apartment rentals Hollywood, south Florida, Lomar Properties

Rental Application

1 Bedroom 2 Bedroom 3 Bedroom	1 or 2 Bedrooms 2 or 3 Bedrooms
How many people will be renting?

If you would like for us to pre-qualify you for rental, please complete the following:
Date of Birth:		S.S.#
Employer:
Supervisor:
Work Phone:		Position:
Years at Job:

Checking Acct #:
Branch:
Bank:

Emergency Contact		Contact Phone:
Present Landlord (Name)		Landlord Phone:
Reason for leaving:
Amt of Rent?

Have you ever filed for bankruptcy?		Yes No
Have you ever been evicted?		Yes No

Comments:

Visit our other Web Sites:
http://www.BestTitle.com - Best Title Company - located in Hollywood
http://www.GottliebLaw.com - Gottlieb & Gottlieb - Law Offices and Title Company

LOMAR Apartments
125 N. 46 Ave. • Hollywood, FL 33021
Phone: (954) 966-7600