Here

office (260) 563-5700
fax (260)563-1888

RENTAL APPLICATION


Each person over the age of 18 must complete a separate application.

Select one of the following:

Applicants desiring to live together as a single housekeeping unit may elect to financially qualify for tenancy as a group, in which case Landlord has the right to immediately terminate the rental contract when any one member of that group vacates the premises.

Each legal entity may elect to financially qualify for tenancy individually, in which case the occupant may continue to lease the premisis if one or more of the other parties to the rental contract vacate the premises for any reason.

*Note: All applicants desiring to live together must choose the same option.

 

PLEASE NOTE: APPLICANTS WILL NOT BE ACCEPTED ON A "FIRST-COME, FIRST-SERVE BASIS." LANDLORD WILL ASSIST ALL PERSONS WITHOUT REGARD TO RACE, COLOR, CREED, SEX, RELIGION, NATIONAL ORIGIN, FAMILIAL STATUS, MARITAL STATUS, HANDICAP, OR ANCESTRY. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.

Please Print or Type












LIST YOUR LAST FOUR YEARS RESIDENCE HISTORY
(AT LEAST TWO ADDRESSES)














































LIST YOUR EMPLOYMENT HISTORY FOR THE LAST FOUR YEARS


























































LIST YOUR TWO NEAREST RELATIVES
(For Emergency Contact and/or Reference)









lLIST ALL VEHICLES OWNED










LIST ALL PETS WHICH YOU DESIRE TO HAVE LIVE WITH YOU








LIST TWO PERSONAL REFERENCES (Not related to you)









LIST TWO PROFESSIONAL REFERENCES
(Accountant, Lawyer, Banker, etc.)







PERSONAL SKILLS:







TOOLS YOU OWN:







YOU MUST ANSWER ALL OF THE FOLLOWING:





















Applicant agrees that if, for any reason, applicant becomes delinquent in rents or other charges, Landlord is hereby authorized to use applicant's Master Card or Visa account to collect those delinquent payments and authorization is hereby given. Applicant also agrees that all rental history compiled by Landlord may be given to any credit reporting service, mortgage lender, or other Landlords who request it and that Landlord will be held harmless. Applicant hereby certifies that the information given in this application is true and correct. Applicant understands that any fals answers or statements made will be sufficient grounds for termination and eviction.

APPLICANT AGREES TO PAY AN APPLICATION FEE OF $_______ TO LANDLORD FOR THE PROCESSING OF THIS RENTAL APPLICATION. Landlord and Landlord's agents are hereby authorized to obtain credit reports, a vehicle operation history, and a criminal history on applicant using various state and private sources along with any other public records available. Applicant understands and agrees that applicant will not receive copies of any credit reports obtained.


Please make checks payable to BLATZ REALTY


BY CLICKING SUBMIT the Applicant authorizes present and past Landlord's, Employers, Banks, Credit References, Personal References, and any other person to release information regarding applicant's credit, rental, employment and/or criminal histories. I agree to indemnify and hold harmless the person to whom this request is presented and his/her agents and employees from all claims, damages, losses, and expenses, including reasonable attorneys' fees arising out of or by reason of complying with this request. This authorization shall survive the original application process and be valid during or subsequent to any rental agreement term of a property through B&G Real Estate Consultants, its successors and/or assigns. A copy of this authorization may be accepted as an original.











Submit

 

 

 

Contact us today!