Form 460 "Rental Application - South Carolina Association of Realtors" - South Carolina

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RENTAL APPLICATION
Name(s) of Applicant(s) [A
separate application form is to be completed when co-applicants are not married], (the "Applicant" whether one or
more) hereby applies on
, 20
, to
(the Landlord) for
rent of the following described property located in the City or County of
(the "Property") for
occupancy beginning
, 20
, and ending on
, 20
, at a monthly rental of
$
.
Property address:
Date of birth:
Work Telephone:
Social Security No.:
Driver's license no. and State of issue:
Other name(s) of Applicant used within last 3 years
Names of occupants of the property other than Applicant and relationship to Applicant:
Number of vehicles:
Make/Model/State license tag #:
Number of pets (include weight and breed):
CURRENT ADDRESS:
Present address:
How long?
Reason for leaving:
Monthly rent:
Telephone:
Name and telephone of previous Owner or Agent:
PREVIOUS ADDRESS:
Previous address within last 3 years:
From
to
Monthly rent:
Address:
Reason for leaving:
Name, address, and telephone of Owner or Agent:
From
to
Monthly rent:
Address:
Reason for leaving:
Name, address, and telephone of Owner or Agent:
From
to
Monthly rent:
Address:
Reason for leaving:
Name, address, and telephone of Owner or Agent:
[_____] APPLICANT
[_____] APPLICANT
[_____] LANDLORD HAVE READ THIS PAGE
Form 460
PAGE 1 OF 3
RENTAL APPLICATION
Name(s) of Applicant(s) [A
separate application form is to be completed when co-applicants are not married], (the "Applicant" whether one or
more) hereby applies on
, 20
, to
(the Landlord) for
rent of the following described property located in the City or County of
(the "Property") for
occupancy beginning
, 20
, and ending on
, 20
, at a monthly rental of
$
.
Property address:
Date of birth:
Work Telephone:
Social Security No.:
Driver's license no. and State of issue:
Other name(s) of Applicant used within last 3 years
Names of occupants of the property other than Applicant and relationship to Applicant:
Number of vehicles:
Make/Model/State license tag #:
Number of pets (include weight and breed):
CURRENT ADDRESS:
Present address:
How long?
Reason for leaving:
Monthly rent:
Telephone:
Name and telephone of previous Owner or Agent:
PREVIOUS ADDRESS:
Previous address within last 3 years:
From
to
Monthly rent:
Address:
Reason for leaving:
Name, address, and telephone of Owner or Agent:
From
to
Monthly rent:
Address:
Reason for leaving:
Name, address, and telephone of Owner or Agent:
From
to
Monthly rent:
Address:
Reason for leaving:
Name, address, and telephone of Owner or Agent:
[_____] APPLICANT
[_____] APPLICANT
[_____] LANDLORD HAVE READ THIS PAGE
Form 460
PAGE 1 OF 3
EMPLOYMENT INFORMATION:
Applicant's present employer:
Immediate supervisor:
How long?
Date hired?
Address:
Telephone:
Employed as:
Monthly net income: $
If employed less than one year by present employer, previous employer:
How long?
Date hired?
Immediate supervisor:
Address:
Telephone:
Employed as:
Monthly net income: $
Other sources of income to be considered (Applicant need not disclose alimony, child support, or separate maintenance
income or its source, unless Applicant wishes to be considered for the purpose of this application for lease):
Other income: $
Source:
Other income: $
Source:
Other income: $
Source:
Name of nearest relative (other than spouse):
Relationship:
Address:
Telephone:
SPOUSE:
Spouse name:
Telephone:
Social Security No.:
Address:
Date of birth:
Work telephone:
Driver's license no. and State of issue:
Other name(s) of Spouse (maiden name) used within last 3 years
SPOUSE'S EMPLOYMENT INFORMATION:
Spouse's present employer:
Immediate supervisor:
How long?
Date hired?
Address:
Telephone:
Employed as:
Monthly net income: $
If employed less than one year by present employer, previous employer:
How long?
Date hired?
Immediate supervisor:
Address:
Telephone:
Employed as:
Monthly net income: $
Other sources of income to be considered (Spouse need not disclose alimony, child support, or separate maintenance
income or its source, unless Applicant wishes to be considered for the purpose of this rental application.) :
Other income: $
Source:
Other income: $
Source:
Other income: $
Source:
Name of nearest relative (other than spouse):
Relationship:
Address:
Telephone:
APPLICANT
[_____] APPLICANT
[_____] LANDLORD HAVE READ THIS PAGE
Form 460
PAGE 2 OF 3
CREDIT REFERENCES:
Checking Account No.
Institution:
Savings Account No.
Institution:
Bank Loans/Credit Cards: Issuer:
Account No.
Bank Loans/Credit Cards: Issuer:
Account No.
Credit Cards: Issuer:
Account No.
Applicant authorizes Landlord to verify the foregoing information and to make credit, employment, rental history and
reference inquiries deemed necessary by them, and Applicant also authorizes the release of information contained on this
application or sought by such inquiries.
If this application is accepted by Landlord, Applicant agrees to execute a rental agreement of the Property in the form which
has been exhibited to Applicant by Landlord, and agrees to pay the rental for one month before occupation of the Property.
Signature of Applicant
Signature of Applicant
The undersigned acknowledges receipt from Applicant(s) on
, 20
, of $
by cash or
personal check payable to
as a security deposit on the Property, which shall be refunded
if this application is not accepted. Applicant hereby pays $
nonrefundable application fee.
Signature of Recipient
This Rental Application is ACCEPTED on
, 20
.
Signature of Landlord
The foregoing form is available for use by the entire real estate industry. The use of the form is not intended to identify the user as a
REALTOR®. REALTOR® is the registered collective membership mark which may be used only by real estate licensees who are members
of the NATIONAL ASSOCIATION OF REALTORS® and who subscribe to its Code of Ethics. Expressly prohibited is the duplication or
reproduction of such form or the use of the name "South Carolina Association of REALTORS®" in connection with any written form without
the prior written consent of the South Carolina Association of REALTORS®. The foregoing form may not be edited, revised, or changed
without the prior written consent of the South Carolina Association of REALTORS®.
© 2002 South Carolina Association of REALTORS®. 06/02
Form 460
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