Lansford Realty & Property Management
Lansford Realty and Property Management
1447 Vance Road – Suite 105 – Chattanooga, TN 37421 Phone 423 710-3378 Fax 1 800 606-7104
Instructions: Each applicant age 18 or over must complete a Rental Application Form accompanied by a $20 application fee. After submitting application, please click on Application Fee to make payment. Optionally you can download this APPLICATION and mail or bring by our office with your application fee. You will also be required to provide income verification.
Equal Housing Opportunity
The undersigned hereby makes an application to rent the following property:
Anticipated move date of at a monthly rent of $ and damage deposit of $.
PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)
Current Address Apt# City
Month/Year Moved In
Reasons For Leaving
PLEASE DESCRIBE YOUR CREDIT HISTORY
Have you declared bankruptcy in the past seven (7) years?
Have you ever been evicted from a rental residence?
Have you had two or more late rental payments in the past year?
Have you ever willfully or intentionally refused to pay rent when due?
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Full TimePart TimeStudentUnemployed
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.
Amount $ Source/Contact
Your Status: Full TimePart TimeStudentUnemployed
Amount $ Source/Contact
PLEASE LIST YOUR REFERENCES
Personal Reference or Emergency Contact:
Please give any additional information that might help owner/management evaluate this application?
Where may we reach you to discuss this application?
Day Phone #
Night Phone #
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.
I hereby deposit $as earnest money to be refunded to me if this application is not accepted in 3 business banking days. The home will not be removed from the rental market unless applicant has paid the security deposit. Upon acceptance, this deposit shall be retained as part of the damage deposit. When so approved and accepted, I agree to execute a lease for months before possession is given and to pay the balance of the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason of non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.
The above information, to the best of my knowledge, is true and correct.
Please sign:(Name of Applicant) Date
Release of Information
I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/manager.
APPLICANT:PLEASE DO NOT WRITE BELOW(FOR OFFICE USE ONLY)
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