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FORD PROPERTY MANAGEMENT
500 West Main, Suite 110
Russellville, AR 72801
Complete Property Management

Phone (479)968-5158
Fax (479)968-5182

Application for Rental

APPLICANT FULLY UNDERSTANDS THAT A REAL ESTATE AGENT REPRESENTS THE PROPERTY OWNER.
You will be submitting information through internet communications, please read our privacy policies below or come to our office
to complete a written application.

* Required fields
Name *
E-mail Address *
Phone
Applicant's Name
Date of Birth
Sex
Present Address
How Long
Name of present landlord or apartment manager
Phone #
Marital Status
Social Security No.
Drivers License No.
State
Employer
Address
Kind of Work
How Long
Phone at Work
Monthly Income
Spouse's or Roommate's Name
Phone
Date of Birth
Sex
Present Address
How Long
Name of present landlord or apartment manager
Phone #
Previous Address
How Long
Name of previous landlord or property manager
Marital Status
Social Security No.
Drivers License No.
State
Employer
Address
Kind of Work
How Long
Phone at Work
Monthly Income
List name, age, relationship of all persons to be occupying the premises (including children, relatives, and other co-residents):
List all vehicles to be parked on the premises by applicant, spouse or children with name, age and relationship (also include cars, trucks, motorcycles, trailers, boats):
Will you or the other occupants have a pet?
Kind, weight, breed and age
Why are you leaving your present residence?
Have you or your spouse ever been evicted?
Have you or your spouse ever broken a rental agreement or lease contract?
Have your or your spouse ever been sued for non-payment of rent or damages to rental property?
Have you or your spouse ever been convicted of a felony? **See Below
In case of emergency, notify:
Phone #
Street Address
City
State
Relationship
List two of the nearest relatives: (include name, phone, street address, city/state, relationship
Comments or Questions
Phone *

I have read and agree to the Privacy Policy *

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Privacy Policy: Ford Property Management will not sell or share any of your contact or personal information. You submit this application understanding that internet communications provides the possibility of interception by a third party or intruder. We have taken extra steps to provide a secure process to submit your application. If you are not comfortable submitting your information via internet communications, please come to our office at 500 West Main Street, Russellville Arkansas.

**Resident, any member of the Resident's household, or a guest or other person under the resident's controll shall not engage in criminal activity, including drug-related criminal activity, on or near property premises. "Drug related criminal activity" means the illegal manufacture, sale, distribute, or use of a Controlled Substance 21 U.S.C. 802.

Correct information

Applicant represents that all of the above statements are true and complete,
and hereby authorizes verification of above information, references, and credit records. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and, or forteiture of deposits and may constitute a criminal offense under the laws of this state. Applicant agrees to the terms of the "Security Deposit Agreement" below.

Security Deposit Agreement

Applicant has deposited a "Security Deposit" (in the amount stated below) in
consideration for owner's taking the dwelling unit off the market while considering approval of this application. If applicant is approved by management and the contemplated lease is entered into, the security deposit shall be credited. If applicant is approved, but fails to enter into the contemplated lease within (10) days after the date of such applications the applicant's deposit shall be forfeited to management. The security deposit will be refunded only if applicant is not approved. Keys will be furnished only after contemplated lease and other rental documents have been properly executed by all parties and only after applicable rentals and security deposits have been paid. This application is preliminary only and does not obligate management to execute a lease or deliver possession of the proposed premises.