Rental Application and Agreement to Rent

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

_____________________________________________________________________________________________

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