Becton Properties, LLC
P.O. Box 1398
Holly Springs, NC 27540
Becton Properties Contacts:
Chris' Cell 919-602-4851
Fax 866-684-9309
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Becton Properties, LLC P.O. Box 1398 Holly Springs, NC 27540 |
Becton Properties Contacts: Chris' Cell 919-602-4851 Fax 866-684-9309 |
| Desired Address | ||
| Personal information | ||
| Full Name | ||
| Birth Date (MM/DD/YY) | ||
| Gender | ||
| SSN | - - | |
| Primary Telephone | - - | |
| Alternate Telephone | - - | |
| Email Address Contact | ||
| Drivers License Number | ||
| Drivers License State | ||
| Complete the remaining Personal Information if your spouse will also be on the lease | ||
| Spouse's Full Name | ||
| Spouse SSN | - - | |
| Spouse Birth Date | ||
| Present Address | ||
| Full Present Address | ||
| Move In/Out Dates | ||
| Owner/Manager Name/Phone | ||
| Previous Address | ||
| Full Previous Address | ||
| Move In/Out Dates | ||
| Owner/Manager Name/Phone | ||
| Primary Employment Information | ||
| Primary Employer's Name | ||
| Employer Address | ||
| Hire Date | ||
| Your Title | ||
| Contact Phone Number | ||
| Salary (circle by week/month/year) | $ | |
| Secondary Employment Information | ||
| Secondary Employer's Name | ||
| Employer Address | ||
| Hire Date | ||
| Your Title | ||
| Contact Phone Number | ||
| Salary (circle by week/month/year) | $ | |
| Emergency Contact Information | ||
| Name of Contact Person | ||
| Phone | All other occupants | |
| Names of other occupants (all persons
and pets occupying premises must be listed) Use additional sheets if necessary. | ||
| Full Name | ||
| Relationship | ||
| Age | ||
| Full Name | ||
| Relationship | ||
| Age | ||
| Full Name | ||
| Relationship | ||
| Age | ||
| Full Name | ||
| Relationship | ||
| Age | Vehicle Information | |
| For many properties, parking is by permit only. Parking permits will be given out for the listed cars only.
Permits must be prominently displayed in the vehicle to avoid being towed | ||
| Year | ||
| Make | ||
| Model | ||
| Plate Number | ||
| Year | ||
| Make | ||
| Model | ||
| Plate Number | ||
| Other Background Information | ||
| Have you ever been served an eviction notice or been asked to vacate a property you were renting? | ||
| Yes No | Have you ever willfully or intentionally refused to pay rent when due? | |
| Yes No | Do you have a criminal record? | |
| Yes No | ||
| Personal Reference | ||
| Reference Phone Number | ||
| How were you referred to us? | Newspaper Friend Tenant Drive-by Other | Signature and Authorization |
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I represent that the information provided in this application is true to the best of my knowledge. You are hereby authorized to verify my credit, employment references, and criminal history in connection with the processing of this application. Date Applicant's Signature Date Applicant's Signature By submitting this application, applicant (s) authorizes the landlord and/or agent of the landlord (landlord/agent) to contact any applicant-identified references. All information disclosed remains confidential. Applicant(s) acknowledge that no representations, promises or agreements as to occupancy, lease or date of possession have been made. The applicant(s) permit the landlord/agent to obtain a credit information report on applicant(s) from a qualified reporting agency. The landlord/agent are not responsible or liable for any loss due to the inability to deliver possession of the property identified in the application. If any information contained in this application is found to be incorrect, all rental agreements are void. Incorrect information is valid grounds for eviction and loss of tenant security deposit. If the applicant withdraws this application, or upon acceptance does not take occupancy of the premises, the owner reserves the right to retain as liquidated damages all money deposited with the landlord/agent. Applicant authorizes agencies selected by landlord/agent and other persons to disclose information on applicant(s) to the landlord/agent. The landlord/agent has the right to reject this application. Application Version: 1.1 11/1/04 | ||