Office Phone: 352-335-7066 Fax: 352-225-3584 MadisonOn20th@cox.net MadisonOn20th.com Completed by Office Staff Unit Size: Upstairs: Downstairs: Phase 1: Phase 2: Current Rental Rate: Specials: Lease Terms: (12 month or other) Today s Date: RENTAL APPLICATION Rental Application: Thank you for your interest in Madison on 20th. Please have all applicants complete the application and sign where indicated. What is your expected move in date? How did you hear about us? Why did you choose to rent here? General Information Applicant 1: Full Legal Name: Present Phone #: E-mail: Date of Birth: Marital Status: SS#: Driver s License # State: Exp.: Have you been convicted, plead guilty, no-contest, received probations, deferred adjudication, court-ordered supervision, or pre-trial diversion for a felony, sex-related crime, or misdemeanor assault against another person? Yes No If yes, please explain: Citizenship (circle one): US or Country Applicant 2: Full Legal Name: Present Phone #: E-mail: Date of Birth: Marital Status: SS#: Driver s License # State: Exp.: Have you been convicted, plead guilty, no-contest, received probations, deferred adjudication, court-ordered supervision, or pre-trial diversion for a felony, sex-related crime, or misdemeanor assault against another person? Yes No If yes, please explain: Citizenship (circle one): US or Country 1 Rev. 06/2018
Does applicant(s) or any of applicant(s) family members have any special needs? Yes No (I.e. Wheelchair Access, lights for fire & smoke alarms, special assistance from a service dog, handrails, etc.) If yes, please explain: Name of person(s) requiring special needs: (If at any time during residency special needs status of applicant(s) or any of applicant(s) family changes you must inform the management immediately) Rental History (Must provide last 3 years of residential history, if more space is needed please use reverse side of page) Applicant 1: Have you been evicted, sued for rent or property damages or broken a lease? Yes No If yes, please explain: Present Landlord or Mortgage Co.: Landlord Phone #: Current address: Current Rent: Move in date: Reason for leaving: Name of current residence: Applicant 2: Have you been evicted, sued for rent or property damages or broken a lease? Yes No If yes, please explain: Present Landlord or Mortgage Co.: Landlord Phone #: Current address: Current Rent: Move in date: Reason for leaving: Name of current residence: Vehicle Information Applicant 1: Vehicle type: Make: Year: Model: Color: Tag#: State: Applicant 2: Vehicle type: Make: Year: Model: Color: Tag#: State: Pets See attached Pet Addendum Type: Breed: Size (lbs.): Color: Age: Name: Type: Breed: Size (lbs.): Color: Age: Name: I do not have a pet, service animal or emotional support animal at this time. In the event that changes, I will notify the office within 48 hours to avoid a violation and potential fine. 2 Rev. 06/2018
Other Residents: (All residents 18 year of age or older must pay application fee and consent to back ground investigation) Name: DOB: Relationship: Employment Information Applicant 1: Employer: Employer Address: Supervisor: Phone #: Position: Start date: Hourly Wages: Average number of hours worked per week: Additional income: Applicant 2: Employer: Employer Address: Supervisor: Phone #: Position: Start date: Hourly Wages: Average number of hours worked per week: Additional income: Emergency Contact Applicant 1: Name: Relationship: Address: Phone #: E-mail: In the event of serious illness, death, or other circumstances that would make you unavailable, can this emergency contact remove your property from your apartment or common area? Yes No Applicant 2: Name: Relationship: Address: Phone #: E-mail: In the event of serious illness, death, or other circumstances that would make you unavailable, can this emergency contact remove your property from your apartment or common area? Yes No 3 Rev. 06/2018
Note: We reserve the right to obtain credit and criminal background history report on all applicants and other residents 18 years of age and older (if additional signature(s) are required please sign and date in empty space provided after applicant 2 below). Management reserves the right to accept or deny applications for any reason based upon current qualification requirements. The application fee is non-refundable. If your application is approved and you do not sign a lease for any reason, the deposit will be retained. I therefore represent this application and its contents to be accurate and complete By signing below, I consent to the release of any and all information required for application processing, including any and all references given. Applicant 1 Date Applicant 2 Date For Office Use Only Application fee received $ Date: Advance deposit received $ Date: Application Approved Disapproved Employee Signature Supervisor Signature Assigned Unit # Move In Date: 4 Rev. 06/2018
