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Online Rental Application
Property Information

Radiant Blue, LLC is an Equal Housing Opportunity provider

Your first month`s rent and $500.00 security deposit are due at move-in; the results of your credit score may result in Radiant Blue, LLC requiring your last month`s rent in advance (at move-in.)

The undersigned hereby makes an application to rent the property located at:
Move In Date:*
 
Lease Term
Property Location
Application Fee
Personal Information
First Name:*
Middle Initial:
Last Name:*
Social Security Number*
E-Mail:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Home Phone:*
Business Phone:
Cell Phone:
Date of Birth:*
 
Drivers License Number*
Co-Tenant Full Name:
Vehicles
Car Make & Model:*
Production Year:
Color:
License Plate No.*
Rental History
How long at current address?*
Landlord Name:*
Current Rent:*
Landlord Phone:*
Rent Paid Through:*
 
Reason for leaving*
How long at previous address?
Landlord Name:
Previous Rent:
Landlord Phone:
Rent Paid Through:
 
Previous Address:
Employment
Current Occupation:*
Employer Name:*
Business Address:*
Type of Business:*
Position Held:*
Supervisor Name & Title:*
Supervisor Phone:*
Start Date:*
 
Annual Income*
Full-time
Part-time
Student
Other *
* Please explain:
References
Name
Address
Relationship
Phone
Please give any additional information that might help Radiant Blue, LLC evaluate this application.
***
Other Occupants
List all other occupants, including names and relationships (include pets).
***
Question & Answer
Do you smoke?*
   Yes    No 
Have you ever refused to pay rent?*
   Yes    No 
Have you ever been evicted?*
   Yes    No 
Have you ever Filed for Bankruptcy?*
   Yes    No 
Have you paid rent late 2 or more times?*
   Yes    No 
Please explain:
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent`s cost, time, and effort in processing my application.

I hereby deposit $50.00 as an application fee ($25.00 to cover the cost of obtaining tenant credit report and $25.00 as an administrative processing fee.) When so approved and accepted, I agree to execute a lease for a minimum of 12 months before possession is given and to pay the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit is non-refundable and the applicant hereby waives any claim for damages by reason off non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living.

The above information, to the best of my knowledge, is true and correct.
I agree that the Landlord may terminate any agreement entered into in reliance on any misstatements made above.
Dated:*
 

By entering my first & last names below, I stipulate that I agree to all of the terms and conditions stipulated on this application and to permit Radiant Blue, LLC to perform an investigation of my credit, tenant, banking, criminal and/or employment history(s) for the purposes of renting above stated property.
Signature*
 

Enter the security code shown above
in UPPER CASE.
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