Rental/Purchase Application

"*" indicates required fields

Community Name*

Community Address*

Rental or Purchase?*

Rental

Purchase

Marital Status*

Single

Married

Birth Date*

Applicant's Name*

Current Address*

Contact Phone*

Contact Email*

Spouse Name*

Spouse Address*

Spouse Phone*

Spouse Email*

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Email*

Current Address*

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*

Current Address*

Employer's Phone*

Supervisor's Name*

Have You Ever Been Evicted or Asked to Leave a Residence?*

Yes

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

Do You Have a Pet?*

Yes

Price*

Price:

For the first person or married couple (with proof only)

Additional Person *

Price: $150.00

For each additional person who will occupy the unit 18 years of age or older

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code

Total