South Carolina Rental Application

RENTAL APPLICATION

APPLICANT APPLICANT LANDLORD HAVE READ THIS PAGE

Name(s) of Applicant(s)

hereby applies on rent of the following described property located in the City or County of to (the Landlord) for (the "Property") for occupancy beginning and ending on at a monthly rental of $

Property address: Date of birth:

Work Telephone: Social Security No.:

Driver's license no. and State of issue:

Other name(s) of Applicant used within last 3 years

Names of occupants of the property other than Applicant and relationship to Applicant:

Number of vehicles: Make/Model/State license tag#:

Number of pets (include weight and breed):

CURRENT ADDRESS:

Present address: How long?

Reason for leaving: Monthly rent: Telephone:

Name and telephone of previous Owner or Agent:

PREVIOUS ADDRESS:

Previous address within last 3 years:

From to Monthly rent: Address:

Reason for leaving:

Name, address, and telephone of Owner or Agent:

From to Monthly rent: Address:

Reason for leaving:

Name, address, and telephone of Owner or Agent:

From to Monthly rent: Address:

Reason for leaving:

Name, address, and telephone of Owner or Agent:

APPLICANT APPLICANT LANDLORD HAVE READ THIS PAGE

Form 460
PAGE 1 OF 3

EMPLOYMENT INFORMATION:

Applicant's present employer: Immediate supervisor:

How long? Date hired? Address:

Telephone: Employed as: Monthly net income: $

If employed less than one year by present employer, previous employer: How long?

Date hired? Immediate supervisor:

Address: Telephone:

Employed as: Monthly net income: $

Other sources of income to be considered

Other income: $ Source:

Other income: $ Source:

Other income: $ Source:

Name of nearest relative (other than spouse): Relationship:

Address: Telephone:

SPOUSE:

Spouse name: Telephone: Social Security No.:

Address: Date of birth:

Work telephone: Driver's license no. and State of issue:

Other name(s) of Spouse (maiden name) used within last 3 years

SPOUSE'S EMPLOYMENT INFORMATION:

Spouse's present employer:

Immediate supervisor: How long? Date hired?

Address: Telephone:

Employed as: Monthly net income: $

If employed less than one year by present employer, previous employer: How long?

Date hired? Immediate supervisor:

Address: Telephone:

Employed as: Monthly net income: $

Other sources of income to be considered

Other income: $ Source: Other income: $

Source: Other income: $ Source:

Name of nearest relative (other than spouse): Relationship:

Address: Telephone:

APPLICANT APPLICANT LANDLORD HAVE READ THIS PAGE

Form 460
PAGE 2 OF 3

CREDIT REFERENCES:

Checking Account No. Institution:

Savings Account No. Institution:

Bank Loans/Credit Cards: Issuer: Account No.

Bank Loans/Credit Cards: Issuer: Account No.

Credit Cards: Issuer: Account No.

Applicant authorizes Landlord to verify the foregoing information and to make credit, employment, rental history and reference inquires deemed necessary by them, and Applicant also authorizes the release of information contained on this application or sought by such inquiries.

If this application is accepted by Landlord, Applicant agrees to execute a rental agreement of the Property in the form which has been exhibited to Applicant by Landlord, and agrees to pay the rental for one month before occupation of the Property.

Signature of Landlord

This Rental Application is ACCEPTED on

Signature of Recipient

The undersigned acknowledges receipt from Applicant(s) on , $ by cash or personal check payable to as a security deposit on the Property, which shall be refunded if this application is not accepted. Applicant hereby pays $ nonrefundable application fee.

The Applicant agrees that the Property Manager or Real Estate Broker representing Tenant or Landlord and all affiliated agents are not responsible for obtaining or disclosing any information contained in the South Carolina Sex Offender Registry. The Applicant agrees that no course of action may be brought against the Property Manager or Real Estate Broker representing Tenant or Landlord and all affiliated agents for failure to obtain or disclose any information contained in the South Carolina Sex Offender Registry. The Applicant agrees that the Applicant has the sole responsibility to obtain any such information. The Applicant understands that Sex Offender Registry information may be obtained from the local sheriff's department or other appropriate law enforcement officials.

Form 460
PAGE 3 OF 3

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