Smart Rental Application

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SMART RENTAL Application

Date: __/____/ 2012

Agent: ___________________

Name(s): ___________________________________

Name(s): ______________________________________________

Address: ____________________________________

e-mail address: __________________@_________. ____________

City: _______________________________________

State: _______________________

Zip: ____________________

Date of birth: ____/______/_______ SSN:__________

Date of birth: _____/______/________ SSN:__________________

Phone: Home (

Work (

) ______________________

) _________________ Cell (

)_________________

Looking to Rent?
Condo:

Coop:

Single family:

Do you currently: Own


Children ____

Rental Building:

Rent

Occupancy needs: immediate

Length of residency: ___years


1 - 3 months

3 - 6 months

6 months+

Household members: Adults ____


just looking

Customer interests: Price range:

from $ ___________minimum price - to - $____________maximum price

Size: studio_1br_2br_3br_4br_4br+_

Baths:1bth_2bth_ 3bth_ 3+bth_

Cars/Pkg: 1_ 2_ 3_

Pets: Yes_ No_

Property address for this Application: _____________________________________ Town: ________________________________


Landlord: _________________Phone: _____________ Tenant Offer: $______________ Lease term: ___ year(s) Move date:________
Conditons:________________________________________________________________________________________________
Do you know your credit score? Yes
__________________

No

My credit score is:

Good

Average

Poor

Credit Score:

Name of Applicants Employer: _______________________________Position ____________________________


Income $___________Length of Employment:______Year(s) Reference:__________________Phone:__________________________

The Applicant agrees to pay SMART Realty $25 to perform a credit check and one months rental fee in the event the
Applicant rents a property introduced or shown by a SMART Realty agent. I certify this information provided to be true to
the best of my knowledge.
Signatures: _______________________________X

______________________________________X

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