Saldana Realty

Rental Application

Please complete the form below.

* Required

General Info

First Name*
Last Name*
Email*
Middle name*
Social Security Number*
Phone Number*
Birth Date*
Drivers License # / State*
Total # of Occupants*
How did you hear about us?*
Property/Address Applying For*
Requested Move-in date/Lease Term*

Residence/Rental History

Address*
City/Locality*
State/Province*
Zip/Postal code*
Landlord/Manager Name*
Monthly Rent*
Dates of Residency (From/To)*
Reason for Leaving*
Landlord/Manager Phone*
Have you ever received a 3-day Notice to Pay or Quit?*
Have you ever received a 3-day Notice to Perform or Quit?*
Have you ever been Evicted?*

Employment/Income History

Employer Name*
Address, City*
Employer Phone*
Dates of Employment (From/To)*
Monthly Gross Pay*
Occupation

References

Name 1*
Name 2
Phone 1*
Phone 2

Co-signer/Guarantor

Co-signer/Guarantor Name
Address
City/Locality
State/Province
Zip/Postal code
Email
Phone
Social Security Number
Drivers License # / State
Date of birth

Emergency Contact

Emergency Contact Name
Address
City/Locality
State/Province
Zip/Postal code
Email
Phone

Other Comments

Comments

Application Agreement

Review and accept*	I agree
	I understand that this is a routine application to establish credit, character, employment, criminal, eviction & rental history. I also understand that this is NOT an agreement to rent and that all applications must be approved. I authorize verification of references given. I declare that the statements above are true and correct, and I agree that the landlord may terminate any lease agreement entered into in reliance on any misstatement made above. The cost of processing the application and running credit, eviction and criminal history checks is $35.00 per adult. Each adult planning to reside at a given property must file a separate application. By clicking the 'SUBMIT' button I authorize Saldana Real Estate to run a credit, background, employment, eviction, residence check. I certify that I am the person listed on the application and will submit supporting documents upon request and that clicking the 'SUBMIT' button constitutes my digital signature and legal agreement to pay the aforementioned fees.

Review and accept*

I agree

I understand that this is a routine application to establish credit, character, employment, criminal, eviction & rental history. I also understand that this is NOT an agreement to rent and that all applications must be approved. I authorize verification of references given. I declare that the statements above are true and correct, and I agree that the landlord may terminate any lease agreement entered into in reliance on any misstatement made above. The cost of processing the application and running credit, eviction and criminal history checks is $35.00 per adult. Each adult planning to reside at a given property must file a separate application. By clicking the 'SUBMIT' button I authorize Saldana Real Estate to run a credit, background, employment, eviction, residence check. I certify that I am the person listed on the application and will submit supporting documents upon request and that clicking the 'SUBMIT' button constitutes my digital signature and legal agreement to pay the aforementioned fees.

Please confirm that you agree to the terms by checking the box.

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