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Gleneagles Apartments • 17680 NW 67th Ave, Miami/Hialeah FL 33015 • Tel: (305) 362-3803
REF #GE-APP-PENDING

APPLICATION FOR RESIDENCY AND AGREEMENT TO LEASE

GLENEAGLES APARTMENTS

Address Applied For:

PERSONAL INFORMATION / INFORMACIÓN PERSONAL

Applicants Name:
Date of Birth:
SSN:
Driver License No:
State:
Marital Status:
Day time telephone:
Email:
Applicants Name (Co-Applicant):
Date of Birth:
SSN:
Driver License No:
State:
Other Occupants / Otros Ocupantes
Name:
DOB:
Relationship:
Name:
DOB:
Relationship:
NO PETS ALLOWED / NO SE PERMITEN MASCOTAS
Emergency Contact (Name/Phone):

RESIDENT HISTORY / HISTORIAL RESIDENCIAL

Present Address:
State:
Zip:
Phone:
To/From:
Monthly Payments $:
Landlord's Name:
Phone:
Reason for Moving:

EMPLOYMENT HISTORY / HISTORIAL LABORAL

Present employer:
Supervisor:
Address:
Phone:
Position:
Date of employment:
Gross weekly salary $:

RESIDENT STATEMENT: The information on this is used to determine anticipated income for approved occupancy. I have provided either an Employer's Verification of current anticipated annual income for each person set forth above or copies of their most recently income tax return. I certify that the statements above are true and complete to the best of my knowledge and belief. I hereby authorize verification of the above information, references and credit records. I acknowledge that false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and/or forfeiture of deposit and may constitute a criminal offense under the laws of this state. All persons and/or firms named may freely give any requested information concerning me and I hereby waive all right of action for any consequences resulting from such information.

DEPOSIT AGREEMENT: I hereby deposit $ with Management as a good faith deposit in connection with this application for residency. If my application is approved, I understand this amount will be applied toward payment of total monies due at move-in. If this application is approved and applicant fails to occupy the premises on the agreed upon 3 days after paying deposit, except for delay caused by construction or the holding over a prior resident, it is understood the Security Deposit shall be forfeited to Management.

RENTAL FEES TO BE CHARGED Llenado por la Oficina
Monthly Apartment Rental ..................... $
First Month Total Rental Charges (pro-rated) ... $
Security Deposit (due in advance) ............. $
Total Payment due in advance of occupancy .... $

* Los solicitantes dejan esta sección en blanco. La administración de Glen Eagles completa estos montos al firmar el contrato.

I have read and agree to the provisions as stated:
Applicant's signature:
Date:
Co-applicant's signature:
Date:

(Firmar con tinta al llegar o al imprimir)

Gleneagles Apartments Formulario Oficial de Solicitud de Arrendamiento Página 1 de 1 • gleneagles.jdifiber.com/es/