Governale Realty 

704-528-1316 Office   

Rental Application 

Applicants name________________________Date of birth_______________

SS#______________________email_______________________

Present address________________________________ _zip____________Phone__________________

Present Landlord________________________Phone__________________amount paid____________

Duration of tenancy__________if less than one year list previous___________________#____________

Name_________________________ DOB_______________________ Relationship_______________

Name_________________________DOB________________________Relationship________________

Name_________________________DOB_______________________Relationship_________________

List all pets___________________________________________________________________________

Employment:  Present____________________________Position_______________________

Employers Address____________________________Phone____________________________

Duration of employment____________________ If less than 2 years previous employer_____________

Supervisor’s name__________________Phone___________________ Previous number_____________

Salary/week_________________  SS, pension or any other form of income, please list all____________ 

Coapplicant:name_________________DOB_________SS#___________________email______________

Phone___________ sex (M) (F) Marital status____Present address_______________________________

Landlord______________________ Phone______________Employment :____________________

Supervisor_________________#_________________ wages_____________wkly/monthly

By signing this you give your permission to do a credit check, rental and job verification

X__________________________________________ X ________________________________________

*please include copies of drivers licenses and last 2 pay stubs for all applicants*

 

Eric Governale
Eric Governale
Owner/Broker