Residential Lease Application

logo - Texas Realtors

RESIDENTIAL LEASE APPLICATION

USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION® OF REALTORS IS NOT AUTHORIZED.

©Texas Association of REALTORS®, Inc. 2022

Each occupant and co-applicant 18 years or older must submit a separate application.

Information About Brokerage Services

Texas law requires all real estate license holders to give the following information about

brokerage services to prospective buyers, tenants, sellers and landlords.

TYPES OF REAL ESTATE LICENSE HOLDERS:

A BROKER is responsible for all brokerage activities, including acts performed by sales agents sponsored by the broker.
A SALES AGENT must be sponsored by a broker and works with clients on behalf of the broker.

A BROKER’S MINIMUM DUTIES REQUIRED BY LAW (A client is the person or party that the broker represents):

Put the interests of the client above all others, including the broker’s own interests;
Inform the client of any material information about the property or transaction received by the broker;
Answer the client’s questions and present any offer to or counter-offer from the client; and
Treat all parties to a real estate transaction honestly and fairly.

A LICENSE HOLDER CAN REPRESENT A PARTY IN A REAL ESTATE TRANSACTION:

AS AGENT FOR OWNER (SELLER/LANDLORD): The broker becomes the property owner's agent through an agreement with the owner, usually in a written listing to sell or property management agreement. An owner's agent must perform the broker’s minimum duties above and must inform the owner of any material information about the property or transaction known by the agent, including information disclosed to the agent or subagent by the buyer or buyer’s agent.

AS AGENT FOR BUYER/TENANT: The broker becomes the buyer/tenant's agent by agreeing to represent the buyer, usually through a written representation agreement. A buyer's agent must perform the broker’s minimum duties above and must inform the buyer of any material information about the property or transaction known by the agent, including information disclosed to the agent by the seller or seller’s agent.

AS AGENT FOR BOTH - INTERMEDIARY: To act as an intermediary between the parties the broker must first obtain the written agreement of each party to the transaction. The written agreement must state who will pay the broker and, in conspicuous bold or underlined print, set forth the broker's obligations as an intermediary. A broker who acts as an intermediary:

Must treat all parties to the transaction impartially and fairly;
May, with the parties' written consent, appoint a different license holder associated with the broker to each party (owner and buyer) to communicate with, provide opinions and advice to, and carry out the instructions of each party to the transaction.
Must not, unless specifically authorized in writing to do so by the party, disclose:
- that the owner will accept a price less than the written asking price;
- that the buyer/tenant will pay a price greater than the price submitted in a written offer; and
- any confidential information or any other information that a party specifically instructs the broker in writing not to disclose, unless required to do so by law.

AS SUBAGENT: A license holder acts as a subagent when aiding a buyer in a transaction without an agreement to represent the buyer. A subagent can assist the buyer but does not represent the buyer and must place the interests of the owner first.

TO AVOID DISPUTES, ALL AGREEMENTS BETWEEN YOU AND A BROKER SHOULD BE IN WRITING AND CLEARLY ESTABLISH:

The broker’s duties and responsibilities to you, and your obligations under the representation agreement.
Who will pay the broker for services provided to you, when payment will be made and how the payment will be calculated.

LICENSE HOLDER CONTACT INFORMATION: This notice is being provided for information purposes. It does not create an obligation for you to use the broker’s services. Please acknowledge receipt of this notice below and retain a copy for your records.

Licensed Broker / Broker Firm Name or Primary Assumed Business Name: Mickey Lavy

License No.: 274617

Email: mickey@bluebonnetprop.com

Phone: 254-776-3090

Sales Agent/Associate's Name: Amber Raborn

License No.: 721005

Email: service@bluebonnetprop.com

Phone: 254-776-3090

Buyer/Tenant Initials:

Seller/Landlord Initials: _____________

Property Address:

Anticipated Move-in Date:

Monthly Rent: $

Security Deposit: $

Property Condition: Applicant Property Condition

has

has not

viewed the Property in-person prior to submitting this application.

Applicant is strongly encouraged to view the Property in-person prior to submitting any application. Landlord makes no express or implied warranties as to the Property’s condition. Applicant requests Landlord consider the following repairs or treatments should Applicant and Landlord enter into a lease:

Applicant was referred to Landlord by:

Real estate agent

Newspaper

Sign

Internet

Other

Applicant's name (first, middle, last)

Is there a co-applicant? yesno

If yes, co-applicant must submit a separate application.

