RENTAL APPLICATION

DATE________________ PROPERTY_________________________________________________________________ KEY #________

NAME_______________________________________________________________________ SOC. SEC # __________________________

CURRENT ADDRESS ______________________________________________________________________________________________________________________

Previous ADDRESS ___________________________________________________________________________________________________________________

DAYTIME PHONE ( )_______________________________ EVENING PHONE ( )___________________________________

CELL PHONE ( ) __________________________________ E-MAIL ADDRESS _________________________________________

DRIVER’S LICENSE # & STATE _______________________________________________________Copy must be attached.

IF NOT LISTED ABOVE – HAVE YOU EVER LIVED IN OCEAN CITY, MD BEFORE? YES / NO If yes – when? ____________________

Ocean City Landlord / Agent Name _________________________________________________ Phone _____________________________

LOCAL ADDRESS __________________________________________________________________________________________________

ARE YOU CURRENTLY RENTING? YES / NO IF YES, HOW LONG __________________ MONTHY RENT $____________

LANDLORD / RENTAL AGENT / NAME _____________________________________________________ PHONE ______________________

PRESENT EMPLOYMENT NAME ___________________________________________________________________________________

MONTHLY EARNINGS $____________ HOW LONG THERE ____________________ POSITION____________________________

SUPERVISOR’S NAME ______________________________________________________ PHONE ______________________________

PREVIOUS EMPLOYMENT NAME __________________________________________________________________________________

SUPERVISOR’S NAME ______________________________________________________ PHONE _______________________________

NAME ____________________________________________________________________ PHONE _______________________________

REFERENCES: List two (2) individuals (NOT relatives, anyone you have listed above or other applicants you are applying with) that you have known one year or more.

NAME ____________________________________________________________________ PHONE ______________________________

1. Have you ever been a defendant in an action to collect rent or damages? ……………………………….....………..…YES / NO

2. Have you ever been convicted of a crime or any criminal charges pending against you? …………………….......……YES / NO

3. Are any judgements pending against you? ………………………………………………………………………………YES / NO

4. Do you currently have any credit obligations in arrears? ………………………………………………………………..YES / NO

If any of questions 1 through 4 were answered yes, please provide details below.

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BANK NAME __________________________________________________________________________ PHONE __________________

ACCOUNT TYPE ________________________________________________________ ACCOUNT # _____________________________

BANK NAME _________________________________________________________________________ PHONE ___________________

ACCOUNT TYPE ________________________________________________________ ACCOUNT # _____________________________

UTILITY or PHONE CREDIT: NAME _______________________________________ ACCOUNT # _____________________________

I, the undersigned by signature below hereby certify and affirm; A) this application and information is complete accurate and subject to check and verification, B) specific permission is granted to check and verify information and to obtain a credit report, C) a $15.00 non-refundable credit report fee is due and payable prior to processing, D) any information found to be false may result in rejection of occupancy, E) Ed Smith Real Estate is agent for the landlord and will use the application process to procure the most financially responsible tenant possible, F) property will not be removed from available list until application has been approved, deposits paid and lease signed, G) occupancy is subject to the sole approval and discretion of Ed Smith Real Estate H) all payments including security deposits must be made in form of cash, certified check or money order, I) personal checks are accepted only when received thirty days in advance of due date unless otherwise provided for by agent, J) credit cards are not accepted as payment at any time, K) all utilities must be transferred to tenants name prior to occupancy unless otherwise stated in lease, L) for rentals over 125 days I have read and signed the “Agency Relationship Disclosure.”

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