APARTMENTS RENT DEPOSIT BD BA HEAT 1657 Cedarview CT $1350 $1350 2 1 ELEC             HOUSES RENT DEPOSIT BDRM BATH  HEAT              1064 FLINT HILL ROAD $1500   $1500  2  1  ELEC

GRAY REALTY   WITH APPLICATION PROVIDE:               1037 CHARLOTTE AVENUE   -DRIVER'S LICENSE ROCK HILL SC 29732   -SOCIAL SECURITY CARD        803-328-6860 OFFICE -CURRENT PAY STUB grayrealty@yahoo.com   -$30 APPLICATION FEE Per Adult DATE NAME ADDRESS APPLYING FOR CELL PHONE EMPLOYER EMAIL EMPLOYER PHONE DATE OF BIRTH HOW LONG EMPLOYED SOC SEC# MONTHLY INCOME $ DRIVER LIC#                                         STATE IF NOT MARRIED, EACH ADULT MUST COMPLETE SEPARATE APPLICATION AND PAY $30 FEE SPOUSE EMPLOYER SPOUSE NAME EMPLOYER PHONE CELL PHONE HOW LONG EMPLOYED DATE OF BIRTH                                     SS# MONTHLY INCOME $ DL#                                                        STATE PRESENT ADDRESS PAST ADDRESS CITY/STATE/ZIP CITY/STATE/ZIP MONTHLY RENT MONTHLY RENT LANDLORD NAME                                             PHONE LANDLORD NAME                                 PHONE REASON FOR MOVING REASON FOR MOVING ARE YOU BEING EVICTED? __YES __NO WERE YOU EVICTED? __YES __NO       NAME, AGE & RELATION OF TENANTS, INCLUDING CHILDREN-ALL ADULTS MUST COMPLETE APPLICATIONS: NAME____________________AGE_____RELATION_______________ NAME____________________AGE_____RELATION_______________ NAME____________________AGE_____RELATION_______________ NAME____________________AGE_____RELATION_______________ VEHICLES TO BE PARKED ON PREMISES: CONTACT IN CASE OF EMERGENCY: __CAR__TRUCK__MOTORCYCLE NAME YR_____MAKE/MODEL____________________TAG ______________ ADDRESS __CAR__TRUCK__MOTORCYCLE CITY/STATE/ZIP YR_____MAKE/MODEL____________________TAG ______________ PHONE CONTEMPLATED LEASE TERM INFORMATION RENT $____________________DEPOSIT $______________________ LEASE TERM ______     MOVE IN DATE______|______|______ APPLICATION EARNEST MONEY AGREEMENT PAYMENT OF EARNEST MONEY (SECURITY DEPOSIT) BY APPLICANT IS CONSIDERED TO BE COMMITMENT BY APPLICANT TO ENTER INTO LEASE AGREEMENT ON PROPOSED PROPERTY. IF APPLICANT FAILS TO ENTER INTO LEASE AGREEMENT, EARNEST MONEY WILL BE FORFEITED. KEYS ARE PROVIDED ONLY AFTER CONTEMPLATED LEASE AGREEMENT AND ANY OTHER PERTINENT RENTAL DOCUMENTS ARE EXECUTED BY ALL PARTIES AND BOTH SECURITY DEPOSIT AND APPLICABLE FIRST MONTH’S RENT ARE PAID. THIS APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGE OWNER OR OWNER’S AGENT TO EXECUTE LEASE AGREEMENT NOR DELIVER POSSESSION OF PROPOSED PREMISES. AUTHORIZATION TO RELEASE INFORMATION  BY SIGNING BELOW, APPLICANT REPRESENTS THAT ALL ABOVE STATEMENTS ARE TRUE AND ACCURATE, AND HEREBY AUTHORIZES VERIFICATION OF ABOVE INFORMATION, REFERENCES AND CREDIT RECORDS. APPLICANT ALSO UNDERSTANDS FALSE INFORMATION MAY CONSTITUTE CRIMINAL OFFENSE UNDER LAWS OF THIS STATE AND WILL ALSO RESULT IN REJECTION OF APPLICATION. SIGNATURE DATE SPOUSE SIGNATURE DATE