Application to Rent
5019 Rodman Road, Bethesda, MD 20816
Hello, my name is Brian,my cell is (301) 351-4891, email zin4@verion.net. I am so glad you will be renting at my house.
Here is a brief questionnaire so I may get to know you better. Email me and I will reply with a Microsoft Word copy of this form so its easy to fill out. Allow the Word document expand as needed for your info.
Please state your full name and current permanent address.
What is your cell phone number?
Please provide a photo copy of your driver’s license or passport.
If in college what college / program are you in and what date do you plan to complete it?
Do you have a copy of the classes for which you have registered that you can share with me as evidence of enrollment?
How will you pay your rent? What is your source of funds?
Please provide two references that I may contact. Names and contact information. Explain how you know these people and how they know you.
Please provide an emergency contact with name, relationship, email, and cell phone number.
Do you have any special conditions or requirements that you’d like me to know about?
Please acknowledge that you want to rent at Adelphi house and not more than one person may occupy a bedroom.
Please tell me whether you’d like to pay your rent (and security deposit) by Venmo, PayPal, check or cash. Your first month rent and security deposit are due upon signing the lease, which is a separate document that I will plug your information into and email to you. So please email this application back to me soon as you can.
Please fill out and email to zin4@verizon.net .
5019 Rodman Road, Bethesda, MD 20816
Hello, my name is Brian,my cell is (301) 351-4891, email zin4@verion.net. I am so glad you will be renting at my house.
Here is a brief questionnaire so I may get to know you better. Email me and I will reply with a Microsoft Word copy of this form so its easy to fill out. Allow the Word document expand as needed for your info.
Please state your full name and current permanent address.
What is your cell phone number?
Please provide a photo copy of your driver’s license or passport.
If in college what college / program are you in and what date do you plan to complete it?
Do you have a copy of the classes for which you have registered that you can share with me as evidence of enrollment?
How will you pay your rent? What is your source of funds?
Please provide two references that I may contact. Names and contact information. Explain how you know these people and how they know you.
Please provide an emergency contact with name, relationship, email, and cell phone number.
Do you have any special conditions or requirements that you’d like me to know about?
Please acknowledge that you want to rent at Adelphi house and not more than one person may occupy a bedroom.
Please tell me whether you’d like to pay your rent (and security deposit) by Venmo, PayPal, check or cash. Your first month rent and security deposit are due upon signing the lease, which is a separate document that I will plug your information into and email to you. So please email this application back to me soon as you can.
Please fill out and email to zin4@verizon.net .