7/27/2019 Dreyfuss-MD-Application-English.pdf

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D R E Y F U S S @ MARYLAND LEASE APPLICATION Rec'd(Please Print) ProcessedDate: Appr/Rej.NoticeApplicant Name: Spouse Name:Date of Birth: Soc. Sec. # Date of Birth: Soc. Sec. #Driver's Lic. # State- Driver's Lic. # State-

assport/Alien # Passport/Alien #Employer: Employer:Address: Address:

Phone: Phone:E Position: Position:

Length of Employment: Ann. Salary: $ Length of Employment: Ann. Salary: $0 Prev. Employer: Prev. Employer:Y Address: Address:

Phone: Ann. Salary: $ Phone: Ann. Salary: $N Length of Employment: - Position: Length of Erhployment: - Position:T Military - Rank Serial # Military - Rank Serial #

Commanding Oficer: Commanding OfficerOTH ER INCOME: Source: OTH ER INCOME: Source:Present Address (if Military, H OM E O F RE CO RD ) Present Address (if Military, HO ME O F RE CO RD )

Street Apt. # Street Apt. #Phone: Phone:

R City/State/Zip Code City/State/Zip CodeE7 Landlord/Mortgagee:Address: Landlord/Mortgagee:Address:g Phone: Mon thly Payment: Phone: Monthly Payment:N Dates of Residency: Dates of Residency:

Previous ~ddress: Previous Address:Phone: Phone:Landlord/Mortgagee: Landlord/Mortgagee: -

Address: Address:Phone: Monthly Payment Phone: Monthly PaymentChecking Acct.# Checking Acct.#

A Bank Branch Bank BranchSavings Acct.# Savings Acct.#Bank Branch Bank BranchNo. of Automobiles:- Make- Model- Yr.- Plate#- State

Make- Model- Yr. Plate# State-# of Occupants (including self)-All occupants 18 yrs. of age or older must complete an application.

Other Occupants: Nam e Age-RelationshipName Age-RelationshipName Age RelationshipName Age-RelationshipNo. of Pets:-Description (Breed, Size, Color, Wgt.)IN CASE O F EMERGENCY: Name Street City/State/Zip TelephoneI(we) hereby make appllcatlon to Lea%Apanment No.-tfor the term of-months d a y s eginning 20- for the rental of S Permonth in advan ce and deposit here with the sum of S as a security deposit plus S to cover the ac tual cost of a credit repor!. The security deposit is tob erefunded to me unless this application is accepted within a reasonable time from the date thereof. It is understood that th e credit report feeisnot refuqdable. As an inducement tothe owner of the property to a m p t this application, I warrant that all statements above set forth are true.If you accept this application and deliver a lease to me(us) for execution o n the above term s, in the form as inspected and read by m e(us) in your office prior to executing thisapplication, I (we) shall within seven days thereafter execute and deliver thesam e t o you and deposit with you sim ultaneously a sum equal to the first full month's rent. If I (we ) failor refw e to execute and deliver the said lease to you within the seven (7) day period, then you shall be entided t o withhold from my(o ur) security deposit all actual damages and lossof rent suffered by you a s a result of my (our) failure to exec ute said lease.If within fin een ( 15) days of the first to occur ofoc cup anc y o r signinga lease, I(w e) decide to terminate the tenancy, you may also retain that portion of the security deposit whichrepresents the loss of-rent and actual damages, if any , resulting from my(our) action.I(We), upon written request made within fifteen (15) days of my(our) occupancy, shall be provided with a written list of all existing damages in the rental unit.I(We ) have the right to be present when the landlord o r his agent inspects the premises to determ ine if any dam age was done to the p remises upon our v acating, if l(w e) notify youby certified mail, fifteen (15) days prior to the date of moving, ofo ur intention to move, the date of moving and m y(our) new address: that upon receipt of notice you shall notifyme(us) by certified mai loft he tim ean dda te when the prem isesare tobe inspected by you, which shall occur within five(5)days after thedate of our m oving,asdesignated in ournotice.All applicable provision of Maryland law as set forth in the aforementioned lease agreement which you have reviewed are incorpo rated by reference herein.Thisapplicution shall not be binding upon the ow ner until accepted in writing. Th e delivery of a lease to the undersigned for signatureshall not beconstrued as an acceptance of thisapplication nor shall such lease be binding upon the owner until it has been executed on the owner's behalf and delivered to the undersigned.Applicant's Signature Date

DateEarnest Money Deposit Paid: Pen. Ck. Other D a t e : p p l i c a t i o n ee Paid:0 Pen. Ck. O t h e r ate:-ther Deposits Paid:- Pen. Ck. Other-Date: First Month's Rent Paid:- Pers. Ck. Other Date:-pplication Take n By: Date: Application Approved Rejected By: Date: