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| Property Address
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| Occupancy Month
Day
Year
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| Lease Term
Rent
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Applicant Personal Information:
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| Full Name
Date Of Birth
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| Social Security #
Phone
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| Drivers License #
State
Mobile #
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| E-Mail Address
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Applicant Residence History
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| Current Address
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| Move In Date For Current Address
Current Payment
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| Owner/Agent
Phone
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| Previous Address (if within 3 years)
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Move In/Out Dates For Previous Address
In Date
Out Date
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| Owner/Agent for Previous Address
Phone
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Co-Applicant Personal Information:
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| Full Name
Date Of Birth
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| Social Security #
Phone
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| Drivers License #
State
Mobile #
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| E-Mail Address
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Co- Applicant Residence History:
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| Current Address
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| Move In Date For Current Address
Current Payment
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| Owner/Agent
Phone
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| Previous Address (if within 3 years)
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Move In/Out Dates For Previous Address
In Date
Out Date
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| Owner/Agent for Previous Address
Phone
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Applicant Employment Information
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| Employment Status
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| Employer
Employment Begin Date
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| Supervisor
Supervisor Phone
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| Position
Salary $
Month |
| Previous Employer
Begin
End
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If you have other sources of income you would like us to consider please list income, sources and person that we can contact to verify.
You do not have to reveal alimony, child support, or spouses annual income unless you want us to consider it in the application. |
| Monthly Amount $
Source
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| Monthly Amount $
Source
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Co-Applicant Employment Information
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| Employment Status
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| Employer
Employment Begin Date
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| Supervisor
Supervisor Phone
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| Position
Salary $
Month |
| Previous Employer
Begin
End
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If you have other sources of income you would like us to consider please list income, sources and person that we can contact to verify.
You do not have to reveal alimony, child support, or spouses annual income unless you want us to consider it in the application. |
| Monthly Amount $
Source
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| Monthly Amount $
Source
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Vehicle Information
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| If you have lived in this state more than 30 days, your car must be licensed in the state. All vehicles must be registered in the name of an occupant of the property and must be in working condition. |
| 1. Make
Model
Year
Tag
Color
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| 2. Make
Model
Year
Tag
Color
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| 3. Make
Model
Year
Tag
Color
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| 4. Make
Model
Year
Tag
Color
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Please List All Intended Occupants
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Pet Information
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Pets are allowed in many of the properties managed by Carolina Cottages, LLC.
Owners must provide veterinary records for all pets.
All pets must meet size and weight limits for each property.
There is a $200 non-refundable pet fee per animal. Please answer all questions below. |
| 1.) Type of Pet:
Breed of Pet:
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| Age of Pet:
Weight of Pet
Lbs. Name of Pet:
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| Vet Name & Phone:
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| 2.) Type of Pet:
Breed of Pet:
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| Age of Pet:
Weight of Pet
Lbs. Name of Pet:
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| Vet Name & Phone:
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In Case Of Personal Emergency, Notify:
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| Name
Relationship
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| Address
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| Phone
Mobile
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| Do you own a waterbed?
Yes
No
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| Do you smoke?
Yes
No
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| Have you ever: |
| Filed for Bankruptcy? Yes
No
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| Been evicted from Tenancy? Yes
No
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| Been convicted of a Felony? Yes
No
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| Willfully or intentionally refused to pay rent when due? Yes
No
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| PLEASE ANSWER THE FOLLOWING QUESTIONS TO ASSIST US IN COMPLYING WITH SECTION 504 OF THE REHABILITATION ACT OF 1973 (AS AMENDED): |
Do you experience any condition(s) which may limit the enjoyment of the property or associated facilities? Yes
No
If yes, what accommodations might help you?
