252-447-6170
Affordable Homes, Apartments, Townhomes, Mobile Homes and Efficiencies for rent in Havelock and Craven County NC
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RENTAL APPLICATION
Our rental application is below. You are welcome to fill it out and bring with you when you come to see our
properties. We charge a $20/applicant application fee. We do require a photo ID. We strictly enforce a ZERO
DRUG TOLERANCE POLICY. If you or your guests do drugs, do not attempt to rent from us.
COPY OF PICTURE ID REQUIRED Please Xerox your driver’s license and include with application
Unit interested in: _______________
Source: ___CraigsList ___CherryPointYardSales ___Rentals.com ___Windsock ___Havelockrents.com
___Ccrentals.net ___Referral (Name:_________________ ) _____________________Other(describe)
APPLICANT INFORMATION
FIRST NAME: ____________________M.I. _____ LAST NAME: __________________________
SSN: _________ - _______-________ BIRTH DATE: ___________________________
HOME PHONE: ( )_____________________ CELL PHONE: ( )______________________
EMAIL: ______________________________
DRIVERS LICENSE #:_______________________STATE_______
MILITARY RANK: ________________________
CO-APPLICANT INFORMATION
FIRST NAME: ____________________M.I. _____ LAST NAME: __________________________
SSN: _________ - _______-________ BIRTH DATE: ___________________________
HOME PHONE: ( )_____________________ CELL PHONE: ( )______________________
EMAIL: ______________________________
DRIVERS LICENSE #:_______________________STATE_______
MILITARY RANK: ________________________
OTHERS WHO WILL BE LIVING IN THIS APARTMENT
NAME: _______________________________ RELATIONSHIP: ________________ AGE: ______
NAME: _______________________________ RELATIONSHIP: ________________ AGE: ______
NAME: _______________________________ RELATIONSHIP: ________________ AGE: ______
NAME: _______________________________ RELATIONSHIP: ________________ AGE: ______
CURRENT ADDRESS ____ RENT ____ OWN _____ OTHER _________
ADDRESS:_________________________________________________________________
CITY: _____________________ STATE: ________________________ ZIP:_____________
MANAGER: ________________________ PHONE NUMBER: ________________________
START DATE: _______________________ END DATE: _____________________
MONTHLY RENT/MORTGAGE: ___________
REASON FOR LEAVING:________________________________________________________________
CURRENT ADDRESS OF CO-APPLICANT ____ RENT _____ OWN ____ OTHER ___
ADDRESS: _______________________________________________________________________
CITY: ______________________ STATE: _________________________ ZIP: _________________
MANAGER: ____________________________ PHONE NUMBER: __________________________
START DATE: ___________________________ END DATE: _______________________________
MONTHLY RENT/MORTGAGE: ______________
REASON FOR LEAVING: _________________________________________________________________
PAST RENTAL HISTORY (please provide minimum 2 year history- add page if needed)
ADDRESS: _____________________________________________________________________
CITY: ________________________ STATE: _____________________ ZIP: __________________
MANAGER: ________________________________ PHONE: ____________________________
START DATE: ______________________________ END DATE: ___________________________
MONTHLY RENT: ________________
REASON FOR LEAVING: ___________________________________________________________
EMPLOYMENT HISTORY
COMPANY: ______________________________________________________________________
MANAGER: _____________________________ PHONE: ______________________________
ADDRESS: ______________________________________________________________________
CITY: ______________________ STATE:________________________ ZIP: ___________________
EMPLOYMENT LENGTH: ___________________________ MONTHLY PAY: ________________
CO-APPLICANT HISTORY
COMPANY: ________________________________________________________________________
MANAGER: ___________________________________ PHONE: ______________________________
ADDRESS: _________________________________________________________________________
CITY: _______________________________ STATE: ____________________ ZIP: _______________
EMPLOYMENT LENGTH: _________________________ MONTHLY PAY: _________________
ADDITIONAL INCOME
INCOME SOURCE: _______________________________ AMOUNT: ______________________
VERIFY WITH: _________________________________ PHONE: _________________________
PERSONAL REFERENCES FOR APPLICANT: NOT FRIENDS, IMMEDIATE FAMILY ONLY
1) NAME: ____________________________________
RELATIONSHIP: _________________________
PHONE: __________________________
ADDRESS: ____________________________CITY: _____________ STATE: _______ ZIP: ______
2) NAME: _____________________________________
RELATIONSHIP: _________________________
PHONE: __________________________
ADDRESS: _____________________________CITY: _____________ STATE: _____ ZIP: ______
PERSONAL REFERENCES FOR CO -APPLICANT: NOT FRIENDS, IMMEDIATE FAMILY ONLY
1) NAME: ____________________________________
RELATIONSHIP: _________________________
PHONE: __________________________
ADDRESS: ____________________________CITY: _____________ STATE: ______ ZIP: ______
2) NAME: _____________________________________
RELATIONSHIP: _________________________
PHONE: __________________________
ADDRESS: _____________________________CITY: _____________ STATE: _____ ZIP: ______
PET INFORMATION
TYPE: __________________ BREED: __________________ WEIGHT: ______Age____________
How long have you owned it? _________________ Spayed or neutered? ___Yes ___No
Flea control method: _________________________Pets must be completely housebroken
Not all homes are pet friendly – please inquire. NO PUPPIES!!!!!
ADDITIONAL INFORMATION
HAVE YOU EVER BEEN CONVICTED OF A CRIME? DESCRIBE AND DATE EACH ONE:
________________________________________________________________________________
___________________________________________________________________________
HAVE YOU EVER BEEN EVICTED, DECLARED BANKRUPTCY OR/AND HAD A JUDGEMENT? DESCRIBE AND
DATE
EACH ONE:
________________________________________________________________________________
____________________________________________________________________¬¬¬¬¬-____________
**PLEASE INITIAL THE FOLLOWING STATEMENTS**
________ I AGREE TO THE FOLLOWING STATEMENT
I REPRESENT THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE, COMPLETE AND
ACCURATE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATION OR
OMMISSION OF INFORMATION IS GROUNDS FOR EVICTION.
________ I AGREE TO THE FOLLOWING STATEMENT
I UNDERSTAND THAT THE INFORMATION PROVIDED MIGHT USED BY LANDLORD TO DETERMINE WHETHER
TO ACCEPT THIS APPLICATION. I AUTHORIZE LANDLORD TO VERIFY ALL THE INFORMATION GIVEN IN THIS
APPLICATION, INCLUDING PAST RENTAL INFORMATION, PERSONAL REFERENCES AND EMPLOYMENT
INFORMATION PROVIDED. I AUTHORIZE THE LANDLORD TO OBTAIN A CURRENT CREDIT AND CRIMINAL
BACKGROUND CHECK.
_________ I AGREE TO THE FOLLOWING STATEMENT
I UNDERSTAND THAT THIS APPLICATION IS NOT A RENTAL AGREEMENT AND THAT THIS APPLICATION DOES
NOT CREATE ANY OBLIGATION ON THE LANDLORD.
THE UNDERSIGNED REPRESENT THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE
COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY
MISREPRESENTATION OR OMISSION OF INFORMATION IS GROUNDS FOR EVICTION.
Applicant 1: PRINT NAME: __________________________
SIGNATURE: _________________________________ DATE: __________
Applicant 2: PRINT NAME: __________________________
SIGNATURE: _________________________________ DATE: __________
OFFICE USE ONLY
DATE: ________________
APPROVED: YES_______ NO ________ Tenant notified Y/N via______________________
NOTES:
___________________________________________________________________________________________
(C) 2012 Carteret Craven Real Estate