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AVAILABILITY/PHOTOS
RENTAL APPLICATION
Confidential
Personal Information Print
this document, return via email, fax, or mail w/ $50.00 Rental Application Fee Mailing Address: A Home Suite Home, LLC 19706- B One Norman Blvd, #137, Cornelius, NC 28031 704-892-0027 Fax: 704-237-1914(Secured, Dedicated Fax Line) Email: AHomeSuiteHome@aol.com I, __________________________ (Tenant) give A Home Suite Home authorization to complete a Background Check for this Rental Application. Information will not be shared w/ any private nor distributed for any purpose other than A Home Suite Home. Tenant Signature: _____________________________________ Date: ________________ Name of Applicant(s):________________________ Birth Date:___________________ ________________________ ___________________ Telephone:_________________________Mobile Phone:_________________ Driver's License No.& State:______________________ Send a copy of your drivers license with the application.
Social Security Number: ________________________ Weekly Rentals only -for
Damage Deposit via PayPal(Credit Card).
Credit Card Number: _________________________ Expiration: _____________ Type:
MC , VISA ,
Discover , Amex Email Address:____________________________ Primary
____________________________Secondary Reason for Lake Norman Rental: ____________________________ Tentative Beginning and Ending of Duration:___________________ Present Address:____________________________________________________ City:____________________ State:________
Zip:_______Duration:_______________ Prior Address:______________________________________________________________________ City:___________________________ State:________
Zip:___________ Duration:_____________ How many will be living in the unit:
Adults____________ Children____________
No Pets/Smoking Allowed Employer:__________________________________
Occupation:_________________________ How long:___________________ Telephone:____________________ Address:_________________________________________________________________________ Bank Information Bank Name:______________________________
Branch Telephone:______________________ Address:_________________________________________________________________________ Checking Account No.:_______________________Saving
Account No:____________________ Personal References Name
Relationship
Telephone/Mobile Number 1.____________________________________________________________________________ 2.____________________________________________________________________________ 3.____________________________________________________________________________ Other Information Car Make/Model:_____________________________________Year:________Color:_____________ License Tag No._________________________ State:_____________ Car Make/Model:_____________________________________Year:________Color:_____________ License Tag No._________________________ State:_____________ Have you ever: Filed for Bankruptcy: ________Yes ________No (If yes, when:_______________________)
Been served an eviction notice or asked to vacate a rented
property?_________Yes _________No
Willfully or intentionally refused to pay rent when due?_______Yes ________No
(If
yes, when:_______________________)
Been sued for unlawful detainer?___________Yes
___________No How were you referred by us? __________________________________We would like to thank them for the referral! Fair Credit Reporting Act(FCRA) Falsification of this information is grounds for a ten day Notice to Move, if discovered later by A Home Suite Home.
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