REQUEST FOR VERIFICATION OF EMPLOYMENT INCOME TO: (Name of Employer) (Address) (City, State, and Zip Code) DATE SENT: RE: (Employee Name) SS# The person named below has made application for apartment/housing rental with us. Your firm was listed as having currently or formerly employed this person. The applicant has authorized you to release their employment information. Your assistance in providing employment information will be greatly appreciated. Thank you. You may send your reply by FAX to: 352-225-3584 or email to: Madisonon20th@cox.net If you have any questions, please feel free to contact the office at:. 352-335-7066 Manager Date: I HEREBY AUTHORIZE THE ABOVE MANAGEMENT AGENT TO MAKE INQUIRIES REGARDING MY EMPLOYMENT FOR THE PURPOSE OF DETERMINING MY ELIGIBILITY FOR OCCUPANCY. Date: Applicant ---------------------------------------------------------------------------------------------------------------------------------------------------- THE FOLLOWING IS TO BE COMPLETED BY THE EMPLOYER Complete all questions, leaving no blanks. If a question does not apply to the employee write does not apply or none 1. Employee Name Position 2. Presently Employed: Yes No 3. If yes, date first employed: If no, last day of employment: 4. Current Wages/Salary: per (circle one) hour week biweekly month year 5. Number of regular hours per week: 6. Overtime pay expected: Yes No If yes, OT pay rate: $ Number of OT hours per week 7. Commissions, bonuses, tips expected: Yes No If yes, $ per 8. Pay increase anticipated: Yes No If yes, Amount of Increase: Effective Date: 9. Total Anticipated Earnings: $ Warning: Section 1001 of Title 18 U.S. Code make it a criminal offense to willfully falsify a material fact or make a false statement in any matter within the jurisdiction of a federal agency. Employer Signature Printed Name Date Title Phone Number
LANDLORD VERIFICATION FORM FAX # (352) 225-3584 Applicant Release: I hereby authorize the release of the requested information Signature Applicant THE FOLLOWING IS TO BE COMPLETED BY THE LANDLORD Date Address: Name of Landlord: Are you a relative or of the applicant? If so, please describe relationship: Current Landlord Previous Landlord Other Dates of Applicant s Tenancy: From to Does (Did) the Applicant have a lease? [ ] Yes [ ] No 1. Rent Payment A. Amount of monthly rent: $ B. Does (did) applicant pay rent on time? [ ] Yes [ ] No C. Has (Had) he/she ever paid late? [ ] Yes [ ] No How late? How Often? D. Have (Had) you even begun/completed eviction for non-payment? [ ] Yes [ ] No E. Was a Court judgment rendered in your favor for eviction for non-payment? [ ] Yes [ ] No F. Do you provide any of the utilities for the unit? [ ] Yes [ ] No G. Have tenant-paid utilities even been disconnected? [ ] Yes [ ] No 2. Caring for Unit A. Does (Did) the applicant keep the unit clean, safe and sanitary? [ ] Yes [ ] No B. Has (Had) the applicant damaged the unit? [ ] Yes [ ] No
Describe Cost to repair $ How Often? C. Has (Had) the applicant paid for the damages? [ ] Yes [ ] No D. Will (Did) you keep any security deposit? [ ] Yes [ ] No E. Does (Did) the applicant have problems with insect/rodent infestation? [ ] Yes [ ] No F. Does (Did) the applicant s housekeeping contribute to infestation? [ ] Yes [ ] No G. Did the applicant make any alterations to the unit without your permission? [ ] Yes [ ] No 3. General A. Is (Was) the applicant listed on the lease for the unit? [ ] Yes [ ] No B. Does (Did) the applicant permit persons other than those on the lease to live in the unit on a regular basis? [ ] Yes [ ] No Describe: C. Has (Had) the applicant, family members or guests damaged or vandalized the Common areas? [ ] Yes [ ] No If yes, Describe: D. Does (Did) the applicant, family members or guests create any physical hazards To the project or other residents? [ ] Yes [ ] No If yes, Describe: E. Does (Did) the applicant, family members or guests interfere with the rights and quiet enjoyment of other tenants? [ ] Yes [ ] No F. Have the applicant, family members or guests engaged in any criminal activity, Including drug-related criminal activity? [ ] Yes [ ] No If yes, describe: G. Has (Had) the applicant given you any false information? [ ] Yes [ ] No If yes, described H. Has (Had) the applicant, family members or guests acted in a physically violent and or verbally abuse manner toward neighbors, landlord or landlord s staff? [ ] Yes [ ] No If yes, Describe: I. Would you rent to this applicant again? [ ] Yes [ ] No If not, why? ----------------------------------------------------------------------------------------------------------------------------------------------- Name of Landlord or Landlord s Representative: Title: Signature of Landlord: Date:
