Application
Fee $ 25.00 - nonrefundable
Initial Deposit 1 month rent (must be paid in “certified funds”
only)
Deposit
not refundable after 72 hours |
Phone (716)689-6006 Fax
(716)688-5463 |
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ADDRESS RENTED_______________________ DESIRED MOVE-IN
DATE_________________ |
RENT
AMOUNT__________________________ RENTAL
AGENT ________________________
|
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Personal
Information
*NAME:
___________________________________________________________________________________________________
First
Middle
Last
Social
Security #
__________________________ List any
other name or alias used by you______________________
CO-APPLICANT NAME: ____________________________________________________________________________________
First Middle Last
Social
Security #___________________________
List any other name or alias used by you______________________
E-Mail Address: ___________________________________________________________________________________________
List full names of all other persons who will occupy premises:___________________________________________
____________________________________________________________________________________________________________
PETS: How Many ____________________TYPE OF PET(S)_____________________________________________________
In case of
emergency notify:______________________________________________________________________________
Name Address Phone
_______________________________________________________________________________
Name Address Phone
Residence
and Rental Record
Present Phone Number ( )_________________
Present Address
_________________________________________________________________________________________
Street Address Apt No. City State Zip
Dates of Occupancy
From
________/________/_________
to _________/_________/________
Landlords Name
_______________________________________ Landlord’s
Phone (_______)_______________________
Previous Address
________________________________________________________________________________________
Street Address Apt No. City State Zip
Dates
of Occupancy From ________/________/_________ to
_________/_________/________
Landlords Name ___________________________________ Landlord’s
Phone (_______)_______________________
2nd Previous
Address
_____________________________________________________________________________________
Street Address Apt No.
City State Zip
Dates
of Occupancy From ________/________/_________ to
_________/_________/________
Landlords Name
___________________________________ Landlord’s Phone
(________)_______________________
Employment Record
Total
household income from all sources
$________________
**Applicant’s Present
Employer ____________________________________
Supervisor __________________________
Address
_____________________________________________________________Monthly Income
$____________________
How Long __________________ Occupation ____________________________ Phone _____________________________
**If this is not a
local employer, where do you work
locally?_____________________________________________
____________________________________________________________________________________________________________
Co-Applicant’s
Employer
_______________________________________How Long _________Monthly Income $_____
Address _________________________________
Occupation __________________________ Phone
______________
Additional Source of Household Income: _________________________________ Approx. / Month $__________
Miscellaneous:
Total number of cars to be parked at the leased
property
____________________________________.
Checking Account # ___________________ Bank
____________________ Branch ____________________________
Savings Account # _____________________ Bank
____________________ Branch ____________________________
IMPORTANT NOTICE REGARDING YOUR LEASE EXPIRATION DATE
Due
to the seasonal effect on the local rental market, M. J. Peterson offers a
choice of lease expiration dates to coincide with that market. In an effort to encourage a maximum number of
leases to expire during the Spring & early Summer months, the following
lease terms are offered.
**Minimum lease term allowed is 9 months (providing as
follows)
**Maximum term allowed is 24 months (providing as follows)
NOTE: Leases will
not be allowed to expire on August 31, September 30, October 31, November
30, or December 31, under any circumstances.
PLEASE CHECK ONE:
Or seal your rate with a longer term lease: ( ) January 31, 2011 ( ) January 31, 2012
( )
February 28, 2011 ( ) February 29, 2012
( )
March 31, 2011 ( ) March 31, 2012
( )
April 30, 2011 ( ) April 30, 2012
( )
May 31, 2011 ( ) May 31, 2012
( )
June 30, 2011 ( ) June 30, 2012
( )
July 31, 2011 ( ) July 31, 2012
I (We) Desire to Move In on
____ /____ /____.
_________________________________________________________________________________
Please Read carefully before signing
·
In the event this application is not
accepted by M.J. Peterson, the deposit will be returned.
·
M. J. Peterson does not insure tenants’
personal property. All tenants must have
Renters Insurance for their own protection.
·
I understand that pets are not
permitted without prior approval of Landlord. If permission is granted for a pet, I
understand a pet fee is charged and
a Lease Addendum Governing Pets must
be attached to the Lease Agreement.
·
·
Each
Co-applicant (except spouse) must provide a separate Rental Application.
Applicant
acknowledges that this application has personally been filled out by the
applicant and the information provided is true and complete. Applicant authorizes verification of any
information contained in this application and verification from a consumer
credit reporting agency. The deposit paid is not refundable after
72 hours if this application is approved following verification. Application fee is never refundable. This fee is
to be paid by a separate check made payable to M.J. Peterson Corp. It is mandatory within five days of
acceptance that the tenant arrange a mutually acceptable time with the M.J.
Peterson Rental Dept. to sign leases and pay remaining holding deposit in
certified funds. The security deposit, pet fee, prorate amount, first
month’s rent and trash removal fee (if applicable) must be paid in full before
keys are issued for occupancy. Please Remember: Full Holding Deposit Payment in Certified
Funds MUST be paid within ten (10) days of signing this
application. Failure to meet these
provisions will result in loss of all deposits and fees paid to date.
________________________________________ ____________________________________ _____________________
Applicant Co-Applicant Date
Thank you for choosing M. J. Peterson
The Housing Experts
Since 1930