BHHS Solutions Real Estate Rental Application

Application Address *

Application Date *

Month Day Year

Rental Amount *

Lease Term *

Move-In Date *

LEASE APPLICATION AND DISCLOSURE NOTICE

Please answer each question on this Lease Application completely. Each prospective applicant 18 yrs or older must submit a separate lease application and pay a $25.00 per person, non-refundable application processing fee. The undersigned Applicant(s) acknowledges that BHHS Solutions Real Estate Property Management is the exclusive agent to the Owner(s) of the aforementioned rental property and does not have any fiduciary or other agent responsibility to the applicant(s).

Applicant Information

Full Name *

First Name Last Name

Phone Number *

Area Code Phone Number

E-mail *

Social Security Number *

Date of Birth *

Month Day Year

Drivers License No. *

Issue State *

Marital Status *

Co-Applicant Full Name

First Name Last Name

Co-Applicant Phone Number

Area Code Phone Number

Co-Applicant E-mail

Co-Applicant Social Security Number

Co-Applicant Date of Birth

Month Day Year

Co-Applicant Drivers License Number

Issue State

Co-Applicant Marital Status

List all underage applicants. List Name/Ages/Relationship *

Pets? *

What Kind?

Weight

Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Landlord Name *

Phone Number *

Area Code Phone Number

Monthly Rent Amount *

Lease Start Date *

Month Day Year

Lease End Date *

Month Day Year

Reason for Moving *

Employer *

Employer Phone Number *

Area Code Phone Number

Employer Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Position *

Department *

Supervisor *

Work Start Date *

Month Day Year

Work End Date *

Month Day Year

Salary *

Frequency *

Co-Applicant Employer

Co-Applicant Employer Phone Number

Area Code Phone Number

Co-Applicant Employer Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Position

Department

Supervisor

Employment Start Date

Month Day Year

Employment End Date

Month Day Year

Salary

Frequency

Other Source of Income

Other Source of Income Amount

Frequency

Year/Make/Model #1 *

Year/Make/Model #2

Year/Make/Model #3

List All Recreational Vehilcles *

Has any applicant been convicted of a felony? *

Have You Ever Broken a Lease? *

If Yes, Please Explain

Have You Ever Been Evicted? *

If Yes, Please Explain

Emergency Contact #1 *

Emergency Contact #2 *

Emergency Contact #3 *

How Did You Find Out About This Property? *

If An Agent Showed You The Home, Please Provide A Name

The undersigned hereby authorizes Berkshire Hathaway Home Services Solutions Real Estate Property Management to conduct a credit check which includes, but is not limited to, obtaining a credit report and interviewing applicant’s credit references, previous landlords and any other references on this application. The applicant also authorizes release of information based upon reliance of photocopies or facsimiles of the authorization. The undersigned applicant certifies that the information supplied on this application is true and correct and hereby authorizes verification of the same. Applicant further releases any all individuals who provide information to Berkshire Hathaway Home Services Solutions Real Estate from any and all claims which applicant may have resulting from information provided. Any false information provided on this lease application or if applicant refuses to enter into a lease agreement for the property for which they applied shall be deemed cause for termination of this application and forfeiture of any monies paid on application.

By clicking submit, I hereby acknowledge and certify that the applicants listed above and the persons submitting the application are in fact one in the same and agree to sign a hard copy of this application prior to taking possession of home in which I am applying for.

^©2020 BHH Affiliates, LLC. An independently owned and operated franchisee of BHH Affiliates, LLC. Berkshire Hathaway HomeServices and the Berkshire Hathaway HomeServices symbol are registered service marks of HomeServices of America, Inc.^® Equal Housing Opportunity.

BHHS Solutions Real Estate Rental Application

Landlord Information

Employment Information

Automobiles

Additional Information