Madison On 20 th QUALIFICATION NOTIFICATION Applications: Each applicant over the age of 18 must submit a fully complete individual application, and pay the $35.00 fee required. Head of Household has to be at least 18 years of age and only residents who are on the signed lease agreement are permitted to reside in the apartment. Roommates: Each resident is jointly and severally responsible for the entire rental payment and must qualify individually. Each roommate must have a minimum net income of 2.5 times the rent to qualify. The Security Deposit will not be refunded until all leaseholders vacate the apartment. The Security Deposit to be disbursed to all residents unless a release is signed. References/Verification: All references of employment and residency will be verified and a criminal background check will be conducted. The application of any person who has been convicted of a misdemeanor or felony, or a charge involving sexual misconduct, violence or illegal substance may be declined. Credit History: Credit reports will be run on each applicant and will be considered in the overall worthiness of the application. Unsatisfactory credit history can disqualify an applicant from renting. An unsatisfactory credit report could be one that reflects past or current bad debts, late payments or unpaid bills, liens, judgments or bankruptcies. Income Requirements: Income must be at least 3.3 times the monthly rent and official documentation of all stated income must be provided (including Child Support, Trust Fund Income, Alimony, Retirement, or Disability Income, etc.) Each applicant must submit the two most recent pay stubs or a signed offer letter on Company letterhead as proof of income and employment. Guarantor: Full time students, with current course schedule, receipt of payment, and in good standing with their educational institution, may qualify for a guarantor. To be approved a guarantor must have an acceptable credit history, a minimum $50,000/year net, and acceptable debt to income ratio. Rent/Mortgage Payment History: Any legal proceedings/judgments/ evictions/ skips may result in a declined application. Occupants: The number of occupants permitted per apartment is strictly enforced and children or occupants under the age of 18 must be including in occupant count: 1 Bedroom (2) Occupants - 2 Bedroom, (4) Occupants Pets: Pets are accepted up to a 30 lb. limit, with a signed Pet Addendum and a onetime non-refundable fee paid; there is a $10.00 charge added per month to the rent. No more than two (2) pets per apartment are permitted. 1 Pet = $250.00 2 Pets = $500.00 This apartment complex complies with the Federal Fair Housing Act and does not discriminate on the basis of race, color, religion, national origin, sex, familial status or disability, or any other basis protected by applicable state, Federal or local fair housing laws. Applicant(s) Acknowledgment I/we recognize that this application for an apartment is subject to acceptance or rejection and that SECURITY DEPOSITS ARE NOT REFUNDABLE if my application is accepted and I DO NOT sign the Lease or the lease agreement is signed but I fail to occupy the apartment as agreed upon. Application fee of $35.00 per applicant is non-refundable once application has been processed. I/we represent this application and the contents thereof to be accurate and complete, and i/we hereby consent to the release of my/our information and reference(s) given to determine my/our eligibility. Picture identification is required with application. Applicant Signature Applicant Signature Date Signed Date Signed Rev. 06/2018 KC
PET ADDENDUM Addendum to Lease between Madison on 20 th Apartments as Landlord and Resident(s) of Apartment # In consideration of the sum of $ 250 for one pet or $ 500 for two pets, with a limit of two (2) pets per apartment, which is a NON REFUNDABLE fee paid to Landlord and a $ 10 per month per pet increase in the rent, Landlord gives the Resident permission to keep a pet (breed, size and weight stated below), on the premises described in this Lease, provided the Resident follows all terms and conditions of this agreement or removal of said pet(s) will be required within twenty-four(24) hours of receipt of notice from the Management of the above mentioned apartments, or be in direct violation of their Lease Agreement. 1. No additional or substitute pet is authorized hereunder. A current photo of all pets must be on file at the office. Pet sitting or visiting pets for longer than a 48 hour period is prohibited. 