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Rental Application

Pero Real Estate is committed to protecting your sensitive information. That is why we use High Grade 256 bit encryption to secure your data. We will never sell your personal information to anyone for any reason.

Full Name (*)
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Social Security Number (*)
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Date of Birth (*)
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Home Phone
Cell Phone
Email Address (*)
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Names and Ages of Children who Reside with You
Residence Information
Present Address (*)
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City, ST ZIP (*)
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Dates of Occupancy (*)
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Landlord Name (*)
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Landlord Address (*)
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Landlord Phone (*)
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Previous Address
City, ST ZIP
Dates of Occupancy
Landlord Name
Landlord Address
Landlord Phone
Employment Information
Employer Name (*)
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Employer Address (*)
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Employer City, ST ZIP (*)
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Employer Phone (*)
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Dates of Occupancy (*)
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Monthly Income (*)
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Other Sources of Income
In Case Of Emergency, Notify
Name
Address
Phone
Relationship
Vehicle Information
License Plate Number
Questions
Have you received unemployment within the last two years?
Have you ever been evicted for non-payment of rent or otherwise failed to meet lease obligations? (If yes explain in remarks)
Have you ever been convicted of or pleaded guilty or “no contest” to a felony? (If yes explain in remarks)
Have you ever been convicted of or pleaded guilty or “no contest” to a misdemeanor involving sexual misconduct? (If yes explain in remarks)
REMARKS
How did you hear about Pero Real Estate’s Rental Units?

I certify that the above information supplied is true and complete to the best of my knowledge.By typing my name in the box below, I authorize verification of all information given: and understand that additional information will be obtained from the Credit Bureau and other services. I understand that my rent records, my performance of rules and lease obligations, and my treatment of the premises will be reported to credit reporting agencies and to other landlords.

I understand that this application may be accepted or rejected at the discretion of the landlord. I understand and agree that rents and deposits paid toward the rental unit will be refunded only if this application is rejected by the landlords, and those otherwise, those rents and deposits will be applied as specified in the lease agreement.

A $20 application fee will be added to your security deposit to cover processing and credit reports. This fee in NOT refundable.

Electronic Signature
By typing your name in the signature box below, you are indicating your intent to sign the relevant document or record and that this shall constitute your signature.

Signature (*)
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