Application to Lease Property
Note: Application requires a $35 administrative fee that will be deducted from your first month rent if application is approved and a lease is signed.  Applications that are rejected after credit report has been purchased and references checked or applicant chooses not to lease after the application has been approved and accepted by the landlord will not be refunded.  Please read a copy of the lease agreement and make sure you have no questions or issues about entering into the lease agreement before completing this application and paying the $35 administrative fee. (NO PETS - NO SMOKING) 
If a co-applicant if applying with primary applicant and co-applicants income will be necessary to reach the monthly rent amount, then the application fee will be doubled to $70 since 2 credit reports/landlord history reports/employment reports will have to be conducted. If the combined income is necessary to reach the monthly rent amount, then both the primary and co-applicant will have to sign the lease, if the joint application is approved.
(After entering information, print out, sign and date it, return by email or fax it using the fax back cover sheet on last page of this application.)

Personal Information 

Date:	     		
	
E-mail Address	     	 Phone No.	     	
				
Name of Applicant	     	Date of Birth	     	
	
Social Security No.	     	Driver’s License No.	     	
	
Present Address	     	City 	     	
State	     	Zip	     	
	
Prior Address	     	City 	     	
State	     	Zip	     	
	
How long have you lived at present address?	     	How long have you lived at prior address?	     	
	
Name of Landlord	     	Telephone	     	
	
Prior Landlord	     	Telephone	     	
	
How many will be living in this unit?	Adults	     	Children	     	

Employer	     	Occupation	     	
Current Salary	     		
	
How Long?	     	Contact Person	     	
Telephone	____________________________________________________________	

Co-Applicant (spouse/partner/roommate, etc.) Information	
  
Co-App. Name	     		     	
Telephone:	                          	
	
Social Security No.	      	Driver’s License No.	     	
	
Employer	     	Occupation	     	
Current Salary	     		
	
How Long?	     	Contact Person	     	
Telephone	     	

Bank Information

Bank Name	     	Branch	     	
Telephone	     	Address	     	
	
Do you have a checking account?        Yes /       No                                                 		
Do you have a savings account?       Yes /       No		

Personal/Credit References

Name	Relationship	Telephone	
     		     		     	
	
     		     		     	
	
     		     		     	

Credit Grantor	Address	Telephone	
     		     		     	
	
     		     		     	
	
     		     		     	

Other Information

Number of Vehicles (Including company cars)	     	
	
Make/Model	     	Year	     	
Color:	     	Tag No.	     	State	     	
	
Make/Model	     	Year	     	
Color:	     	Tag No.	     	State	     	
	
Make/Model	     	Year	     	
Color:	     	Tag No.	     	State	     	
	
HAVE YOU EVER	
Filed for Bankruptcy		Yes		No   If yes, when?	     	
	
Been served an eviction notice or been asked to vacate a property you were renting?		Yes		No	

Willfully or intentionally refused to pay rent when due?		Yes		No 	
If yes, when?	     	
	
Been sued for unlawful detainer?		Yes		No 	
	
How were you referred to us?		Newspaper (name)	      	
	Realtor (Name)	     	     Website (name):      	
	Other:         		

Rental Unit Applied for	4100 Harlan Shope Rd, Panama City, FL. 32404	
	
Commencement Date	     	Term	1 Year	Rent/Month	$	

Consent to Obtain Credit/Employment/Current-Prior Rental History Information

I/We authorize Virtual Tour Realty, LLC to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

I/We declare under penalty of perjury that the information listed in this application is true and correct.

___________________________________     __________________________________
  Applicants Printed Name (first-Last)                  Co-Applicants Printed Name (first-Last)

Applicant’s Signature	Date 		Co-Applicant’s Signature	Date	

The undersigned authorizes landlord, leasing agent, and representatives of owner/landlord to contact the undersigned's current or previous landlord, and current employer, and further, by a copy of this Application, authorizes any said landlord or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent or its representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned's number of children, employment, occupation, general health, financial, and criminal history information.