Do you believe you are qualified for a handicap equipped unit: Yes
No
Would you prefer a handicap equipped unit if one is available? Yes
No
Have you or any above listed other occupants ever been convicted of the illegal use, manufacture, or distribution of a controlled substance? Yes
No
APPLICANT REPRESENTS THAT ALL THE ABOVE STATEMENTS ARE TRUE AND COMPLETE AND HEREBY AUTHORIZES VERIFICATION OF SUCH INFORMATION, INCLUDING CREDIT AND CRIMINAL CHECK. FALSE INFORMATION GIVEN ABOVE SHALL BE GROUNDS FOR OWNER/AGENT’S REJECTION OF THE APPLICATION, NON-RETURN OF ANY DEPOSITIS OR FEES, TERMINAION OF RIGHT TO OCCUPY, AND IT MAY CONSTITUE A CRIMINAL OFFENSE UNDER THE LAWS OF THE STATE. WE WILL PROCESS YOUR APPLICATION AS SOON AS POSSIBLE. IF YOU FAIL TO TAKE POSSESSION ON THE AGREED DATE, YOUR DEPOSIT WILL BE FORFEIT. IF YOU MOVE IN ON A DAY OTHER THAN THE FIRST OF THE MONTH, BUT PRIOR TO THE 16TH OF THE MONTH, YOUR RENT WILL BE PRORATED ON A 31 DAY BASIS FOR THE NUMBER OF DAYS YOU RESIDE IN THE PROPERTY. IF YOU MOVE IN ON OR AFTER THE 16TH YOUR RENT WILL BE A PRORATED AMOUNT BASED ON THE NUMBER OF DAYS LEFT IN THE MONTH PLUS THE RENT FOR THE FOLLOWING MONTH. WE REQUIRE THE LEASE TO BE SIGNED BY ALL PERSONS AGE 18 AND OVER WHO WILL LIVE IN THE PROPERTY. THE BROKER SHALL CONDUCT HIS BROKERAGE ACTIVITES IN REGARD TO THIS AGREEMENT WITHOUT RESPECT TO THE RACE, COLOR, RELIGION, SEX, AGE, NATIONAL ORIGIN, HANDICAP, OR FAMILIAL STATUS OF ANY TENANT, OR PROSPECTIVE TENANT.
I CERTIFY THAT THE FOREGOING INFORMATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLDEGE. I AUTHORIZE INQUIRIES TO BE MADE TO VERIFY THE STATEMENTS ABOVE. BY SIGNING THIS APPLICATION I HEREBY AUTHORIZE AND GIVE MY CONSENT FOR FULL AND COMPLETE DISCLOSURE OF THE RECORD OF ANY AND ALL POLICING AGENCIES AND ANY OTHER RECORDS AND STATEMENTS WHEREVER FILED; EMPLOYMENT AND PRE-EMPOYMENT RECORDS INCLUDING BACKGROUND REPORTS, COMPLAINTS OR GRIEVANCES FILED BY OR AGAINST ME. I HAVE READ AND UNDERSTAND CAROLINA COTTAGES RENTAL APPLICATION PROCEDURES.
PLEASE CHECK APPLICATION FOR ERROR BEFORE SIGNING THIS STATEMENT.
IF APPLICATION IS APPROVED I AGREE TO PAY SECURITY DEPOSIT IN FULL AND SIGN THE LEASE FOR THE PROPERTY WITHIN 48 BUSINESS HOURS OF APPLICATION APPROVAL. I ACKNOWELEDGE THAT FAILURE TO DO SO MAY RESULT IN FORFEITURE OF LEASE AGREEMENT AND ALL DEPOSITS MADE ON THE ABOVE PROPERTY. |
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AGENCY DISCLOSURE
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When showing you and/or leasing you rental property CAROLINA COTTAGES will be representing the interest of the owner.
CAROLINA COTTAGES will work to obtain for the owner the best price possible. CAROLINA COTTAGES must also provide the owner any information obtained from you and any other source deemed necessary and which is material to the transaction or which might influence the property owners decision to lease.
APPLICANT e-SIGNATURE
DATE:
CO-APPLICANT e-SIGNATURE
DATE:
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P.O. Box 329 Hendersonville, NC