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APPLICATION TO RENT

TENANT'S PERSONAL AND CREDIT INFORMATION

MUST BE FILLED OUT COMPLETELY TO BE PROCESSED

Contact: (941) 413-0273 email: abcinvmanagement@gmail.com

Number of Bedrooms*

Complex*

Desired Move-In Date*

Primary Applicant

Name*

Date of Birth*

Social Security Number*

Driver's License/Passport Number*

Phone Number*

Email*

Languages Spoken*

English

Spanish

Haitian Creole

Other

Residents of Property (Please list the names and ages of any and all dependents who will reside in the property aside from yourself or your co-applicant)

Name

Date of Birth

Name

Date of Birth

Co-Applicant

Name

Date of Birth

Social Security Number

Driver's License/Passport Number

Phone Number

Email

Languages Spoken

English

Spanish

Haitian Creole

Other

Rental History

Current Address*

Landlord Name (If Applicable)

Phone Number

Rent Amount

30-Day Notice

Yes

No

How Long At Residence

Reason For Leaving

Previous Address

Landlord Name (If Applicable)

Phone Number

Rent Amount

30-Day Notice

Yes

No

How Long At Residence

Reason For Leaving

Employement

Current Occupation

Current Occupation*

Employer*

Supervisor Name*

Phone Number*

Monthly Income*

Length of Employement*

Additional Income (Food stamps, Child Support, SSI)

Amount

Bank References

Bank Name #1*

Bank #1 Account Number

Bank #1 Balance

Personal or Professional References

Reference 1

Name

Phone

Relationship

Reference 2

Name

Phone

Relationship

Reference 3

Name

Phone

Relationship

Emergency/English Contact

Name*

Phone*

Relationship*

Languages Spoken

English

Spanish

Haitian Creole

Other

Vehicle Identification

Vehicle 1

Year*

Make*

Model*

Color*

Plate Number*

Vehicle 2

Year/Make/Model

Color

Plate Number

Pet Information

Do you have pets?*

Yes

No

Do You Plan To Get a Pet*

Yes

No

Additional Information

Have You Ever Declared Bankruptcy?*

Yes

No

If so, when?

Have you ever had an eviction filed against you?*

Yes

No

If so, when?

Have you ever been charged with a felony?*

Yes

No

If so, please specify.

Applicant represents that all of the statements and representations are true and complete, and hereby, authorizes the landlord/agent to

verify the validity of all the above information, and to inquire now or periodically with employers, financial institutions, and any of the credit

reporting bureaus. I agree to supply any additional information needed by the owner/agent to process this application. I agree that the landlord may terminate

any agreement entered into in reliance on any misstatement made above. I delcare, under penalty or perjury, all of the above information to

be true and correct, to the best of my knowledge.

Signature*

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Ver propiedades

Contact Information:

Info@wescpm.com

(941)-807-3797

Office Located at 4522CC 26th St W, Bradenton, FL 34207

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