Residential Lease Agreement – 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 *

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 (picture or photocopy)

Full names, ages and relationship of additional occupants

Phone number of additional occupant

Names and breed of pets to live in the home.

Employment history

Applicant Employment history (2 years minimum) *

Please choose your current status

Current employer

Work address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor's name

First

Last

Phone number

How long employed here?

Your position?

Salary, with monthly pay of:

Hourly, with an weekly pay of:

Is this is in addition to the salary stated above?

Yes
No

Self-Employed, with monthly income of:

Latest pay stub

Click or drag a file to this area to upload.

Please upload a recent pay stub from your current employer.

Additional Income:

Please list any verifiable income source such as self-employment, social security, benefit payments, child support, or alimony. You may be required to produce additional documentation for these sources:

Additional income amount per month?

How long have you received this income?

How long do you expect it to continue?

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

Creditor/Lender #2

Estimated Loan Balance #2

Minimum Monthly Payment #2

Add monthly obligation

Creditor/Lender #3

Estimated Loan Balance #3

Minimum Monthly Payment #3

Add monthly obligation

Creditor/Lender #4

Estimated Loan Balance #4

Minimum Monthly Payment #4

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.

Please explain your selection(s).

Car #1 Make/Model/Year/Color

Car #2 Make/Model/Year/Color

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