Maryland Rental Application Form

A
pp
licant
:
SSN#:
/ /
LAST FIRST MIDDLE
Drivers Lic. #/State
:
/
DO
B:
/ /
C
o-A
pp
licant
:
SSN#:
/ /
Drivers Lic. #/State
:
/
DO
B:
/ /
MARYLAND RENTAL/LEASE
A
PP
L
ICA
TION
USE BLACK INK AND PLEASE PRINT CLEARLY! VERIFY I.D. / SSN / ADDRESS INFO
LAST FIRST MIDDLE
Present
Address:
Rent Amt: $
City State: Zip:
Current
Landlord:
Phone: ( )
Previous Address Rent Amt: $
City State: Zip: Has an
eviction
ever been filed against you? Yes / N
o
Pre
v
iou
s
Land
lord:
Phone
: ( ) Date From: to
Present Employer:
Position:
Date From: to Gross Income: $ per week [ ] month[ ] yr [ ]
Bank Name: Savings Acct. # Checking Acct. #
Co-Applicant’s
Employer:
Position:
Date From: to Gross Income: $ per week [ ] month[ ] yr [ ]
Bank Name: Savings Acct. # Checking Acct. #
Others who will occupy
premises:
Pets? Yes or
No
A BBBBBB, non-refundable application fee (money order, certified or cashier’s check), per Social Security number, must be made payable to
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB and
a legible photocopy of each applicant’s driver’s license must be submitted with this application.
Upon approval by the landlord of this application, the first full-month’s rent (money order, certified or cashier’s check) must be made payable to
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB. A
security deposit (money order, certified or cashier’s check) will also be collected from the applicant.
TERMS: APPLICANT CERTIFIES THAT ALL INFORMATION GIVEN TO EVALUATE THIS APPLICATION TO RENT/LEASE IS CORRECT AND
COMPLETE. APPLICANT AUTHORIZES ALL INQUIRIES BY , BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
AGENT AND/OR NATIONA
L
TENANT NETWORK DEEMED NECESSARY TO EVALUATE THIS APPLICATION. APPLICANT FURTHER
UNDERSTANDS THAT ANY FALSE, INACCURATE, OR INCOMPLETE INFORMATION IS GROUNDS FOR IMMEDIATE REJECTION. APPLICANT
SPECIFICALLY AUTHORIZES AND REQUESTS ALL PRESENT AND PREVIOUS EMPLOYERS, MORTGAGE HOLDERS, LANDLORDS, RENTAL
AGENTS, CREDIT GRANTORS, BANKS, ACCOUNTANTS, STOCK BROKERS,
AND ANY GOVERNMENT
AGENCY TO RELEASE ANY
REQUESTED INFORMATION IN THE EVALUATION OF THIS APPLICATION. CBRB UTILIZES THE SERVICES OF NATIONAL TENANT
NETWORK TO PERFORM BACKGROUND CHECKS AND CREDIT REPORTS.
If I rent the unit, I
understand
my rental
history including
lease
violations
and
information
I provide on this
application
may be reported
to
and
maintained
by National Tenant Network for up to 7 (seven) years after I vacate the
p
r
em
i
ses.
Applicant Signature: Da
te
:
C
o-A
p
plic
a
nt
S
i
gna
tur
e
:
Da
te
:
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