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Fill out the form below and click "Submit" --
You may also download the application in pdf form by clicking here
 
 
Property Address You are applying for: 

Applicant Information:  * = required field
* First Name:          * Last Name:         
* Middle Name: * Maiden Name:
* Date Of Birth: * Social Security #:         
* Driver's Lic#:    issuing state: Marital Status:
Present  Work Phone #: Present Home Phone #:  
Best Contact Phone #:    Ext:
Your Email:   
Have you ever had an eviction filed against you?   yes     no 


PETS (Keeping of pets requires a pet deposit and owner’s consent)

Breed:    Age:   Weight: 

Two Year Rental History Required:
Please if possible provide written past landlord verifications
Most Recent or Current Residence: 
* Street Address * State/Province:
* City: * Zip/Postal Code:   
Own or Rent:   * Since:
Monthly Rent ($): * Reason   
for moving:  
 
 Move-In Date: * Move-Out Date:
Landlord Information:
Lanlord Mtg. Co.:  Address:
City: State:
Zip: Phone:
Email:  
 
Previous Residence:   
* Street Address * State/Province:
* City: * Zip/Postal Code:
Own or Rent:   * Since:
Monthly Rent ($): * Reason   
for moving:  
 
 Move-In Date: * Move-Out Date:
Previous Residence Landlord Information:
Lanlord Mtg. Co.:  Address:
City: State:
* Zip: Phone:
Email:  
 
Have you or any occupants ever been arrested for, convicted of, put on probation for, or had adjudication withheld or deferred for a felony offense?  yes      no 
If yes, please explain: 
 

   
 
Please Tell Us about Your Job (please attach proof of income): 
Present Employer
Name:   * Business address:
* City: * State:      * Zip: 
 Phone No: * Position:
Supervisor: * Monthly Income:   
 From (Start Date): * To (End Date):
 
Previous Employer
Name:   * Business address:
* City: * State:       * Zip: 
 Phone No: * Position:
Supervisor: * Monthly Income:   
 From (Start Date): * To (End Date):

Please Give Us The Following Information:
Emergency Contact
* Name: Address:
* City: * State:       Zip:   

Automobile 1st Car  
* Year: Make:
* Model: * Color:
* Tag #:  
Automobile 2nd Car  
 Year: Make:
Model:  Color:
 Tag #:  

Please List all other occupants and children
Name:    Age:
Name:    Age:
Name:    Age:
Name:    Age:

Bank Reference
Bank name:    Location:
City:    State:

Applicant represents that all of the statements and representations are true and complete, and hereby, authorizes verification of the above information, references and credit records. Applicant understands that an investigative consumer report including information about character, credit history, general reputation, personal characteristics, mode of living, and all public record information including criminal records may be made. Applicant agrees that false, misleading or misrepresented information may result in the application being rejected, will void a lease/rental agreement if any and/or be grounds for immediate eviction with loss of all deposits and any other penalties as provided by the lease terms if any. Applicant authorizes verification of all information by the Landlord and or Management Company. Applicant has the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation. NON REFUNDABLE APPLICATION FEE--Applicant(s) has paid to Landlord and/or Management company herewith the sum of $____________ as a NON REFUNDABLE APPLICATION FEE for costs, expenses and fees in processing the application. APARTMENT DEPOSIT AGREEMENT --Applicant has deposited an “APARTMENT DEPOSIT” of $______________in consideration for taking the dwelling off the market while the application is being processed. If applicant is approved by Landlord and/or Management and the lease is entered into and possession of the apartment is taken the “APARTMENT DEPOSIT” shall be applied toward the security/damage deposit. If applicant is approved, but fails to enter into the lease within 3 days of verbal and/or written approval and/or take possession after lease signing, the FULL “APARTMENT DEPOSIT” shall be forfeited to the Landlord or Management in addition to any penalties as provided in the lease if the lease has been signed by the applicant. The “APARTMENT DEPOSIT” shall be refunded only if applicant is not approved. Keys will be furnished only after lease and other rental documents have been properly executed by all parties and only after applicable rentals and security deposits have been paid. This application is preliminary only, in no way implies that a particular rental unit shall be available and in no way obligates Landlord or Management to execute a lease or deliver possession of the proposed premises.
I HAVE READ AND AGREE TO THE PROVISIONS AS STATED
Applicant Signature:    Date:         
(one application for each adult 18 or older applying to live in home.)
All Applications must be accompanied with a clear copy of Photo ID
(Drivers License, Passport, etc.)
All Move In monies due must be in certified funds!

