Lease Application - French and CoFrench and Co

French and Company Realtors®
3700 SW 45TH
AMARILLO TEXAS, 79109
PHONE: (806) 356-9086
FAX: (806) 356-9144
RESIDENTIAL LEASE APPLICATION
Each person 18 years of age or older who will reside at the property must complete an application. Fee of $50 per application must be paid to our office, 3700 SW 45th, Amarillo, TX, before the application(s) will be processed. A copy of applicant's Social Security card and driver's license/photo ID will be needed with the application fee. Acceptable forms of payment are money orders, cashier checks or personal checks. We do not accept cash or credit cards and online payment is not available.
Property Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Anticipated Move-in Date
Anticipated Monthly Rent
Security Deposit
Applicant was referred to Landlord by*
- Real Estate Agent
- Newspaper
- Sign
- Internet
- Other
Referring Real Estate Agent Name*
Referring Real Estate Agent Phone*
Name*
First Name Middle Name Last Name
Have you previously held a different last name*
- Yes
- No
Please list your previous last name(s)*
Is there a co-applicant?*
- Yes
- No
The co-applicant must submit a separate application.
Email

example@example.com
Home Phone*
Work Phone*
Cell Phone*
Social Security Number*
Driver's License Number*
Driver's License State*
Date of Birth*
Height*
Weight*
Eye Color*
Marital Status*
Citizenship*

Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Current Landlord*
First Name Last Name
Current Landlord Email

example@example.com
Current Landlord Phone - Day*
Current Landlord Phone - Night
Current Landlord Mobile
Current Landlord Fax
Current Address Move-in Date*
Current Address Move-out Date*
Current Rent Amount*
Reason for Leaving Current Address*
Previous Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Previous Landlord
First Name Last Name
Previous Landlord Email

example@example.com
Previous Landlord Phone - Day*
Previous Landlord Phone - Night*
Previous Landlord Mobile*
Previous Landlord Fax
Previous Address Move-in Date
Previous Address Move-out Date
Previous Rent Amount*
Previous Rent Amount*

Current Position*
Current Employer*
Current Employer's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Current Supervisor's Name*
First Name Last Name
Current Supervisor's Phone*
Current Supervisor's Email

example@example.com
Current Supervisor's Fax
Current Position's Start Date*
Current Position's Monthly Income*
Previous Position*
Previous Employer*
Previous Employer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Previous Supervisor's Name
First Name Last Name
Previous Supervisor's Phone
Previous Position's Start Date*
Previous Position's End Date*
Previous Position's Monthly Income*
Describe Other Income to be Considered

RESIDENTIAL LEASE APPLICATION AGREEMENT

Authorization: Applicant authorizes Landlord and Landlord's agent, at any time before, during, or after any tenancy, to:
1. obtain a copy of Applicant's credit report;
2. obtain a criminal background check related to Applicant and any occupant; and
3. verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.
Notice of Landlord's Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

Privacy Policy: Landlord's agent or property manager maintains a privacy policy that is available upon request.

Fees: Applicant submits a non-refundable fee of $35 for processing and reviewing this application.

Acknowledgement & Representation:
1. Applicant placing their name into the box below indicates that Applicant has had the opportunity to review Landlord's tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.
2. Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.
3. Applicant represents that the statements in this application are true and complete.
AUTHORIZATION TO RELEASE INFORMATION RELATED TO A RESIDENTIAL LEASE APPLICANT

I, Timothy Dieter Hurley Merrill (Applicant), have submitted an application to lease a property located at Recusandae Ea accus, Elit laborum Ducim, Vel aut similique si, Est enim quidem labo, 58651.

The landlord, broker, or landlord's representative is:

Paul D. French
3700 SW 45th
Amarillo, TX 79109
Phone: 806 356-9086
Fax: 806 356-9144
Email: paul.french@frenchandco.com

I give my permission:
1. to my current and former employers to release any information about my employment history and income history to the above-named person;
2. to my current and former landlords to release any information about my rental history to the above-named person;
3. to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person;
4. to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and
5. to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.
Note: any broker gathering information about an applicant acts under specific instructions to verify some or all of the information described in this authorization. The broker maintains a privacy policy which is available upon request.
DEPOSIT FOR RENTAL

Once the rental application is approved, a representative will call you and request that the deposit be paid as soon as possible. Deposit needs to be paid with a money order, cashier's check, or personal check.

When the deposit has been paid: ads will no longer run, the sign will be pulled from the property, and it will be removed from our Current Available Rental List. Paying the deposit will hold the property for two weeks, at which time you are expected to move in. If at any time between paying the deposit and moving into the rental, you change your mind, you will forfeit the deposit.

My signature below indicates that I understand this policy.
Signature*
Today's Date*
After pressing the submit button, You will be directed to our third-party service partner, PetScreening, to ensure all applicants understand how to adhere to the property's pet and animal policies, even if you do not have a pet or animal. All applicants should complete a Pet, No Pet, or Animal Profile. * NOTICE TO ALL RESIDENTS & APPLICANTS: Everyone must complete the screening process. This is not only for pet and animal owners but also for residents and applicants that DO NOT own a pet or animal.
Email
This field is for validation purposes and should be left unchanged.

Type	Year	Make	Model	License	Mo. Payment

Name	Type and Breed	Color	Weight	Age	Gender	Spayed or Neutered?	Declawed?	Rabies Vaccine?

RESIDENTIAL LEASE APPLICATION