Blue Sky Homes, LLC

218 Brookside Drive, Fort Mill, SC 29715

Phone: 803-517-6579

Fax: 866-223-9965

www.Carolinabsh.Com

Rental Application

Incomplete applications will not be accepted.  Each occupant 18 years and older must complete an application.

Applicant Information

Full Name:

Single / married / widowed / divorced

Date of birth:

SS#:

Home Phone: ( )

Cell Phone: ( )

Work: (      )

DL#:                       

State:

Email:

Current address:

From: ____/____/____ to ____/____/____

Do you own or rent?

Monthly mortgage/rent:

Why moving?

Landlord/Mortgage Co:

Phone: (       )

Previous address:

From: ____/____/____ to ____/____/____

Do you own or rent?

Monthly mortgage/rent:

Why did you move?

Landlord/Mortgage Co:

Phone: (       )

Previous address:

From: ____/____/____ to ____/____/____

Did you own or rent?

Monthly mortgage/rent:

Why did you move?

Landlord/Mortgage Co:

Phone: (       )

Do you have ANY pets (including fish)?  If so, describe:

Employment Information

Current employer:

Address:

From: ____/____/____ to ____/____/____

Position:

Hourly/Salary/Other_________

Monthly gross salary:

Supervisor:

Supervisor Title:

Supervisor Phone: ( )

Previous employer:

Address:

From: ____/____/____ to ____/____/____

Position:

Hourly/Salary/Other_________

Monthly gross salary:

Supervisor:

Supervisor Title:

Supervisor Phone: ( )

Co-applicant Information

Full Name:

Relation to applicant:

Date of birth:

SSN:

Home Phone: ( )

Cell Phone: ( )

Work: (      )

Current address:

DL#

State:

Employer: Position:

List All Proposed Occupants:

Full Name:

Relationship:

Date of Birth:

Full Name:

Relationship:

Date of Birth:

Full Name:

Relationship:

Date of Birth:

Full Name:

Relationship:

Date of Birth:

Full Name:

Relationship:

Date of Birth:

Full Name:

Relationship:

Date of Birth:

Emergency Contact Information

Non-Family Reference:

Family Reference:

Relationship:

Relationship:

Address:

Address:

Home:

Cell:

Work:

Home:

Cell:

Work:

All Vehicles to be Parked on the Premises:

Make:

Model:

Year:

License#

Color:

Make:

Model:

Year:

License#

Color:

Make:

Model:

Year:

License#

Color:

Credit History

Type of Account:

Bank or Other Institution:

Balance on Hand or Balance Due:

Monthly Payment:

Ever had a late payment?

Checking

$

N/A

N/A

Savings

$

N/A

N/A

Alimony that you pay

N/A

N/A

$

Yes / no

Child Support you pay

N/A

N/A

$

Yes / no

Mortgage #1

$

$

Yes / no

Mortgage #2

$

$

Yes / no

Equity Line

$

$

Yes / no

Credit Card #1

$

$

Yes / no

Credit Card #2

$

$

Yes / no

Car Loan #1

$

$

Yes / no

Car Loan #2

$

$

Yes / no

Other:_________________

$

$

Yes / no

Source(s) of Income (other than salary/wages from employment)

Alimony: $____________ per month

Child Support: $______________ per month

Other: $____________ per month

Other: $______________ per month

Have you or any of the occupants listed above ever . . .

been convicted of a felony?

Yes / no

Who?

When/explain?

received deferred adjudication for a felony?

Yes / no

Who?

When/explain?

been evicted?

Yes / no

Who?

When/explain?

broken a lease?

Yes / no

Who?

When/explain?

declared bankruptcy?

Yes / no

Who?

When/explain?

received an order of judgment or lien?

Yes / no

Who?

When/explain??

Please list any additional information which may  be helpful in processing your application:

Authorization:

I hereby declare that all statements made in this application are true and complete.  I authorize Blue Sky Homes, LLC and/or Teresa or Hassan Pour-Rastegar to verify all of the information in this application and to obtain a consumer credit report and criminal background report.  I understand that the $25.00 application fee is non-refundable and is not a deposit or rent and will not be applied to rent or refunded even if this application is declined.

I further understand that I am applying to rent the following property under the following basic terms (this does not constitute a lease agreement):

Rental Address:                                                                    

Pets:  None permitted

Rental Amount:

1^st Month’s Rent:  Due on or before 1^st day of lease agreement

Terms:                                                                                    

Tenant’s Responsbility: lawn:  mow, edge, rake

Security Deposit:

Included in Rent: 

____________________________  ____/____/____ ___________________________________

Signature date print name