APPLICATION TO RENT

PROPERTY ADDRESS:

CITY: STATE: ZIPCODE:

MOVE-IN DATE: LEASE TERM:
8421 SOUTH ORANGE BLOSSOM TRAIL, SUITE 233 How were you referred to us?
ORLANDO, FL. 32809
PHONE: (407) 850-0067 FAX: 1800-903-7179
E-MAIL: HOLDINGGOLDENRE@GMAIL.COM

***ALL CO-RESIDENTS MUST SUBMIT A SEPARATE APPLICATION EXCEPT MARRIED COUPLES***

APPLICATION FEE: Applicant's acknowleged that the $45.00 per adult appliaction fee, paid to Holding Golden Real Estate, Inc. is not
refundable. Holding Golden Real Estate, Inc. is Agent for and paid by the Owner. It is understood that this Application is preliminary only
and does not obligate Owner or Owner's Agent to execute a Lease or deliver possession of the property.

Applicant
First Name: Middle: Last Name:
Maiden Name: Date of Birth: (mm/dd/yyyy)
Social Security #: Driver's License #:
Cellphone No.: Day Phone No.:
Night Phone No.: E-Mail:

Co-Applicant
First Name: Middle: Last Name:
Maiden Name: Date of Birth: (mm/dd/yyyy)
Social Security #: Driver's License #:
Cellphone No.: Day Phone No.:
Night Phone No.: E-Mail:

List all other persons to occupy premises

Name: Relationship with the Applicant:
Name: Relationship with the Applicant:
Name: Relationship with the Applicant:

List all pets to occupy premises

Breed: Size: Name: Sex: F M
Breed: Size: Name: Sex: F M

Automobiles
Model/Make: License Plate/Tag:
Model/Make: License Plate/Tag:

Current Address
Address: City: State: ZipCode:
From: To: Rental/Mtg. Amount: $
Landlord/Owner/Management Company: Phone:
Reason for moving out:

Previous Address
Address: City: State: ZipCode:
From: To: Rental/Mtg. Amount: $
Page 1 of 2
 Previous Address (CONT.)
Landlord/Owner/Management Company: Phone:
Reason for moving out:

Employment
Applicant's Current Employer: Location: Phone:
Position/Title: Supervisor:
Length Employed: to Full / Part Time (_____ Hours) Salary: $ per: H / M
Applicant's Previous Employer: Location: Phone:
Position/Title: Supervisor:
Length Employed: to Full / Part Time (_____ Hours) Salary: $ per: H / M
Co-Applicant's Current Employer: Location: Phone:
Position/Title: Supervisor:
Length Employed: to Full / Part Time (_____ Hours) Salary: $ per: H / M
Co-Applicant's Previous Employer: Location: Phone:
Position/Title: Supervisor:
Length Employed: to Full / Part Time (_____ Hours) Salary: $ per: H / M

PLEASE ANSWER ALL OF THE FOLLOWING QUESTIONS

Have you ever filed for bankruptcy? Y N When? Has it been discharged? Y N
Have you ever had an eviction filed against you? Y N If so, please explain:

Have you ever been charged with felony? Y N If so, please explain:

Have you ever been arrested? Y N If so, please explain:

Are you on probation? Y N If so, please explain:

Have you ever refused to pay rent/broken a lease? Y N Please explain:

Emergency Contact
Name: Phone: Relationship:
Name: Phone: Relationship:
A holding fee for the amount of $__________________ is non-refundable, if applicant(s) is/are approved and decide not to proceed with the lease
agreement for the property mentioned above. The holding fee is refundable if application is denied or not approved it. If applicant(s) is/are approved,
applicant(s) must bring $250.00 (TWO HUNDRED AND FIFTY 00/100 DOLLARS) to Holding Golden Real Estate, Inc. within 3 (THREE) calendar days in
form of money order or cashier's check as a holding fee. Otherwise, the application will be withdrawn or denied and the property will be back to the
market or available to the following applicatns, if any.

A $45.00 (FOURTY FIVE 00/100 DOLLARS) non-refundable fee per applicant will be requested to pay for processing your application, credit-report and
background check. A copy of a background check may be needed by the association/owner.
By signing this application you hereby authorize Landlord/his/her Real Estate Agent/Company and its Associated to run your credit and request all the
necessary information for the application of this rental property.
Prospective tenant(s) agree that any omission known to be, misleading or false will result in Denial of the Rental Property. The prospective tenant(s) also
understands that this landlord will check all references, and that all and any information will be crosschecked for accuracy. Please be as complete as
possible, this information is for our use only.
***IMPORTANT***
Holding Golden Real Estate will ONLY receive CASHIER'S CHECK OR MONEY ORDER for the Security Deposit and First Month of Rent .

Applicant's Signature Date Page 2 of 2 Co-Applicant's Signature Date