Edd Trillo
HQ Capital Group
Phone: 305-300-1058

RENTAL APPLICATION

Every occupant over the age of 18 must fill out a separate application (even if married).
Please fill out this form completely and sign where indicated.

PERSONAL INFORMATION
First Name: Middle: Last: S.S.#:
Date Of Birth: Martial Status: Drivers Lic #: State:
Day Phone: Work Phone: Email:  
Present Home Address: City/State/Zip:
Length Of Time: Present Landlord: Landlord Phone:
Reason For Leaving: Amount Of Rent:
Previous Home Address: City/State/Zip:
Length Of Time: Present Landlord: Landlord Phone:
Reason For Leaving: Amount Of Rent:
Was your rent up to date?
Next Previous Home Address: City/State/Zip:
Length Of Time: Present Landlord: Landlord Phone:
Reason For Leaving: Amount Of Rent:
Was your rent up to date?
Proposed Occupant(s)
Name: Relationship: Occupation: Age:
Name: Relationship: Occupation: Age:
Name: Relationship: Occupation: Age:
Name: Relationship: Occupation: Age:
Proposed Pet(s)
Name: Type/Breed: Indoor        Outdoor: Age:
Name: Type/Breed: Indoor        Outdoor: Age:
Name: Type/Breed: Indoor        Outdoor: Age:
Vehicle(s) Information
Year: Make: Model: Color: Plate#: State:
Year: Make: Model: Color: Plate#: State:
Employment
Current Employer: Occupation: Hours/Week:
Supervisor: Phone: Years Employed:
Address: City/State/Zip:  
Current Employer: Occupation: Hours/Week:
Supervisor: Phone: Years Employed:
Address: City/State/Zip:  
Income
Current Income:
$__________ Weekly   BiWeekly   Monthly   Yearly 		Source: Proof Of Income: Yes    No
Current Income:
$__________ Weekly   BiWeekly   Monthly   Yearly 		Source: Proof Of Income: Yes    No
Current Income:
$__________ Weekly   BiWeekly   Monthly   Yearly 		Source: Proof Of Income: Yes    No
Credit Card / Financial Information
Car Loan
Lien Holder:		 Balance
Owed:		 Monthly
Payment:		 Creditors
Phone #:
Credit Card
Company:		 Balance
Owed:		 Monthly
Payment:		 Creditors
Phone #:
Credit Card
Company:		 Balance
Owed:		 Monthly
Payment:		 Creditors
Phone #:
Credit Card
Company:		 Balance
Owed:		 Monthly
Payment:		 Creditors
Phone #:
Child Support /
Other Credit Owed:		 Balance
Owed:		 Monthly
Payment:		 Creditors
Phone #:
Bank Account
Name Of Bank:		 Balance: Monthly
Payment:		 Account #:
Emergency / Personal Reference Information
Emergency Contact: Day Phone: Evening Phone:
Relation: Address: City/State/Zip:
Emergency Contact: Day Phone: Evening Phone:
Relation: Address: City/State/Zip:
Personal Reference: Day Phone: Evening Phone:
Relation: Address: City/State/Zip:
Personal Reference: Day Phone: Evening Phone:
Relation: Address: City/State/Zip:
Applicant Questionnaire / Authorization
Has applicant ever been sued for bills? Yes   No   Has applicant ever been locked out of their apartment by sheriff? Yes   No
Has applicant ever been bankrupt? Yes   No   Has applicant ever been brought to court by another landlord? Yes   No
Has applicant ever been guily of a felony? Yes   No   Has applicant ever moved owing rent or damaged a property? Yes   No
Has applicant ever broken a lease? Yes   No   Is the total move-in amount available now (rent and deposit)? Yes   No

Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANYTIME.

X ________________________________________________________________________________________________
   APPLICANT SIGNATURE

X _______________________________
   DATE

If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.