Heritage Realty & Investments,, LLC

RENTAL APPLICATION

TEL. (601) 856-2494   	FAX 1-877-827-0440		Email: admin@belhavenriverviewapartments.com

Date:	___________________		Desired occupancy date _________________	

Property Name/Address:   	Belhaven Riverview Apartments  
				836 Riverview Drive
				Jackson, MS 39202

Desired apt. size:	 1bed___	2bed___ 	Lease term: ______(1 year minimum) 

POSITIVE IDENTIFICATION IS REQUIRED (Attach to application)

Full Name of Applicant: ___________________________________________________

Phone Number:___________________________Email:_____________________________

Male [ ] Female [ ] Social Security # _______________________Date of Birth:___________

Driver's license number __________________  State ______Number living with you_______ 

Present Address:______________________________________________________________
			Street				City			State		Zip	
Own [ ] Rent [ ] From __________  To ___________  Monthly Payment ___________________

Landlord/Mortgage holder ________________________Phone Number: __________________ 

Landlord/Mortgage holder address:_________________________________________________

Reason for moving ______________________________________________________________

Previous Address:______________________________________________________________
			Street				City			State		Zip
Phone number ________  Own [] Rent [] From _____  To _____  Monthly Payment _________

Landlord/Mortgage holder ________________________Phone Number: __________________ 

Landlord/Mortgage holder address:_________________________________________________

Reason for moving ______________________________________________________________

Applicant’s CURRENT employer:______________________________________________

Phone Number ____________Length of employment ______Position:___________________ 

Employer’s Address:___________________________________________________________
			Street				City			State		Zip
Monthly income $________ Supervisor's name:______________ Phone Number___________

Applicant’s PREVIOUS employer:______________________________________________

Phone Number ____________Length of employment ______Position:___________________ 

Employer’s Address:___________________________________________________________
			Street				City			State		Zip
Monthly income $________ Supervisor's name:______________ Phone Number___________

Spouse/roommate's name __________________________________Phone:_______________

Male [ ] Female [ ] Social Security # _______________________email:__________________

Date of birth ________  Driver's license number _________________________ State _______ 

Spouse/roommate's employer____________________________________________________

Phone Number ____________Length of employment __________Position:_________________
 
Employer’s Address:____________________________________________________________
			Street				City			State		Zip
Monthly income $________ Supervisor's name:______________ Phone Number____________

Nearest relative not living with you: _________________________________________

Address:_____________________________________________________________________				Street				City			State		Zip
Relationship _____________________  Phone number _______________________________

In case of emergency, notify:__________________________________________________

Address:_____________________________________________________________________
			Street				City			State		Zip
Relationship _______________  Phone number _____________________________________

Additional Occupants:

Name ______________________________  Relationship _____________________________

Male [ ] Female [ ] Social Security # ______________________________________________

Date of birth ________  Driver's license number _________________________ State _______ 

Name ______________________________  Relationship _____________________________

Male [ ] Female [ ] Social Security # ______________________________________________

Date of birth ________  Driver's license number _________________________ State _______ 

Name ______________________________  Relationship _____________________________

Male [ ] Female [ ] Social Security # ______________________________________________

Date of birth ________  Driver's license number _________________________ State _______ 

Vehicles to be parked on premise by applicant, spouse or children (list cars, trucks or motorcycles): (Note: Only 1 reserved space available)
1. Type _____  Make _____  Model _____  Year _____  Color __________________
License number _______________  State _________________________________

2. Type _____  Make _____  Model _____  Year _____  Color __________________
License number _______________  State _________________________________

Do you have a pet? Yes [ ] No [ ] Type ________  Weight _________________________

Have you or your spouse/roommate ever been sued for non-payment of rent or damages to property? Explain if “Yes.” _____________________________________________________
____________________________________________________________________________

Have you or your spouse/roommate ever broken a lease or been evicted from an apartment? Explain if “Yes______________________________________________________________
__________________________________________________________________________

Have you or your spouse/roommate ever been arrested for violating any law? Explain if “Yes.” __________________________________________________________________________ 
__________________________________________________________________________

Active credit references (If Mastercard or Visa, state bank issued from and location.
1.	_______________  City _______________  State __________________________ 
Account number ______________________________ 
2. _______________  City _______________  State __________________________ 
Account number ______________________________ 

Personal reference: Name ______________________________Tel._____________________

Personal reference: Name ______________________________Tel._____________________ 

Personal reference: Name ______________________________ Tel. ____________________ 

I (we) certify that the above information is true and correct, to the best of my (our) knowledge. I (we) understand that you will retain this application whether or not it is approved. You are authorized to check my credit, employment, character, general reputation, and if deemed necessary, conduct a criminal investigation. I (we) further certify that I (we) am (are) an adult(s) and understand the importance of accurate information. I (we) further understand that approval of this application is based all or in part on the information contained herein. Should this application be approved and a lease contract executed, I (we) understand that this application is made a part of the lease and if later, it is determined that any information provided herein was incorrect, said incorrect information shall be grounds for termination of the lease contract.

I (we) understand I (we) acquire no rights in an apartment until (1) this application is approved and accepted; (2) a lease is signed by all parties and I (we) make the required security deposit; (3) I (we) pay all rent due in advance before occupancy; and (4) occupancy is given and accepted.

I (we) agree to pay a non-refundable application fee of $50 before this application will be processed. If there are no apartments available or if the application is turned down, the fee will not be returned. Paying the application fee in no way guarantees me (us) an apartment.

A security deposit of $________  is hereby made and, if accepted, I (we) agree to sign the lease delivered to me (us). In the event I (we) fail to sign the lease after being accepted, the security deposit is thereby forfeited. If the application is disapproved, the security deposit shall be refunded to the applicant(s).

PLEASE ALLOW A MINIMUM OF TWO DAYS TO PROCESS APPLICATION

_____________________________________	_____________________________________	 
Applicant	Applicant	 
		 
Date _______________ 	Date _______________ 	 

DO NOT WRITE BELOW THIS LINE
______________________________________________________________________________

 Approved ________  By ________________________________________________________

Unit number ________  Rent ________  Term ________  Begins ______________________

 Not Approved ________  By ____________________________________________________

 Reason ______________________________________________________________________
 
______________________________________________________________________________