Application

Please call 941-662-0383 to let us know you are sending in an application. We cannot be held responsible for applications not received.

If you do not feel comfortable submitting this information online, please call us or print this form, sign it and email, fax or mail it using the following information.

Not all systems will allow you to submit this application. If there is a computer “glitch” and you cannot send it, please print the page, sign it, and either scan and email it to: henrycraig20@comcast.net

OR Mail to: 1707 W 7th St # T4, Frederick, MD 21702

Rental Application

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First Name

Last Name

Date of Birth

Phone

Current Address

City

State

Zip Code

How Long

Employer

Monthly Income

Number of Occupants

Do you have a pet?

Yes No

Pets & Type

I/We do hereby make an application to lease a:

For a Term of One Year Beginning On:

For a Monthly Rental Of:

As attested to by my signature below, I do hereby authorize Fredericktown Assoc. LTD/Ptr. t/a Detrick Plaza Apartments, through its designated agent, to secure an investigative consumer report. This report may contain, but is not limited to a consumer credit report, a criminal history records investigation, all public records, verification of residence, employment, income, and to verify any and all information provided to us.

Under the Federal Fair Credit Reporting Act (FCRA), Section 606, I have the right to make a written request, within a reasonable time, for a complete and accurate disclosure of the nature and scope of the investigation.

I represent the above information to be true and accurate. Should any of the statements not be represented this will be considered a violation of the lease/Contract, which may lead to eviction.

If submitting online, I hereby acknowledge that by typing my name I am affixing my signature to this document.

Full Name

Date