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 #___________________________ 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 $60. 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: _________________________________