Fillable Printable Sample Form for Rental Deposit
Fillable Printable Sample Form for Rental Deposit
Sample Form for Rental Deposit
Rental Deposit Agreement
For the purpose of securing the rental of ________________________________,
(Address / Unit)
I, ____________________________________________
(Print your name)
am submitting an earnest-money Application Deposit of $ ____________________
(Equal to 2 month’s rent)
I understand that my application deposit will be returned if my application is declined.
I am also submitting a non-refundable rental application fee of $50
The total amount of my application fees and deposits is: $ ______________________
I understand that, once my application has been accepted, if I then change my
mind (and decide not to rent the unit), my Application Deposit may be forfeited if a
suitable replacement tenant cannot be found on time to substitute for me.
Signed ________________________________________ Date___________________
Print your name: ________________________________________
Include this Deposit Agreement with your Rental Application (second page)
Include a readable photocopy of your drivers license (or other legal photo ID)
Please include a check or money order
W e will not hold your rental unit without a deposit.
Do not bring cash - cannot accept credit card payments .
The bottom half of this page can serve as your receipt if paying with money order.
Your personal check can serve as a valid legal receipt.
Receipt (if needed)
Received $__________________________________________________
on (date): ___________________________________________________
from ________________________________________________________
by _________________________________________________________
UNIT # ___________________ RENTAL APPLICATION Application Fee: $50.00
RENTAL MONTHLY LEASE LEASE
ADDRESS RENT BEGINS ENDS
YOUR
NAME Phone Age: Date of Birth
(Photocopy of)
Soc. Sec. # e - m a i l Driver's License? YES
Student? Where Year Marital Status Pets: NO Smoker? yes / no
CURRENT
ADDRESS ZIP
CURRENT
LANDLORD Phone
How
long there? Rent: Reason for Move
PREVIOUS
ADDRESS ZIP
PREVIOUS
LANDLORD Phone
YOUR
EMPLOYER Phone
EMPLOYER ‘S
ADDRESS ZIP
YOUR Weekly
POSITION How long there Income
Guide: weekly income should cover one month rent
YOUR If needed, list other income sources on back
SUPERVISOR or have responsible cosigner!
PARENT OR
NEAREST RELATIVE Phone:
THEIR
ADDRESS: Zip Relation ship:
OTHER
PERSONAL REFERENCE: Phone
ADDRESS: Relation ship:
List the name & age of ea ch person who will live in this unit:____________________________________________
The information I have provide d is true and complete. I authorize you to verify all information set forth in this
application, including release of information by any employer, landlord, or creditor. I understand that
misrepresentation on this application will constitute a default under the lease.
Signature:
