The Hamptons # ~~Al/A Luxury Apartments THE HAMPTONS AT LEONARDTOWN RENTAL APPLICATION Application is hereby made to rent an apartment at THE HAMPTONS AT LEONARDTOWN LOCATED AT HAMPTONS BLVD., LEONARDTOWN, MARYLAND, APARTMENT NUMBER, for the monthly rent of $ payable on the first day of each month. It is understood that the rental includes all water, trash removal, and sewer service only; electricity, telephone and cable television service are not included in the rental price of the apartment and are considered the responsibility of the tenant; the premises are to be used as a residence to be occupied by not more than persons. This application, including each prospective occupant, is subject to approval and acceptance at the sole discretion of the Landlord, Owner or his agent. When so approved and accepted and prior to the applicant and each prospective occupant taking possession, the applicant agrees to execute a lease and pay the security deposit in the amount of $. The applicant hereby waives any claim for damages by reason of non-acceptance of this application, which the Landlord, Owner or his agent may reject in its sole discretion. Rental Rates valid for 30 days. Applicant acknowledges and hereby submits payment of $35.00 per occupant/financial guarantor for the application fee which includes a criminal background and credit check. THE APPLICATION FEE WILL NOT BE REFUNDED OR CREDITED. Short-term Lease Fee: Applicant agrees to pay an additional monthly rent of $ if the term of the executed lease is less than one year. 1. Name (print) Home Phone Previous Name, if applicable Social Security Number Driver s License/State Marital Status Date of Birth Age 2. Current Residential Address Name of Complex How Long 3. Present Landlord (Name) Phone Address Rent Amount 4. Former Residential Address Name of Complex How Long 5. Former Landlord (Name) Phone Address Rent Amount 6. Present/Last Employer Phone Address Position Held Salary / For How Long Supervisor Name/Phone 8. If married, name of spouse Social Security Number Driver s License/State Date of Birth Age Employer Address Phone Position Held Salary / Supervisor Name/Phone
IF RETIRED, SOURCE OF INCOME AND MONTHLY AMOUNT: 9. Other source/amount of income 10. If apartment is to be shared with an adult other than spouse, give name here and have them submit a separate application. 11. Do you have a pet or plan to obtain any pets? Yes No PETS ARE PERMITTED ONLY WITH LANDLORD APPROVAL AND WRITTEN PERMISSION AND A SIGNED PET ADDENDUM. PET AND BREED RESTRICTIONS APPLY. RESIDENT WILL BE RESPONSIBLE FOR NON- REFUNDABLE PET FEE AND PET RENT. 12. Have you or anyone in the applicants household ever been convicted of any crime other than traffic violations? Yes No If Yes, explain, when, where(county/state), and what. 13. ARE YOU OR ANY MEMBER OF THE APPLICANTS HOUSEHOLD ENGAGED IN THE CURRENT ILLEGAL USE OF A CONTROLLED SUBSTANCE? Yes No If Yes, explain, when, where(county/state), and what. 14. Have you or anyone who will live with you ever been convicted of or plead guilty or no contest to a felony or misdemeanor (regardless of whether it resulted in a conviction)? Yes No If Yes, explain what, when, and where(county/state). 15. Have you or anyone who will live with you ever been convicted of or plead guilty or no contest to a misdemeanor involving sexual misconduct (whether or not resulting in a conviction)? Yes No If Yes, explain what, when and where (county/state). 16. Do you own a house/property/mobile home? Yes No If Yes, is it under mortgage? Yes No If Yes, how much do you pay per month and to whom(name/address/phone) 17. Do you own an automobile? Yes No If Yes, indicate Make Year and License Plate No Is the vehicle secured by a loan? Yes No If Yes, what is balance and how much do you pay per month and to whom (Name/Address/Phone) 20. PERSONAL REFERENCES (Not employers or relatives) Name Phone Address Name Phone Address 21. Name of nearest relative (e.g. mother, father) Phone Address Relationship to applicant 22. ALL OCCUPANTS THAT WILL SHARE APARTMENT Your Name SS# DOB Occupants Name Relation SS# DOB Occupants Name Relation SS# DOB 23. Where did you learn about our apartments? 24. I hereby certify that the information given above is correct to the best of my knowledge and belief. I/we give permission to owner/agent to run a credit and criminal records check. 2
NOTICE: By signing this application, you declare that all of your responses are true and complete and authorize landlord, owner or his agent to verify this information. Any false statement on this application can lead to rejection of your application or immediate termination of your lease. I also understand that any change in household members or income or address subsequent to signing this application must be reported in writing. Acceptance or rejection is at the sole discretion of the Landlord, Owner or his agent. Applicant Signature Date Co-applicant Signature Date 3
AUTHORIZATION FOR RELEASE OF INFORMATION First Middle Last Address City State Zip Social Security Number Date of Birth I hereby authorize THE HAMPTONS AT LEONARDTOWN and/or THE SABA GROUP, INC., to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I do hereby authorize the full and complete disclosure of the records of educational institutions, financial or credit institutions, and, the records of commercial or retail mercantile establishments and retail credit agencies; public utility companies, records of complaints of civil nature, information from present or former landlords. I hereby expressly release THE HAMPTONS AT LEONARDTOWN and/or THE SABA GROUP, INC., and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. The intention of this authorization is to provide information that will be utilized for investigative resource materials. A photocopy of this release form will be valid as an original hereof, even though the said photocopy does not contain an original writing of my signature. Applicant Signature Date Gross Monthly Income: Current Rent or Mortgage: Phone Number: 4
FOR MANAGEMENT USE ONLY Rental reference (indicate date and person who performed work) Name of person talked to Is rent paid promptly? Amount of rent Period of tenancy Has lease expired? Has required notice been given? Do you recommend? Any returned checks? Remarks EMPLOYMENT VERIFICATION Name/title of person talked to Is employment permanent? Length of service? Salary verified at Remarks Credit Bureau Criminal Record Additional comments Realtor/Consultant Approved Rejected Property Manager Signature Date 5