Rental Registration

Requirements

This application MUST be completed in full by the prospective buyer. If there are any questions not answered or blank, the application will be returned to you unprocessed. Please attach the following documents:

1, A legible copy of a legal identification document such as driver’s license or passport of all adult
applicants.

2, A legible copy of the Sales Contract.

3, Completed Voting Certificate. See Website Forms

4, Copy of Articles of Incorporation and Declaration of Good Standing. (IF APPLICABLE)

Unit Number *

Owners Name *

Copy of License or Passport *

Lease Documents *

3 Months Bank Statements

Property will be *

Primary Residence

Secondary Residence

Expected Moving Date * +

Applicants Name *

Driver License or ID Number *

Date of Birth * +

SSN Number *

(NON US PERMANENT RESIDENTS ONLY) Passport Number: *

Email Address *

Current Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Co-Applicant

Applicants Name

Relationship to Applicant

Driver License or ID Number

Date of Birth +

SSN Number

(NON US PERMANENT RESIDENTS ONLY) Passport Number:

Current Street Address

Address Line 2

City

State

Zip Code

Phone Number

Other Occupants

Occupant 1

	Name	Age	Relationship
OCCUPANTS 18 OR OLDER MUST SUBMIT AN APPLICATION	Name	Age	Relationship

Occupant 2

	Name	Age	Relationship
OCCUPANTS 18 OR OLDER MUST SUBMIT AN APPLICATION	Name	Age	Relationship

Emergency Contacts

Name *

+-

Phone *

+-

Email *

+-

Vehicle Information

Year

+-

Make

+-

Model

+-

Plate Number

+-

Plate State

+-

Employment Information

Self Employed? *

Yes

No

Name of Employer

Phone

Address

Address 2

City

State

ZIP

Position/Title

Monthly Income (Dollars)

Years at this Job

Years employed in this line of work/profession

Gross Monthly Income

Annual Salary *

Annual Salary Co-Applicant *

Income From Assets

Income Source

Total Anticipated Annual Income *

Questionnaire

Have You Ever Been Convicted Of A Crime? *

Yes

No

Have You Ever Filed For Bankruptcy? *

Yes

No

Have You Ever Been Evicted From A Tenancy Or Left Owing Money? *

Yes

No

Do you have any pets? *

Yes

No

If So, Please List Each Pet (Type, Weight, Color)

Payment Method

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

Acknowledgement and Agreement

Applicants Name *

Date (MM/DD/YYYY) * +

Co-Applicants Name

Date (MM/DD/YYYY) +

I hereby apply to Mirador 1200 property and I warrant that all statements above set forth are true. I hereby give my permission to communicate with my current and former landlord(s) or property manager(s) for the purpose of discussing any and all of the facts and circumstances of my current or former tenancy, as well as the other information listed above. I also give my permission to communicate with my current employer(s) and/or supervisor(s) for the purpose of verifying the employment information listed above. I understand there are no limitations or restrictions regarding what may be discussed or revealed. I am aware that a credit history, landlord/tenant court search and criminal background check may be done in conjunction with my application and I hereby authorize Rent Application to request the aforementioned reports. I understand that I may have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation. TYPING OR SIGNING MY FULL NAME BELOW QUALIFIES AS MY LEGALLY BINDING SIGNATURE AS PER THE UNIFORM ELECTRONIC TRANSACTIONS ACT (UETA). *

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