Rental Application Henry Property Management 527 Keisler Drive, Suite 104 Cary, NC 27518 Phone (919) 859-2323 Fax (919) 859 0611 Property address applied for_______________________________________________ Desired occupancy date______________ Length of lease_______________________ Applicant _____________________________________date of birth_______________     Applicant’s social security number _________________ Driver License #____________     Co-Applicant      ________________________________date of birth_________________      Co-applicant’s social security number _______________Driver License # ____________       Name and ages of other occupants_____________________________________________       Pets(specify)_______________________________________weight/age_______________    Does anyone occupying the residence smoke?           No__________ Yes___________     Present address_____________________________________________________________                                        street..............................city.....................state......zip code Email: __________________________________ Email: __________________________  Home phone #   ___________________ Work phone #___________________________ C Cell #_______________________________  Cell # _____________________________    Present Landlord/Mortgage company   _______________________________________        Landlord/ mortgage company’s phone #  _____________________Payment ___________       Length of Stay_______________________________                                                            Previous address (if less than 2 years) ________________________________________        Previous landlord/mortgage________________ phone #____________payment________   Applicant’s employer  ________________________Position______________________   Monthly Income   __________ Supervisor__________________ phone # ____________  Address of employer  ______________________________________________________    How long employed   ____________________ Subject to transfer (yes/no) _________     Co-Applicant’s employer __________________________ Position__________________    Monthly Income   ____________ Supervisor____________________ phone #_________         How long employed______________________Subject to transfer (yes/no) ____________  Have you ever been evicted from any leased property?_______________________  Reason for eviction________________________________________________________   Have you ever been convicted of a felony?  __________________________________ Nearest Relative: Name ___________________________________Relationship_____________________ Address________________________________________________________________              street                                      city                 state                   zip code Phone # ____________________  Cell # ______________________________________ Security Deposit Agreement Applicant has deposited the sum of $_____________________, receipt of which is acknowledged as an     interest bearing deposit and not as a rental payment. This deposit will be applied as a security deposit if  the rental agreement is executed, or retained by the property manager to cover the cost of taking and         processing the application should, through no fault of the property manager, the applicant fail or refuse to    occupy the premises on the agreed upon date of occupancy. In the event this application is not approved or for any reason the rental agreement is not executed, this deposit will be refunded. However, if costs are       incurred in checking out-of-town references, this cost will be deducted from the deposit. Where pets are permitted, a deposit shall be paid by the applicant which is non-refundable. There is a non-refundable application fee of $75. WE HEREBY AUTHORIZE HENRY PROPERTY MANAGEMENT AND/OR A THIRD PARTY TO CONTACT THE LOCAL CREDIT BUREAU FOR VERIFICATION OF OUR CREDIT HISTORY. This application is made with the understanding that it is subject to acceptance and executed rental agreement covering said premises. ___________________________________ Applicant /date ___________________________________ Co-applicant/ date Credit Card Information: Name as it appears on the credit card:_________________________________ Please Check: VISA ______   MASTER CARD_______ CREDIT CARD NUMBER:_____________________________________ EXPIRATION DATE:______________ Name of Agent who showed you the property: _________________________________