Real Estate & Property Management Solutions, Inc.

725 SE Port St. Lucie Boulevard, Suite 104, Port St. Lucie, FL 34984 772-785-8884 Office 772-785-8845 Fax

Application for Rental

Property Address Agent Name Requested Move-In Date Monthly Rental Amount

Your Personal Information

(include all persons over age 18 who will live in the home with you) Your Full Name Phone (____) Work (____) Cell Email Social Security Number ______-_____-_______ DOB Current Drivers License # Spouses Drivers License # (____) Other Tenant Full Name Phone (____) Work (____) Cell Email Spouse SS# _______-_____-_________ Spouse DOB State State (____)

Your Present and Past Addresses

Present Address City How long have you lived at this address? If Renting, Landlord/Manager Name Landlord/Manager Phone (____) Why are you leaving? Current Monthly Rent/Mortgage $ Previous Address
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State Years Months

Zip Code

City How long did you live at this address? If Renting, Landlord/Manager Name Landlord/Manager Phone (____) Why did you leave? Monthly Rent/Mortgage $

State Years Months

Zip Code

Your Employment
Present Employer Address Phone (____) Position How long employed with present employer? Total Gross Household Income $ Spouses Employer Address Phone (____) Position How long employed with present employer? Other Income $

Other Income Source

Your Credit References

(may include major bank cards, store credit cards, car loans, small loans, etc.) Bank Bank Loan Type Loan Type Loan Type Have you ever been evicted? Yes No Yes No Type Type Approx. Balance $ Approx. Balance $ Approx. Balance $ How long How long How long

Have you ever had a foreclosure/repossession? If yes, Date

Please explain Yes No

Have you ever been convicted of a crime, other than a traffic violation? If yes, please explain
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Your Personal References

(list 3 persons, OTHER THAN YOUR RELATIVES, that we may contact to verify your character) #1 Name Address Relationship City State Phone (____) Zip

#2 Name Address

Relationship City State

Phone (____) Zip

#3 Name Address

Relationship City State

Phone (____) Zip

Your Emergency Contacts

(In an emergency, Quest Real Estate Solutions may contact) (List 2 contacts, starting with nearest relative first) #1 - Name Address Relationship City State Phone (____) Zip

#2 - Name Address

Relationship City State

Phone (____) Zip

Other Tenant Information

(all other persons under age 18 who will live in the home with you) Name Age Name Age

Name

Age

Name

Age

Any smoker living in the home?

Yes

No

If yes, Name

Your Pets
(all pets must be pre-approved) Name Name Type Type Weight Weight

PLEASE PROVIDE A PHOTOSTATIC COPY OF DRIVERS LICENSES OR PICTURE ID CARDS, LATEST PAY CHECK STUBS AND $60 APPLICATION FEE IN CASH OR CERTIFIED FUNDS PAYABLE TO QUEST REAL ESTATE
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SOLUTIONS, INC.

I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release the personal information of the undersigned applicant to Landlord or their authorized agents, at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit extended. I further authorize Landlord or their Authorized Agents to verify the application information including but not limited to obtaining criminal records, pull credit reports from bureaus, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the time of the application and at any time in the future, with regard to any agreement entered into with Landlord. Any false information will constitute ground for rejection of the application, or Landlord may at any time immediately terminate any agreement entered into in reliance upon misinformation given on this application. I acknowledge that application fee is non-refundable regardless of outcome. I further acknowledge that any hold deposit up to and equaling one months rent which shall accompany this application or be deposited in the future to hold said property off the market shall only be refunded should my application be denied. By my signature, I agree to the terms and conditions as stated above.

Applicants Authorization

Date

Spouses Authorization

Date

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Quest Real Estate & Property Mgmt. Solutions, Inc.