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APPLICATION FOR LEASE
Step 1: Complete the application form
Step 2: Print out the web page and sign where specified
Step 3: Mail the completed form to the following address:
Unique Property Services, Inc. 1207 N. Himes Ave. Suite 3 Tampa, FL 33607
SECURITY DEPOSIT PAID
$______________
CREDIT FEE PAID PAID
$______________
RENT AMOUNT PAID
$______________
BALANCE DUE
$______________
TERMS OF LEASE
FROM _________________ TO _________________
PROPOSED MOVE –IN DATE _____________________
RENT _______________ DEPOSIT _______________
PET DEPOSIT ________________________________
ADDRESS ____________________________________
===========================================================================================
PLEASE DO NOT WRITE ABOVE THIS LINE
===========================================================================================
PRIMARY INFORMATION
SOCIAL SECURITY NUMBER
DRIVERS LICENSE NUMBER
NAME
AGE
DATE OF BIRTH
CURRENT ADDRESS
CITY
STATE
ZIP
CURRENT RENTAL AMOUNT
CURRENT PHONE
LANDLORD NAME
HOW LONG
PHONE
PREVIOUS ADDRESS
CITY
STATE
ZIP
PHONE
LANDLORD NAME
HOW LONG
PHONE
CURRENT EMPLOYER
ADDRESS
CITY
STATE
ZIP
PHONE
CONTACT PERSON
POSITION
YEARS
WEEKLY GROSS EARNINGS
PREVIOUS EMPLOYER
ADDRESS
CITY
STATE
ZIP
PHONE
WEEKLY GROSS EARNINGS
POSITION
YEARS
CONTACT PERSON
SECONDARY INFORMATION
SOCIAL SECURITY NUMBER
DRIVERS LICENSE NUMBER
NAME
AGE
DATE OF BIRTH
CURRENT ADDRESS
CITY
STATE
ZIP
CURRENT RENTAL AMOUNT
CURRENT PHONE
LANDLORD NAME
HOW LONG
PHONE
PREVIOUS ADDRESS
CITY
STATE
ZIP
PHONE
LANDLORD NAME
HOW LONG
PHONE
CURRENT EMPLOYER
ADDRESS
CITY
STATE
ZIP
PHONE
CONTACT PERSON
POSITION
YEARS
WEEKLY GROSS EARNINGS
PREVIOUS EMPLOYER
ADDRESS
CITY
STATE
ZIP
PHONE
WEEKLY GROSS EARNINGS
POSITION
YEARS
CONTACT PERSON
BANK INFORMATION
PRIMARY
CHECKING
SAVINGS
SECONDARY
CHECKING
SAVINGS
HOW MANY PEOPLE WILL OCCUPY THIS PROPERTY?
NAME
NAME
NAME
DO YOU HAVE ANY PETS?
YES
NO IF YES DESCRIBE
IN CASE OF EMERGENCY NOTIFY
RELATIONSHIP
PHONE
ADDRESS
CITY
STATE
ZIP
VEHICLE INFORMATION
MAKE
YEAR
LICENSE NO
FINACED BY
MAKE
YEAR
LICENSE NO
FINACED BY
I REPRESENT TO YOU THAT I READ THIS ENTIRE APPLICATION AND THAT ALL OF THE ABOVE INFORMATION HERON IS TRUE AND CORRECT. IF ANY OF THE ABOVE INFORMATION IS FALSE, I HEREBY AGREE THAT MY ENTIRE DEPOSIT WILL BE FORFEITED TO YOU. I AGREE THAT IF I AM ACCEPED AND FAIL TO COMPLETE THIS TRANSACTION BY SIGNING THE LEASE WITHIN 48 HOURS, MY ENTIRE DEPOSIT WILL BE FORFEITED TO YOU. I UNDERSTAND THAT THIS APPLICATION IS SUBJECT TO YOUR APPROVAL, AND IF MY APPLICATION IS NOT ACCEPTED, MY DEPOSIT WILL BE REFUNDED IN FULL. ANY MONIES PAID BY PERSONAL CHECK WILL HAVE A 10 (TEN) WORKING DAY HOLD BEFORE ANY REFUNDS. I UNDERSTAND MY $50.00 CREDIT CHECK FEE IS NOT REFUNDABLE. I ALSO UNDERSTAND THAT THIS IS NOT A LEASE AND SHOULD MY APPLICATION BE ACCEPTED, I AGREE TO SIGN YOUR LEASE FORM CURRENTLY IN USE. IF FOR ANY REASON WHATSOEVER YOU ARE UNABLE TO MAKE THE UNIT WHICH IS THE SUBJECT OF THIS APPLICATION AVAILABLE AT THE BEGINNING OF THE LEASE TERM, I HEREBY WAIVE ANY AND ALL RIGHTS TO SEEK RECOVER DAMAGES WHATSOEVER AGAINST YOU, INCLUDING WITHOUT LIMITATION, ACTUAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES. I FURTHER UNDERSTAND THAT UNIQUE PROPERTY SERVICES, INC. WILL NOT BE RESPONSIBLE IF I AM LIABLE TO TAKE OCCUPANCY ON THE ABOVE LISTED MOVE-IN DATE BECAUSE THE PRESENT RESIDENT HAS FAILED TO VACATE THE PROPERTY. IT IS OUR POLICY NOT TO DESCRIMINATE RENTAL ION THE BASIS OF RACE, CREED, COLOR, NATIONAL ORIGIN, RELIGION, AGE, MARITAL STATUS, SEX OR SEXUAL ORIENTATION.
APPLICANT____________________________RECEIVED BY_____________________________________
APPLICANT____________________________RECEIVED BY_____________________________________
AGENCY DISCLOSURE UNIQUE PROPERTY SERVICES, INC. AS A REGISTERED REAL ESTATE BROKER, ACTING HEREIN AS OWNER'S AGENT AND REPRESENTATIVE IN COMPLIANCE WITH FS 475.25(1)(A) AND FLORIDA ADMINISTRATIVE CODE RULE 21V-10.033. LESSEE HEREBY ACKNOWLEDGES THAT THIS WRITTEN NOTICE WAS RECEIVED PRIOR TO THE EXECUTION OF THE LEASE AGREEMENT. FURTHER PURSUANT TO FLORIDA ADMINISTRATIVE CODE RULE 2-13.033(2), LESSEE ACKNOWLEDGES THAT UNIQUE PROPERTY SERVICES, INC. AS OWNER'S AGENT IS BEING PAID A COMMISSION BY THE OWNER FOR RENTING THE PREMISES HEREIN TO LESSEE.
WHITE-OFFICE / YELLOW-RESIDENT
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