Florida Palms On-Line Rental Application

Property You Are Applying For Please include the address, county, or property manager you are applying for.

PRIMARY APPLICANT:

First Name

Last Name

Phone Number

E-Mail Address

Date of Birth

Year / Month / Day

Social Security Number

Driver's License Number Please include any numbers, letters, dashes or spaces as it appears on your license or ID card.

State of Issue Use the abbreviation of the state where your ID was originated. Use NA if you have an international ID.

Current Employer or Income Source

Monthly Salary / Income Enter monthly salary or income in US dollars. Numbers only please, no letters, spaces or punctuation.

Proof of Income Please provide a copy of “Proof of Income” for each individual who will be contributing to the rental payment. This may be any one of the following: 1) Copies of 2 pay periods of paychecks; 2) W-2 Form from previous year; 3) Tax returns from previous year; 4) Letter from employer, on company letterhead stating pay rate, average hours worked per week and length of employment. If you cannot not provide that information here, you can email it to the property manager who is processing your application.

Current Address Please include address, city, state and zip code.

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Do You Currently Rent or Own?

What is Your Reason For Moving?

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Name of Your Present Owner or Manager

Phone Number of Your Current or Former Landlord Numbers only, no letters, spaces or dashes please.

Pets Indicate how many pets, type of pet and its breed. Each pet will require an additional $250 pet deposit and is subject to approval.

Pet Picture(s) Please upload images of each pet you have.

History Please mark any and all boxes that apply to you. You will be provided with a space to provide any explanations if needed.

Landlord collections

Delinquent in rent

Defaulted on lease terms

Defendant in eviction

Have foreclosure

Have bankruptcy

Vehicle repossession

Delinquent in any other financial obligation

Criminally convicted

Plead no contest

NONE OF THE ABOVE APPLY TO ME

History Explanation Feel free to elaborate on any topic you checked above.

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SECONDARY APPLICANT: spouse, partner or roommate

PLEASE NOTE: Co-applicants must complete ALL of the following fields to process your application.

First Name

Last Name

Phone Number

E-Mail Address

Date of Birth

Year / Month / Day

Social Security Number Please provide your full 9 digit social security number with no dashes or spaces.

Driver's License Number Please include any numbers, letters, dashes or spaces as it appears on your license or ID card.

State of Issue Use the abbreviation of the state where your ID was originated. Use NA if you have an international ID.

Current Employer or Income Source

Monthly Salary / Income Enter monthly salary or income in US dollars. Numbers only please, no letters, spaces or punctuation.

Proof of Income Please provide a copy of “Proof of Income” for each individual who will be contributing to the rental payment. This may be any one of the following: 1) Copies of 2 pay periods of paychecks; 2) W-2 Form from previous year; 3) Tax returns from previous year; 4) Letter from employer, on company letterhead stating pay rate, average hours worked per week and length of employment. If you cannot not provide that information here, you can email it to the property manager who is processing your application.

Applicant Electronic Signature ALL APPLICANTS MUST CHECK THIS BOX FOR APPLICATION TO BE PROCESSED. By checking this box, you and all applicants acknowledge the information on this application is true and correct. You authorize Overseas Realty, Inc. to verify the above information and to compile a credit, criminal, and evictions report. Also understand that there is a NON-REFUNDABLE $60.00, per-adult application fee that is due to Overseas Realty, Inc. with this application. Any money that is included with the application to hold this property will not be refunded if the application is approved. If application is denied, the deposit will be returned within 3 business days. Any deposits made will be contributed to the costs of moving into the home.

SPECIAL NOTES OR EXPLANATIONS If you happen to have a special situation currently or something in the past you care to share with us that you think may affect the acceptance of your application we appreciate your honesty and encourage you to leave any important notes for our staff to use in the consideration of the acceptance of your rental application.

Florida Palms On-Line Rental Application

IMPORTANT NOTE: US card holders ONLY, international cards will NOT be processed.

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