2. All licenses and tags must be kept current. All pets must wear appropriate animal license/rabies tag, and identification tag with owner s name and phone number at all times. Owner must provide current veterinary records for all pets. 3. The name, address, and phone number of one or more responsible parties who will care for the animal if the pet owner dies, becomes incapacitated, or is otherwise unable to care for the animal will be kept current with the office. 4. Exotic, vicious, livestock, or aggressive breed animals, including but not limited to: Pit Bull Terriers, Staffordshire Terriers, Rottweilers, German Shepherds, Presa Canarios, Chows Chows, Doberman Pinschers, Akitas, Wolf-hybrids, Mastiffs, Cane Corsos, Great Danes, Alaskan Malamutes, Siberian Huskies are not allowed. 5. All pets must not exceed the weight restriction of 30lbs. If at any time an approved pet exceeds the weight restriction, this addendum may be rendered void and pet will no longer be approved to reside on the property. All pets must be approved by management, with a limit of 2 pets per apartment, only consisting of either (2) cats or (2) dogs or (1) dog and (1) cat. 6. No animal that bites, attacks, or demonstrates other aggressive behavior towards humans and/or other animals may be kept on the premises. 7. Pets are prohibited in the Recreation Areas, Laundry Room, other resident s patios, office, or any other common areas in the apartment community. 8. Pet owner agrees to assume full responsibility for any and all damages caused by the pet, i.e. replacement and/or repair cost of carpet, walls, blinds, flooring and any other items damaged in any way by pets and the Landlord is hereby authorized to charge the amount of such damages to the resident under this Lease. 9. Pets are not allowed to become annoying, bothersome, or in any way a nuisance to the other residents or to the apartment operation. No animals are to be left unattended on patios and balconies. 10. Pets shall not be curbed on the apartment property. The Resident is responsible for removal and disposal of his or her pet s waste from the apartment property. Should a pet owner(s) or caregiver fail to clean up after their animal, Management may charge for time and materials used, per occurrence to the pet owner(s) for animal clean-up performed by staff. This in no way relieves the pet owner(s) from the responsibility to clean up after their animal 11. Flea spraying and the cost of such services are the responsibility of the Resident during tenancy and after move out if a flea issue is present. 12. Cat litter is not to be disposed of in commodes and all cat litter must be bagged in plastic BEFORE disposing in dumpsters.
13. All pets are to be kept inside the apartment at all times, except when in the custody of a responsible person and restrained on a leash not to exceed 36, caged, or physically held while on apartment property. Pets found roaming loose in the apartment community may be picked up by animal control, its affiliates, or management at the owner s expense. 14. Animals may not be left unattended in an apartment for more than a 24-hour period. If a pet is attended to by a third party; contact information for the individual caring for the pet and duration of care need to be on file with Management. 15. Because pet waste that is left behind may cause damage to the grounds and become a nuisance, our community has opted to participate in a pet DNA registry. More information is available at the office on the program. All residents must bring their dogs and photo ID to have a registering DNA swab taken BEFORE move in. Any pet waste left on the grounds will be subject to identifying testing. If the pet waste belongs to your pet the following structure applies: 1 st offence: Written warning and a $25 fine 2 nd offence: $150 fine and a 7 day lease violation notice with the opportunity to cure 3 rd offence: $500 fine and an involuntary lease termination Upon execution, this addendum shall become part of the Resident s Lease with the Landlord for the above described apartment with the same force and effect as if each and every word hereof had been set forth in said Lease. I do not have a pet, service animal, or emotional support animal at this time. In the event that changes, I will notify the office within 48 hours to avoid a violation and potential fine. * The following pets must be on record, but may be kept without the additional pet fee; parakeets, hamsters, fish (no tanks larger than 30 gallons), hedgehogs, turtles, and small lizards. ** At this time the only permitted pets are listed above. Required Items: o Pet addendum signed listing pets o Pet fees paid for all pets o Current photo of pet o Current vet records with vaccines o Emergency caregiver contact information Type of Pet Breed Description Weight Pet 1 Sticker # Demeanor (Friendly, Lazy, Aggressive, i.e.) Type of Pet Breed Description Weight Pet 2 Sticker # Demeanor (Friendly, Lazy, Aggressive, i.e.) Resident Date Agent Date Emergency Caregiver Phone Number