Applicant's former last name (maiden or married)

E-mail

Home Phone

Work Phone

Mobile/Pager

Date of Birth

Height

Weight

Eye Color

Hair Color

Marital Status

Emergency Contact: (Do not insert the name of an occupant or co-applicant.)

Name:

Address:

Phone: Email:

Name all other persons who will occupy the Property:

Name: Relationship: Age:

Applicant's Current Address: Apt. Number:

(City, State, Zip)

Landlord or Property Manager's Name:

Email:

Phone:Day: Nt: Mb: Fax:

Date Moved-In: Move-Out Date: Rent $:

Reason for move:

Applicant's Previous Address: Apt. Number:

(City, State, Zip)

Previous Landlord or Property Managers Name: Email:

Phone:Day: Nt: Mb: Fax:

Date Moved-In: Date Moved Out: Rent $:

Reason for move:

Applicant's Current Employer:

Address: (street, city, state, zip)

Employment Verification Contact: Phone: Fax:

E-mail:

Start Date: Gross Monthly Income: $ Position:

Note: If Applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional.

Applicant's Previous Employer:

Address: (street, city, state, zip)

Employment Verification Contact: Phone: Fax:

E-mail:

Employed from: to: Gross Monthly Income: $ Position:

Note: Applicant is responsible for including the appropriate contact information for employment verification purposes.

Describe other income Applicant wants considered:

List all vehicles to be parked on the Property:

Type, Year, Make, Model, License/State, Mo. Pymnt.

Will any animals (dogs, cats, birds, reptiles, fish and other types of animals) be kept on the Property? yesno

If yes, please list all animals to be kept on the Property:

Type & Breed, Name, Color, Weight, Age in Yrs., Gender, Neuter Status, Bite History, Rabies Shots Current, If Assistant Animal:

If any of the animals listed above are assistant animals, please provide appropriate documentation with a reasonable accommodation request for the assistance animal(s).

Will any waterbeds or water-filled furniture be on the Property?

Yes

Does anyone who will occupy the Property smoke? yesno

Will Applicant maintain renter's insurance?

Yes

Is Applicant or Applicant's spouse, even if separated, in military? yesno

If yes, is the military person serving under orders limiting the military person's stay to one year or less? yesno

Has Applicant ever:

been evicted? yesno

been asked to move out by a landlord? yesno

breached a lease or rental agreement? yesno

filed for bankruptcy? yesno

lost property in a foreclosure? yesno

been convicted of a crime? yesno

Is any occupant a registered sex offender? yesno

had any credit problems, slow-pays or delinquencies? yesno

Is there additional information Applicant wants considered? yesno

Additional comments:

Upon receipt of your completed application, someone from our office will contact you to verify your social security and driver license numbers. Please make sure that all contact information is correct so that we may speak with you directly.

Authorization: Applicant authorizes Landlord and Landlord's agent, at any time before, during, or after any tenancy, to:

(1) obtain a copy of Applicant's credit report;

(2) obtain a criminal background check related to Applicant and any occupant; and

(3) verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.

Notice of Landlord's Right to Continue to Show Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

Privacy Policy: Landlord's agent or property manager maintains a privacy policy that is available upon request.

Fees: Applicant submits a non-refundable fee of $120.00 to Bluebonnet Properties (entity or individual) for processing and reviewing this application. Applicant submits yes

an application deposit of $120.00 to be applied to the security deposit upon execution of a lease or returned to Applicant if a lease is not executed.

Acknowledgement & Representation:

(1)   Signing this application indicates that Applicant has had the opportunity to review Landlord's tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.
(2)   Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.
(3)   Applicant represents that the statements in this application are true and complete.
(4)   Applicant is responsible for any costs associated with obtaining information.

Authorization to release information related to a Residential Lease Applicant

USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS®, INC. IS NOT AUTHORIZED. ©Texas Association of REALTORS®, Inc. 2018

I, (Applicant), have submitted an application to lease a property located at (address, city, state, zip).

The landlord, broker, or landlord's representative is:

(name)
(address)
(city, state, zip)
(fax)
(e-mail)

I give my permission:

   (1) to my current and former employers to release any information about my employment history and income history to the above-named person;
   (2) to my current and former landlords to release any information about my rental history to the above-named person;
   (3) to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person;
   (4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and
   (5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.

Note: Any broker gathering information about an applicant acts under specific instructions to verify some or all of the information described in this authorization. The broker maintains a privacy policy which is available upon request.

(TXR-2003) 07-08-22

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

November 8, 2018 11:21 am CDT

Residential Lease Application Uploaded by Amber Stephens - service@bluebonnetprop.com IP 174.197.14.60