
Please provide photo
ID for file copy.
RENTAL APPLICATION
Property Address ______________________________________ Move in date: _______________________
PRIMARY APPLICANT INFORMATION
Name ____________________________________ SS# ________________________ DOB __________________
Phone Numbers (Home/Cell/Office) _______________________________________________________________
Email Address _________________________________________________________________________________
CURRENT ADDRESS, CITY, ST, ZIP:___________________________________________________________
How long? __________ Monthly rent: ___________ Landlord’s Name & phone: __________________________
PREVIOUS ADDRESS, within last 3 years: ________________________________________________________
PETS: Number of *Pets (include weight & breed) ____________________________________
***ALL PETS ARE SUBJECT TO OWNER APPROVAL & ADDITIONAL PET RENT OF $25/MONTH PER PET.
NUMBER OF OCCUPANTS: __________________
In a roommate situation, each applicant must fill out a separate application to be submitted with the $35
application fee.
EMPLOYMENT INFORMATION
Applicant’s present employer: _____________________ How long? _____________ Monthly Income: _______
Supervisor/Human Resource Contact: _______________________________ Phone: ________________________
Job Title: __________________________________________
Other sources of income to be considered: Amount & Source: __________________________________________
**Name & number of someone to contact in case of emergency: _________________________________________
SPOUSE
Name: ____________________________________ SS# ____________________________ DOB _____________
SPOUSE’S EMPLOYMENT INFORMATION
Spouse’s present employer: ____________________________ How long? __________ Monthly Income: _______
Supervisor/Human Resource Contact: _______________________________ Phone: ________________________
Job Title: __________________________________________
Number & Types of Vehicles i.e. (Cars, Boats, Motorcycles) ________________________________________
I am depositing herewith, the sum of $________ as partial/full payment, receipt of which is acknowledged as an
earnest money deposit to be retained by lessor until lease is signed and to be applied as partial/full payment of
security deposit. In the event that the application is approved and the applicant fails to or refuses for any reason to
occupy the said premises, Island Realty shall retain the said deposit. In the event that that application is disapproved,
this deposit will be returned to the applicant minus a $35.00 processing fee. Applicant gives consent for Island
Realty to share the credit report with the owner of the property. Further, I authorize Island Realty to conduct a credit
check and previous landlord reference check. Island Realty reserves the right to recheck credit when applicant is
reapplying for a future property, upon disclosure to the applicant.
Signature of Applicant _____________________ Date ________ Spouse _______________________ Date _____
The undersigned Property Manager acknowledges receipt of 2 checks from the Applicant:
1.A non-refundable application fee of $35.00 payable to Island Realty, Inc.
2. A security deposit equal to 1 month’s rent $_______________ payable to Island Realty, Inc
Property Manager Signature: ______________________________________________________________
1304 Palm Boulevard Isle of Palms, SC 29451 / 843-886-4041 Fax 843-886-4021