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Brickel Shores – Rental/Purchase Application
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Brickel Shores – Rental/Purchase Application
Brickel Shores - Rental/Purchase Application
"
*
" indicates required fields
Community Address
*
Street Address
Address Line 2
City
State / Province / Region
Rental or Purchase?
*
Rental
Purchase
Marital Status
*
Single
Married
Birth Date
*
MM slash DD slash YYYY
Applicant's Name
*
First
Last
Current Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Current Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Contact Phone
*
Contact Email
*
Spouse Name
*
First
Last
Spouse Phone
*
Spouse Email
*
Current Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Emergency Contact Name
*
First
Last
Emergency Contact Relationship
*
Emergency Contact Email
*
Current Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Emergency Contact Phone
*
Emergency Contact Cellphone
*
Vehicle Information
*
Vehicle Owner
*
Vehicle Type
*
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
Vehicle Color
*
Plate Number
*
State
*
Employer's Name
*
First
Last
Current Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Employer's Phone
*
Supervisor's Name
*
First
Last
Have You Ever Been Evicted or Asked to Leave a Residence?
*
Yes
No
Consent
*
I Authorize P|R to run background check
Color copy of Applicant's Driver's License
*
Max. file size: 256 MB.
Copy of Marriage Certification
Max. file size: 256 MB.
(if applicable)
Copy of Proof of Employment (Paystub, etc)
*
Max. file size: 256 MB.
Copy of Vehicle Registration
*
Max. file size: 256 MB.
Copy of Vehicle Insurance
*
Max. file size: 256 MB.
Copy of Rental/Lease Agreement or Sales Contract (Executed by all parties)
*
Max. file size: 256 MB.
Copy of (2) two references
*
Max. file size: 256 MB.
For the following Communities selected, must show proof of Security Deposit:
Max. file size: 256 MB.
Brickell Shores | International Towers | Normandy Place | Sunset Villas Phase III | Waterway Isles
Type Your Name
*
I accept and acknowledge the rules and regulations
Price
*
Price:
For the first person or married couple (with proof only)
Additional Person
Quantity
*
Price:
$150.00
Quantity
For each additional person who will occupy the unit 18 years of age or older
Payment Method
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Card Number
Expiration Date
Expiration Date
Security Code
Security Code
Cardholder Name
Total
Half of the rental amount (Payable to the association)
Requires Signature for Rules and Regulations
