ________________________ Phone # ( )___________ Fax # ( )__________Present Income $______________________________ per _____________________(month, week, bi-weekly)List any Additional Income $_____________ per _____________(month, week, bi-weekly) Source _________EMPLOYER INFORMATION (Co-Applicant)
Your current employment status: □ Employed Full-Time □ Employed Part-Time □ Unemployed □ Retired □Student
Name of Company___________________________________ How long employed _____________________Address___________________________________________________________________________________Telephone # ( )_________________________ Position ____________________ Department ____________Immediate Supervisor Name ________________________ Phone # ( )___________ Fax # ( )__________Present Income $______________________________ per _____________________(month, week, bi-weekly)List any Additional Income $_____________ per _____________(month, week, bi-weekly) Source _________OTHER OCCUPANTS: (Please list anyone else that will be living in the apartment)
NAME RELATIONSHIP DATE OF BIRTH
________________________________ ___________________________ ____________________________
________________________________ ___________________________ ____________________________
________________________________ ___________________________ ____________________________
CRIMINAL BACKGROUND:
Have you or any member of your household ever been convicted of or pleaded guilty or no contest to a felony (whether or not resulting in a conviction) Yes__________________ No ________________________
Have you or any member of your household ever been convicted of or pleaded guilty or no contest to a misdemeanor involving sexual misconduct (whether or not resulting in a conviction) Yes___________________ No___________________
I hereby give PSC Properties, LLC permission to check my criminal background.
Applicant Initial Here:__________________ Co-Applicant Initial Here:______________________
PET INFORMATION
Pets are allowed upon discretion of management. There is a non-refundable deposit of $250.00 for a dog $100.00 for a cat. Dogs are to be a maximum of 40 pounds.
Type of Pet ____________________ Description ____________________ Weight_______________ Name_______________
EMERGENCY INFORMATION
Person we should contact in the event of an emergency:
Name:___________________________________________________________________Relationship______________________
Address__________________________________________________________________________________________________
Phone Number_____________________________________________ Evening Phone Number___________________________
DISCLOSURES AND AGREEMENTS CONCERNING THE APPLICATION
1. The landlord may refuse to approve this application on the basis of previous rental or housing records which reflect a lack of concern for the well being of other tenants or the property of the landlord. It may also be rejected if information is received that indicates the applicant is not concerned with the property rights or the right to peace and quiet of the other tenants. The landlord may also refuse to approve this application based on the applicant’s financial history.2. In compliance with Fair Credit Reporting Act you are hereby informed that an investigative consumer report may be made as to your character, general reputation, personal characteristics, and mode of living. Additional information will be obtained through employers, landlords, banks, finance companies, tax returns, credit reporting agencies or similar sources. By signing this application you are authorizing the release of this information to the landlord or its agents.3. I hereby grant the owner or its representative the right to process this application for the purpose of obtaining a rental agreement. I understand that the landlord is relying on the statement s and information contained in this application. The statements and information contained herein are true and correct to the best of my/our knowledge and information. I understand that this application is made a part of the rental agreement if one is entered into, and if any information contained herein is found to be a misrepresentation, incorrect or untrue that may for the basis for termination of the rental agreement.4. This application is not a lease or rental agreement. No representation is made as to the availability of an apartment or any specific apartment. Any prices listed herein are subject to change without further notice.This application must be updated on a yearly basis a the time of renewal of the rental agreement.
Applicant(s) Signature:_____________________________________________ Date__________________________________
Co-Applicant(s) Signature___________________________________________ Date__________________________________
