Wednesday, December 23, 2009

Rental Agreement

SEQ CHAPTER \h \r 1 Intl. Asset Solutions
4180 Delaware St Beaumont, TX 77706
409-351-2956
Rental Application This Rental application contains private information, including Social Security numbers that will not be disclosed to third parties unless previously authorized by applicant. Applicant releases Daws Enterprises to contact referrals for character references. Further, permission is hereby granted to use third party services to complete credit and background checks for each member of household as listed. Tenant agrees to include a $25 application fee by money order to cover these and other clerical expenses upon submission of this document to above address and understand that this is not a promise to lease. Name ________________________________________Soc Security #____________________________ Spouse _______________________________________Soc Security #____________________________ Others that will live with you: Name Relationship Current School _____________________________ _______________ _________________________ _____________________________ _______________ _________________________ _____________________________ _______________ _________________________ _____________________________ _______________ _________________________ Current Address: _____________________________ Rent: ___________ How Long_________________ Current Landlord: _____________________________ Phone: ___________________ Previous Landlord: ____________________________ Phone: ___________________ May I contact your Landlord? YES_____ NO______ Does any household member use tobacco products? YES ______ NO_____ Financial Information Primary Wage Earner Employment History Company Start Date – End Date Salary / Wage Supervisor Name & Phone Number 1_________________ ________ - ________ __________ _______________ - __________ 2_________________ ________ - ________ __________ _______________ - __________ Spouse Employment History Company Start Date – End Date Salary / Wage Supervisor Name & Phone Number 1_________________ ________ - ________ __________ _______________ - __________ 2_________________ ________ - ________ __________ _______________ - __________ Other Sources of Income__________________________ _____________________________ Child Support / Social Security Benefits / Housing / Disability etc Banking Institution_________________________ ___________Phone _________________
Page 1 of 3 Daws Enterprises
2601Lakeshore Dr Port Arthur TX 77640
409-985-2893
Rental Application References List three character references not related to you Name how long you have known them Phone 1.______________________ ____________ ________________ 2.______________________ ____________ ________________ 3.______________________ ____________ ________________ Security Deposit A security deposit is required and must be paid in addition to the first month’s rent prior to receiving keys for move in. Pets List all pets you have now or plan to have on premises __________________ __________________ ________________ Water filled furniture Not allowed. Contacts Applicant phone #____________________Spouse phone # ______________________ Work ____________________ ______________________ E-mail (optional) ______________________ ________________________ Emergency contacts Name Phone # _____________________________ __________________________ _____________________________ __________________________ Endorsements By signing below, I/We hereby freely provide all information herein and attest it is correct and true to the best of my/our knowledge. I /we hereby grant permission to Keith Daws Sr dba Daws Enterprises to utilize the resources necessary to check my credit history and criminal background records. Signature required: _____________________ Spouse ________________________ Address applied for: __________________ Date I prefer to pay security deposit Preferred move in date: _______________ And First month’s rent: _________
Page 2 of 3 CREDIT REPORT/CRIMINAL RECORD AUTHORIZATION
I hereby appoint International Asset Solutions
Name of Agent
To request and receive my credit report and criminal record search from the Retail Merchants Credit Association of Port Arthur. Name___________________________________________________________________ Address________________________________________________________________ Social Security # ___________________________ Date of Birth ______________________________ Phone # __________________________________ Spouse ____________________________DOB_________ SS# __________________ (If spouse’s credit record is requested) Signature of Consumer __________________________________Date _____________ Signature of Agent _________________________________Phone # 409-351-2956 Page 3 of 3 RMACRD: Agent Appointment

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