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Stephen J. Neville, Licensed Real Estate Broker, d.b.a.,
Aamerican Property Management (Agent For Owner)
Where room does not permit, please ad information to reverse side, sign and date – Thank you!
Cell: 321/693-8026 - Call Message Center/Home Office Fax: 321/724-5380
Email: nevillesj@earthlink.net- 144 Ocean Terrace, Indialantic, FL 32903
MARRIED Rental Application (Authorization for Credit/Background Checks)
*SPECIFIC PET INFORMATION IS A FORFEITURE ISSUE – Each application must include all occupants and all pets
Rental Property: ___________________________________________________________________ Monthly Rent: $_________
Name: ___________________________ SS#: ______-____-________DL#: _________________________________________
Phone, Work ____/____-_____, Home ____/____-_____ Cell: ____/____-_____ Email: ______________@_____________._____
*Have you ever had a/an (insert Yes or No): Felony conviction or charges ___; Alias ___; Eviction or been served papers___;
Charge-off ___; Collection ___; Delinquency ___; Bankruptcy ____: Failed To Pay Rent ____; Failed To Honor Lease ____
Spouse: ___________________________ SS#: ______-____-________DL#: __________________________________________
Phone, Work ____/____-_____, Home ____/____-_____ Cell: ____/____-_____ Email: ______________@_____________._____
*Have you ever had a/an (insert Yes or No): Felony conviction or charges ___; Alias ___; Eviction or been served papers___;
Charge-off ___; Collection ___; Delinquency ___; Bankruptcy ____: Failed To Pay Rent ____; Failed To Honor Lease ____
*All Additional Occupants: NAME: ___________________ RELATIONSHIP: _____________________18 or older YES NO
*All Additional Occupants: NAME: ___________________ RELATIONSHIP: _____________________18 or older YES NO
*All Additional Occupants: NAME: ___________________ RELATIONSHIP: _____________________18 or older YES NO
Pet: __________ Breed _________________ Size ____lbs. AGE: _____ COLOR: _____Vet ID Copies Incl: YES NO
Pet: __________ Breed _________________ Size ____lbs. AGE: _____ COLOR: _____Vet ID Copies Incl: YES NO
Current Legal Notice Address: ______________________________________________________________________Zip__________
Owner/Landlord/Agent _______________________ Contact phone number ________________ Alternate number ______________
Previous Address: ________________________________________________________________________________Zip__________
Owner/Landlord/Agent ________________________ Contact phone number ________________ Alternate number ______________
Your 6 month employment information: Full-Time , Self-Employed , Student , Retired , Other ____________
Employer ___________________________ Address ____________________________________________________________
Position __________________________ Supervisor ________________________ Contact Phone ___________ PAT: ______/____
Spouse or Previous Employer or 2nd Job: Full-Time , Self-Employed , Student , Retired , Other ____________
Employer ___________________________ Address ____________________________________________________________
Position __________________________ Supervisor ________________________ Contact Phone ___________ PAT: ______/____
In case of emergency notify _________________________ Phone ___________________ Where _________________________
Applicant(s) represents that all of the above information and statements on this application for rental are true and complete, and
applicant(s) hereby authorizes verification of any and all information relating to residential history (rental or mortgage), employment
history, criminal history records, court records, and credit references. This application must be signed before management can
process it. *Applicant(s) acknowledges that false or omitted information herein does constitute grounds for rejection of this
application, termination of Right of Occupancy, and will result in forfeiture of fees and/or deposits to Aamerican Property
Management and may constitute a criminal offence under the Laws of the State of Florida.
Applicant(s) understands that he/she is being charged a NON-REFUNDABLE application fee of $40.00 for a married couple; ($ 40.00
each additional person 18 years of age or older) – This application is part of the rental application process and does in no way obligate
the OWNER or the AGENT FOR THE OWNER to execute a lease/rental agreement or deliver possession of the proposed premises.
Associations may require a separate application fee. No oral agreements have been made. We are pleased to comply with Federal Fair
Housing Laws, State Real Estate Laws, ADA Regulations, FS 83, etc. and incorporate them in our method of operation/policies.
*I agree that the Owner/Agent for Owner may terminate any agreement entered into in reliance on any misstatement(s) made
above, and, further agree that upon such misstatement Agent for Owner may retain all fees and deposits.
Applicant ________________________________ Spouse __________________________________ DATE: _____/_____/_____
