Oak
Park Apartments
460
Hale Avenue
Brooksville, FL 34601 RENTAL
APPLICATION:
1 Bedroom _____ 2 Bedroom ______ Anticipated Move In Date
Name
of: Applicant
Current Address:
Home Telephone No.
Work
No.
Social
Security No.
Marital Status
No. of Children
Ages
Employer
How Long?
Salary
Monthly (
) Weekly ( )
Address _____________________ Position
Supervisor
___________________
Phone No.
Former
Employer
How Long?
Position
Phone No.
Next
of Kin
Relationship
Their
Address
Phone
No.
Present
Landlord
Phone No.
Previous Landlord
Phone No.
How
long at present residence?
How
long at previous residence?
Have
you ever been evicted? __________
If yes, date and explain circumstances:
List 3 Personal References:
Name:
Phone No.
Name:
Phone No.
Name:
Phone No.
List
3 Business References (Loans, Credit References):
Name:
Phone No.
Name:
Phone No.
Name:
Phone No.
Make/Model
of Car
Tag No.
Driver’s License No.
Date:
Total
No. of Adults
Male
Female
Total
No. of Children
Male
Female
Approved: Yes___________ No_______ Apartment No____________
Oak
Park Apartments
460
Hale Avenue
Brooksville, FL 34601
APPLICANT’S
PERMISSION TO CONTACT REFERENCES
I
_________________________________________ am applying for accommodation at the
Oak Park Apartments.
I
hereby give my permission to the Management of Oak Park Apartments to contact my
current, employer, previous employer,
current landlord, previous landlords and
any character or financial references listed on my application; and to conduct a
background
check using any government’s public records.
By
signing this document I attest that all information on the application is true
and permission is given to contact the above
mentioned companies/persons.
Signature_______________________________
Date______________________