
Rev: 12/06/2012
APM Realty Group LLC
10 B Clusters Court, Columbia SC 29210
Phone (803) 750 0071 ٠ Fax (8٠3) 750 0075
www.apmrealtygroup.com
Rental Application and Agreement to Rent
In consideration of your application for the rental property listed below, an application fee of $50 is hereby charged
and must be paid in certified funds. Application Fee includes a 7 year credit and criminal background check. Application fees
are not refundable.
Your application fee & security deposit must be submitted at the time of your application for us to hold the property.
We trust and believe you are entering into this agreement to rent in good faith. If your application is approved and
you fail to take possession as hereby agreed your security deposit herein would be forfeited as damages to the owner.
Management will refund security deposit if application is not approved.
Applicant(s) Name: _____________________________________________________________________________
First Middle Last
Date of Application: ___________________________ Move In Date: ______________________________________
Address Applying For: ___________________________________________________________________________
Rental Rate: _________________ Security Deposit: _____________ Email: ________________________________
Telephone (Home) __________________ (Work) ___________________ (Cell) ____________________________
Date of Birth: ______________________ SS#_____________________________ DL # ______________________
Total Occupants __________ (Names, Ages, Relation)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Pets (Number, Size, Type) ** $200 Non-refundable Pet Deposit Required Per Pet**
_____________________________________________________________________________________________
Car: Make_______________ Model ________________Year__________ Color___________ Tag #______________
Current Address and/or Rental History
Current Address ________________________________________________________________________________
City__________________________ State _______ Zip ____________ Email: ____________________________
Landlord ___________________________________ Phone ( ) __________________
Dates _____________________________ Current Rent $_____________ Fax ( ) ____________________
Reason for Leaving:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Previous Address (If at current address less than one yr) ________________________________________________
City ________________________ ST __________ Zip Code __________________________________________
Dates _____________________________
Reason for Leaving
_____________________________________________________________________________________________