Titus Realty Group

Print and fill out. Then fax to 800-807-9426. Note! Call for applicant fee which is paid by credit card. Thank you  

Property applying For____________________________________________

RENTAL APPLICATION  Neatly complete all information below. All applicants over the age of 18 must complete and sign their own application.

Applicants full name                               ________      _______      , Phone #                                 DOB_____________

Social Security #   ________                              ______  Drivers License#                          , State        Exp    ____.

Current Address                              ______       ______   City                                   State             Zip________

Current Landlords Name_________________________________________Landlords Phone#_______________________

How Long At This Address__________Reason For Leaving_________________________________________

Previous Address___________________________________________City______________________State______Zip____________

Previous Landlords Name_______________________________________________________________Phone#__________________

How Long At This Address___________________Reason For Leaving_______________________________

Auto Yr___________Make_________________Model____________________State/License Plate#_________

Present Employer_____________________Position___________________________Mo Income___________

Phone#_____________________How Long______________Other Income/Source______________________

Employer Address____________________________________________City________________________State_________________

Number and Type of Pets____________________________________Have You Ever Been Party To An Eviction? [ ] Yes [ ] No

Name of Bank_______________________Branch_____________________Type of Account_______________

Name of Bank_______________________Branch_____________________Type of Account_______________

Personal References

Name______________________________________Yrs Known_______Relationship_____________Phone #__________________

Name_______________________________________Yrs Known_______Relationship_____________Phone #__________________

Name_______________________________________Yrs Known_______Relationship_____________Phone #__________________

Total Number of Adults_____________________Total Number of children Living With You Under 18 ________________________

Name and Relationship of All Other Applicants_____________________________________________________________________

___Landlord has checked photo ID [  ]_____________________________________________________

CONSUMER AUTHORIZATION TO OBTAIN CONSUMER REPORT

"I hereby authorize (Landlords Protection Network/Titus Realty Group) to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I hereby expressly release (Landlords Protection Network/Titus Realty Group), and any procurer or provider of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies."

Signature_________________________________________________________________________Date_______________________

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