Are you a member of the Armed Forces?  yes    no   
If yes, are you active or reserve?   

RESIDENT SELECTION CRITERIA
Application fee $50 per adult or $80 per married applicants (certified funds) made payable to Thomas Kay Realty, Inc. (mail to PO Box 236306, Cocoa, Florida 32923)
email: nancy@propertiesforrentbrevard.com or 321-632-4065

1.   All Adult applicants 18 or older must submit a fully completed, dated and signed residency application and fee.  Applicant must provide proof of identity.  A Non refundable application fee will be required for all adult applicants. Applicant may be required to be approved by a condo/homeowner's association and may have to pay an additional application fee or an additional security or damage deposit 

2.   Applicants must have a combined gross income of at least three times the monthly rent. We reserve the right to require a co signer.   A minimum of two years residential rental history is required.

3.   Credit history and or Civil Court Records that contain slow pays, judgments, eviction filing, collections, liens or bankruptcy within the past 5 years may require a higher deposit. 

4.   Self employed applicants may be required to produce upon request 2 years of tax returns or 1099s and non employed individuals must provide verifiable proof of income.

5.   All sources of other income must be verifiable if needed to qualify for a rental unit.

6.   Criminal records must contain no convictions for misdemeanors for crimes involving violence, assault or battery, drugs, firearms; felonies within the past seven years and no sexual offenses ever. In the event a record comes back "adjudication withheld", “nolle prosse”, or  “adjudication deferred”, further documentation may be required and applicant may be denied on this basis.

7.   Previous rental history reports from landlords must reflect timely payment, sufficient notice of intent to vacate, no complaints regarding noise, disturbances or illegal activities, no unpaid NSF checks, and no damage to unit or failure to leave the property clean and without damage at time of lease termination.

8.   No pets (with the exception of medically necessary pets for the benefit of the occupant(s)) of any kind are permitted without specific written permission of landlord in the lease document, an addendum to lease, a non-refundable pet fee acceptable to landlord and/or an additional pet deposit or additional security deposit. Fees and deposits are waived for medically necessary pets.

9.  A minimum non-refundable property preparation fee may be charged at to the Resident(s) at time of leasing the property. It will be used at the end of your lease term to cover any needed cleaning, carpet cleaning and rekeying. Other mandatory minimum fees for cleaning, carpet cleaning, rekeying etc may be charged as per the lease. Resident(s) shall still be liable for amounts for damages, cleaning, re keying etc that exceed this non refundable property preparation fee or minimum fees.

10. Applicants will be required to pay a security deposit at the time of lease execution in a minimum amount of one months rent. We reserve the right to require a higher security deposit and or additional prepaid rent.

11. The number of occupants must be in compliance with HUD standards/guidelines for the applied for unit.

12. We may require a holding or good faith deposit to be collected to hold a property off the market. In the event the application is approved and applicant fails to enter into a lease, the applicant shall forfeit this deposit. In the event the application is approved, this deposit shall be applied to the required security deposit.

13. Any exceptions to our company's criteria will need to be submitted in writing to the rental agent for presentation to the landlord for consideration.  If approval is then given for such exceptions, additional security, co signers, and/or additional advance rent payments may be required.

14. Our company policy is to report all non compliances with terms of your rental agreement or failure to pay rent, or any amounts owed to the credit bureau and/or a collection agency and if the amount is disputed, it shall be reported as disputed in accordance with law.

* Name:    * Date:         
Name:    Date:
each applicant must sign

BY TYPING YOUR FULL NAME IN THE FIELD BELOW, SELECTING 'ACCEPT TERMS' AND CLICKING ON SUBMIT, YOU ARE STATING THAT ALL INFORMATION ENTERED ON THIS APPLICATION IS TRUE, TO THE BEST OF YOUR KNOWLEDGE YOU ALSO GIVE REAL PROPERTY MANAGEMENT PERMISSION TO HAVE ALL INFORMATION VERIFIED, INCLUDING CREDIT, EMP-LOYMENT, INCOME, BANK ACCOUNT, RENTAL HISTORY AND CRIMINAL BACKGROUND INFORMATION. YOU FURTHER AGREE THAT A PHOTOCOPY OF THIS AUTHORIZATION MAY BE ACCEPTED.
* Accept Terms:     *FULL NAME:         
 
Verification Code:  
  (The code is not case-sensitive.)

 

 

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