Montgomery Rental Application – Fill Out and Use

RENTAL APPLICATION

(rental property address)

Full Name

Home Telephone #

(

)

-

Last

First

Middle-Maiden

Soc. Sec. #

-

-

D.O.B

/

/

Marital Status

Drivers License # (State)

Employer

Address

Telephone #

(

)

-

Position

How Long?

Monthly Salary

$

Supervisor

SPOUSE:

Full Name

Home Telephone #

(

)

-

Last

First

Middle-Maiden

Soc. Sec. #

-

-

D.O.B

/

/

Marital Status

Drivers License # (State)

Employer

Address

Telephone #

(

)

-

Position

How Long?

Monthly Salary

$

Supervisor

THE FOLLOWING PERSON(S) WILL OCCUPY THE RENTAL PROPERTY:

Name

Age

Sex

Relationship

Name

Age

Sex

Relationship

Name

Age

Sex

Relationship

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Present Address

Landlord

Telephone #

(

)

-

How Long?

/

/

Rent $

Name(s) on Lease

From

To

Reason you are moving?

Nearest relative to notify in case of emergency: Name

Address

Telephone # (

)

-

Relationship

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It is understood that the premises are to be used as a residence to be occupied by not more than _____________________

persons, and that occupancy is subject to possession being delivered by present occupant. An application fee in the sum of $_____________________, received on _____________________, is being held by _____________________ with the clear

understanding that this application, including each prospective applicant, is subject to approval and acceptance by Landlord. I hereby authorize Landlord to obtain information it deems desirable in the processing of my application including: credit reports, civil or criminal actions, rental history, employment/salary details, police and vehicle records, and any other relevant information, and release the Landlord, its agent and/or employees from all liability for any damage whatsoever incurred in furnishing or obtaining such information. Upon approval of this application, the applicant agrees to execute a lease before possession is given, and to pay any balance due on the security deposit and the first month’s rent within five (5) days after being notified of acceptance.

Pursuant to Section 8-213, entitled “Applications for leases; deposits,” of the Real Property Article, Annotated Code of Maryland, 1999, as amended, if the Landlord requires from a prospective tenant an application fee, and the fee exceeds $25.00, then the Landlord must return the fee, subject to the exceptions below, or be liable to the prospective tenant for twice the amount of the fee in damages. Any money paid to the Landlord by the prospective tenant prior to signing a lease, is considered to be the application fee. The fee must be returned not later than 15 days following the date of occupancy or the written communication, by either party to the other, of a decision that no tenancy will occur. The Landlord may retain only that portion of the fee expended for a credit check or other expenses arising out of the application, and must return that portion of the fee not expended on behalf of the tenant making application. Section 8-213 does not apply to any Landlord who offers four or less dwelling units for rent on one parcel of property or at one location, or to seasonal or condominium rentals.

Applicant’s Signature

Date

Applicant’s Signature

Date

Landlord’s Name (print)

Landlord’s Signature

Date

ESTERQUE

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