Rush Hal Rental Application


Rush Hal Logo-Transparent Blue

3200 West Tyler Street Suite A
Conway, Arkansas 72034
www.RushHal.com
501.329.5838

 

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RENTAL APPLICATION

APPLICATION FEE-$30.00

FOR OFFICE USE ONLY: IF APPLICANT IS ACCEPTED

Address ___________________________________________________________________

  _________________ _________________ _________________  
  Move-In-Date Security Deposit Rent Pd. AT Move In  

The undersigned hereby makes this application to  to rent a bedroom dwelling for a lease term of months commencing on  , at a monthly rental of $ .

HOW DID YOU HEAR ABOUT US?

 

APPLICANT

Name:      

Contact #:

Social Security Number: Date of Birth:

CO-APPLICANT

Name:      

Contact #:

Social Security Number: Date of Birth:

OTHER OCCUPANT:

Name: DOB: SS#: Relationship:

Name: DOB: SS#: Relationship:

Name: DOB: SS#: Relationship:

APPLICANT MARITAL STATUS:

 

IMPORTANT QUESTIONS:

**Has anyone named on this application ever been convicted of a felony?

If yes, explain:

**Do you have any pets?

If so, list how many and what breed?

**Have you ever lived in a Rush-Hal Property?

If yes, which one and when?

CURRENT ADDRESS:

 

Rent: $ How Long:   

Landlord Name:    Landlord Phone:   

Date Moved Out:

Reason for Moving:   

PREVIOUS ADDRESS (If less than 2 years):

 

Rent: $  How Long:   

Landlord Name:   Landlord Phone:   

Date Moved Out:

Reason for Moving:   

IN CASE OF EMERGENCY NOTIFY:

Emergency Contact Name: Phone:

Relationship:   

BANK REFERENCE:

Checking Account Bank Name:

Checking Account Bank Address:  City/State/Zip:  

Savings Account Bank Name:

Savings Account Bank Address:  City/State/Zip:  

ANNUAL INCOME OF APPLICANT :

 

ANNUAL INCOME OF CO-APPLICANT:

EMPLOYMENT:

Applicant’s Employer:  Address:

How Long? Phone:  

Co-Applicant’s Employer:  Address:  

How Long? Phone:   

VEHICLES:

Applicant Driver’s License #: State:

Expires:

Vehicle #1 Model: License #: State:

Applicant Driver’s License #: State:

Expires:

Vehicle #2 Model: License #: State:

CREDIT: A credit report on Applicant(s) may be obtained by Agent on behalf of Owner prior to execution of a lease. Applicant(s) consents to the obtaining of such credit report(s).

INSURANCE: Owner and Agent carry no insurance on the personal Property or tenants. It is recommended that you obtain insurance coverage.

SECURITY DEPOSIT: All money deposited with this application will be held as a security deposit. This security deposit will not be refunded if Applicant’s credit and references are approved by Agent and Applicant decides not to rent the dwelling reserved for Applicant. All of the security deposit will be refunded if the Applicant’s credit and references are not approved by Agent.

ENTIRE AGREEMENT: The foregoing constitutes the entire agreement between the parties and may be modified only by written notice signed by both parties. This agreement is predicated upon all of the information which has been furnished by Applicant being accurate. If the facts provided are not accurate, the ensuing lease agreement may be voided at the option of Owner. Execution of this agreement by both parties to this agreement constitutes acceptance thereof.

LANDLORD RENTAL VERIFICATION: By signing this rental application you are giving your written consent for a representative from Rush-Hal Properties to get a rental verification from your current and/or previous landlords.

Applicant Signature:

Applicant Signature:

 RUSH-HAL PROPERTIES

By:___________________________

Leave this empty:

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Signature Certificate
Document name: Rush Hal Rental Application
lock iconUnique Document ID: cfb68c154e587ee52c318377a20f78fa3c0745ed
Timestamp Audit
May 25, 2016 2:42 pm CDTRush Hal Rental Application Uploaded by tfirst tlast - [email protected] IP 43.241.145.98, 43.241.145.98