SC Prime Realty

APPLICATION INSTRUCTIONS

Questions? Call 843.324.1954 ******

EACH ADULT TO LIVE IN THE HOME MUST COMPLETE and RETURN THIS APPLICATION

A completed application must include a picture or photocopy of your; 1) drivers license or government issued ID and 2) two most recent pay stubs from each income source listed.

Applicants Name *

First

Middle

Last

Name I go by *

Mobile Phone Number *

Email *

Date of Birth *

Social Security Number

Driver’s license or government-issued (picture or photocopy)

Click or drag a file to this area to upload.

Please upload a photo of your Driver’s license or government-issued (upload a picture)

Relationship to Tenant – 1st Additional Person *

Phone number of 1st additional occupant *

If Tenants number is shared, list here. Separate phone number preferred.

Date of Birth – 1st Additional Person *

Relationship to Tenant – 2nd Additional Person *

2nd – Full Name Occupants *

First

Middle

Last

Phone number of 2nd additional occupant *

If Tenants number is shared, list here. Separate phone number preferred.

Date of Birth – 2nd Additional Person *

Number of Pets in the Home *

Employment History

How are you paid currently? *

Salary
Hourly
Self-Employed

Do you have any income in addition to the income described above? *

Yes
No

Monthly Obligations:

Please list all installment loans, credit card debts, child support and alimony payments you pay, student loans, auto or boat loans.

Creditor/Lender *

Estimated Loan Balance *

Minimum Monthly Payment *

Add monthly obligation #2

Add monthly obligation #2

Your Current or Most Recent Landlord

Landlord or Company Name *

Landlord or Company phone number *

How many years were you there? *

Reason for leaving? *

Have You Ever *

Please check all that apply.

Car #1 Make/Model/Year/Color (Write None if None) *

Car #2 Make/Model/Year/Color (Write None if None) *

AUTHORIZATION FOR RELEASE OF INFORMATION

I hereby authorize all persons or companies in the categories listed below to release, without liability, information regarding employment, income and/or assets to the Owner, Landlord or Agent identified below for purposes of verifying information on my rental application.
INFORMATION COVERED: I understand that, depending on program policies and requirements, previous or current information may be needed. Verifications and inquires may include, but not be limited to:

• Credit and Criminal Activity
• Resident and Rental Activity
• Medical or Child Allowance

Groups or individuals that may be asked to release the above information (depending on program requirements include, but are not limited to:

Previous landlords (including Public Housing Agencies)
Social Security Administration
State Unemployment Agencies
Banks and other financial institutions
Support and alimony providers
Law enforcement agencies

CONDITIONS: I agree that a photocopy of this authorization may be used for the purposes stated above. The original of this authorization is on file and will stay in effect for one year and one month from the date signed. I understand that I have a right to review my file and correct any information that I can prove is incorrect. Dana Properties, LLC and Whitfield Mobile Home Park LLC are committed to compliance with all Federal, State, and Local Fair Housing Laws. It is our policy to offer our residences for rental to the public without regard to race, color, national origin, religion, sex, familial status, or handicap. All applicants and potential occupants must provide a US Social Security number or an individual Taxpayer Identification Number (TIN) and a US Driver’s License or a valid US Identification Card before an application will be accepted for processing.

Applicant's name *

Date *

Applicant's signature *

Residential Lease Application

APPLICATION INSTRUCTIONS

EACH ADULT TO LIVE IN THE HOME MUST COMPLETE and RETURN THIS APPLICATION

Employment History

Monthly Obligations:

Your Current or Most Recent Landlord

AUTHORIZATION FOR RELEASE OF INFORMATION

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