Rental Application

Step 1 of 3

First Name *

Middle Initials

Last Name *

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth *

RENTAL PROPERTY

Property that you're applying for: *

How long at current address? *

Reason for leaving: *

Monthly rent: *

PREVIOUS ADDRESS

Name and telephone number of previous Owner/Agent: *

Previous Address within the last 2 years: *

Address Line 1

Address Line 2

City

State

Zip Code

From *

To *

Name and telephone number of previous Owner/Agent

Previous Address within the last 2 years:

Address Line 1

Address Line 2

City

State

Zip Code

From

Vehicles

Number of vehicles *

Make/Model/State License Tag #:

EMPLOYMENT VERIFICATION

Current Employer Name *

Current Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employee Verification Agreement *

I authorize the addressed employer (above) to release any information regarding my status of employment and salary history to The Real Estate Information Center.

RENTAL VERIFICATION

Applicant's Name *

First

Last

Landlord's Name *

Landlord's Phone *

Landlord's Email *

Checkboxes *

I authorize (landlord Names) to release any information regarding my residency to The Real Estate Information Center.

AUTHORIZATION TO OBTAIN CREDIT INFORMATION

Processing Agreement

I hereby authorize The Real Estate Information Center to obtain any and all information necessary to process my rental application.
This information includes, but is not limited to:
Present and past employment
Credit Reporting Agencies
Present and past mortgage history
Present and past rental history
Law enforcement agencies

I also authorize The Real Estate Information Center to photocopy and/or fax a copy of this form containing my signature to obtain any information necessary to the process of my rental application.

Application authorizes Landlord to verify the foregoing information and to make credit employment, rental history, and reference inquires deemed necessary by them, and applicant also authorizes the release of information contained on this application or sought by such inquiries.

If this application is accepted by landlord, applicant agrees to execute a rental agreement of the property in the form which has been exhibited to applicant by landlord, and agrees to pay the rental for one month before occupation of property.

The applicant agrees that the property manager or real estate broker representing tenant or landlord and all affiliated agents are not responsible for obtaining or disclosing any information contained in the South Carolina sex offender registry. The Applicant agrees that no course of action may be brought against the property manager or real estate broker representing tenant or landlord and all affiliated agents for failure to obtain or disclose any information contained in the South Carolina sex offender registry. The applicant agrees that the applicant has the sole responsibility to obtain any such information. The applicant understands that sex offender registry information may be obtained from the local sheriff's department or other appropriate law enforcement officials.

Applicant Signature *

Today's Date *

Occupant's Signature

Today's Date

Application Fee: *

Single Applicant
Couple Applicant

Please select one for Payment. $40 for Single Applicant and $60 for Couple Applicants.

Name

Khayla Butler Realtor

RENTAL PROPERTY

PREVIOUS ADDRESS

Vehicles

INCOME

CO-APPLICANT

EMPLOYMENT VERIFICATION

RENTAL VERIFICATION

AUTHORIZATION TO OBTAIN CREDIT INFORMATION