APPLICATION FOR RENT
BAY REALTY, INC.

There is a application fee, which is to be paid upfront. $15.00 for single, $20.00 for married couples. This fee can be paid by cash, check or direct deposit into our account. This fee covers the cost of a credit report and checking rental and employment references. A credit report will be run. Please fill this application out and fax or e-mail it back to us. We will process your application as soon as we receive your application fee in our office.

Bay Realty, Inc. hereby discloses that the agency status we have with the Landlord is that we are an agent of the Landlord and represent the Landlord only.

Application Date: ____________

Unit you are applying for: _____________________________________________________

Applicant’s Name:
___________________________________________________________
Current Phone# ____________ Work phone# ______________ 
DOB:___________ Social Security #:__________________ Driver’s License#:__________
                                                                                          (we need a copy of driver's license)
Spouse’s Name:
_____________________________________________________________
Current Phone# ____________ Work phone# _______________
DOB:_____________ Social Security #:________________ Driver’s License#:__________
                                                                                          (we need a copy of driver's license)
How long have you resided in Homer:______________

Rental References:

Current Landlord: _______________________________________ Landlord Phone#_________
Current Address:_________________________________________How Long?_____________
Rent Amount Paid:$______________
Reason for moving: _____________________________________________________________

Previous Landlord:________________________________________Landlord Phone#_________
Address where you resided:_________________________________ How Long?_____________
Rent Amount Paid:$_______________
Reason for moving: _____________________________________________________________

Previous Landlord:________________________________________Landlord Phone#_________
Address where you resided:_________________________________How Long?_____________
Rent Amount Paid:$_______________
Reason for moving: ____________________________________________________________

All Other Persons to occupy unit and ages (roommates must fill out separate application):

1)___________________________________________________________________________
2)___________________________________________________________________________
3)___________________________________________________________________________

EMPLOYMENT/INCOME INFORMATION (Please list all sources of income below)

Current Employer:____________________________________ Phone:_________________
Address:_________________________________ Supervisors Name:____________________
Title/Position:_________________How long at this job:___________________
Monthly Income:_______________

Previous Employer: (If less than two years)
Employer:____________________________________ Phone:_________________
Address:_________________________________ Supervisors Name:____________________
Title/Position:_________________How long at this job:___________________
Monthly Income:_______________

Spouses Employer:____________________________________ Phone:_________________
Address:_________________________________ Supervisors Name:____________________
Title/Position:_________________How long at this job:___________________
Monthly Income:_______________

Previous Employer: (If less than two years)
Employer:____________________________________ Phone:_________________
Address:_________________________________ Supervisors Name:____________________
Title/Position:_________________How long at this job:___________________
Monthly Income:_______________

Other Sources of Income (We need to be able to verify this information)

Payable to:____________________Source_____________________Amt.$_____________
Payable to:____________________Source_____________________Amt.$_____________

Personal References: (Local Only)

Name:________________________________________________________________________
Address:________________________________________________ Phone:________________

Name:_______________________________________________________________________
Address:________________________________________________ Phone:________________

Nearest relative (other than spouse) to be notified in an emergency:

Name:______________________________________________ Phone:_________________
Address:____________________________________________ Relationship:_____________

Please list complete information on vehicles that will be parked on property:

Type Make/Model/Color Year License #
1.___________________________________________________________________________
2.___________________________________________________________________________

Please supply the following information that may apply to your rental needs:

Number of Bedrooms needed: _________

What type of housing do you prefer? (ie: house, apartment, condo, trailer) _____________

PETS:
Yes______  No______
If yes, how many, what types,(age, breed, fixed, declawed, etc.)      
___________________________________________________________________________

DO YOU SMOKE? Yes_____ No_____

Applicant for tenancy represents that all the above statements are true, correct and complete and hereby authorizes verification of the information provided here in, including, but not limited to, obtaining a credit report and verification of employment and present and past rental references, and agrees to furnish additional credit information upon request. Furthermore, the below signed, authorizes the release of the application information and rental history, both positive and negative information, pertaining to his/her history with Bay Realty, Inc. as a tenant. The cost of this credit processing is $15.00 per single and $20.00 per couple, to be paid by the applicant up front. This cost is not rent or deposit and will not be refunded in the event this application is denied or applied to future rent or deposits.

_______________________________________            ____________________
APPLICANT SIGNATURE
                                                     DATE

_______________________________________            ____________________
SPOUSE SIGNATURE                                                              DATE

_______________________________________             ____________________
APPROVED BY                                                                          DATE

Application Fee

_____$15.00 per single

_____$20.00 per married couple

_____Date payment received (attach receipt to application)

Security Deposit Receipt

Tenant agrees to, and Bay Realty acknowledges receipt of, payment of, a Security Deposit in the amount of $________ payable to Bay Realty, Inc. This amount will be deposited in the companies trust account. This amount will hold the unit for 2 weeks from the date of receipt and approval of application for unit specified. If the tenant decides not to take the unit, he/she will be responsible for rent during the time it takes the Landlord to find a replacement tenant and for the actual costs of finding one (advertising costs). This amount may be deducted from the Security Deposit being held.

Applicant Signature _______________ Date _______________

Agent Signature       _______________ Date _______________