—S PROPERTY ADDRESS: REQUESTED MOVE-IN DATE: INFORMATI NAME. SOCIAL SECURITY #: BIRTHDATE: MARITAL STATUS: DRIVER’S LICENSE # EMAIL ADDRESS: EMPLOYED BY: POSITION: EMPLOYMENT DATES: MONTHLY SALARY: SUPERVISOR & PHONE: OTHER OCCUPANTS — AGES & RELATIONSHIP: PRESENT ADDRESS. CITY/STATE/ZIP: HOME & WORK PHONE: RENT/OWNED & DATES: LANDLORD & PHONE: PREVIOUS ADDRESS: CITY/STATE/ZIP: RENT/OWNED & DATES: LANDLORD & PHONE: APPLICATION OF NEW TENANTS :0-APPLICANTBANK & ACCOUNT #: SS, AUTOMOBILES ~ MAKE/MODEL/YEAR: ee ee PETS-KIND& WEIGHT: HAVE YOU OR ANY PROPOSED OCCUPANT EVER BEEN CONVICTED OF A CRIME OR ENTERED INTO A PLEA AGREEMENT SUCH AS FOR ADJUDICATION WITHHELD? IF SO, PLEASE DESCRIBE; OSC I (HEREAFTER REFERRED TO AS “APPLICANT”) AM DEPOSITING HEREWITH THE SUM OF s RECEIPT WHICH IS ACKNOWLEDGED AS A DEPOSIT TO BE RETAINED BY LESSOR FOR THE DURATION OF THE APPLICANTS OCCUPANCY OF THE SAID RESIDENCE. IN THE EVENT THAT THE APPLICATION IS APPROVED, AND THE APPLICANT FAILS OR REFUSES, FOR ANY REASON, TO OCCUPY THE SAID RESIDENCE, THE OWNER SHALL RETAIN THE SAID DEPOSIT TO COVER THE COST OF TAKING AND PROCESSING THIS APPLICATION AND ANY LOSSES DUE ON RENTAL PAYMENTS. PROVIDED FURTHER THAT, IN THE EVENT THE, APPLICATION IS DISAPPROVED, THIS DEPOSIT IS NOT AN ADVANCE OF RENT, AND I WILL NOT REQUEST THAT THE LANDLORD APPLY THE SECURITY DEPOSIT TOWARD LAST MONTH'S RENT. BRENDA KAY CRAIG AND ASSOCIATES REALTY, INC. FOR AGENT FOR OWNER. ‘THE APPLICANT HEREBY GIVES BRENDA KAY CRAIG AND ASSOCIATES REALTY, INC, AND ITS AUTHORIZED AGENTS PERMISSION TO UTILIZE ALL OF THE ABOVE INFORMATION TO APPROVE OR DISAPPROVE THIS APPLICATION FOR RESIDENCY. THIS APPLICATION IS MADE WITH THE UNDERSTANDING THAT IT IS SUBJECT TO ACCEPTANCE BY THE OWNER. T UNDERSTAND THAT A CREDIT REPORT WILL BE RUN. APPLICANT DATE CO-APPLICANT DATE MUST INCLUDE A COPY OF BOTH DRIVERS’ LICENSES. MONIES PAID AT TIME OF APPLICATION: S, RECEIVED BY: BRENDA KAY CRAIG AND ASSOCIATES REALTY, INC. $121 EHRLICH ROAD, SUITE 106-A TAMPA, FL 33624 OFFICE: 813-961-7666 FAX: 813-961-4351