Rental Application

PO Box 9483
Columbia, SC 29209
(803) 609-8976
Web: www.xspann.com
Email: info@xspann.com

Rental Application

Applications will not be processed without a $65.00 (non-refundable) fee paid by Money Order or Cashiers Check made payable to Xspann Real Estate LLC.

House of interest __________________________________________

Your Information

Full Name_____________________________________________________
Driver’s Licenses #_______________Social Security #_________________
Date of Birth _____________________ (mm/dd/yyyy)
Cell Phone #________________ Email __________________________
Current Address_____________________________City________________
State_________Zip________
Landlord__________________________Telephone # __________________
Dates as a tenant (From)_____________to___________________
Reason for Leaving_____________________________________________
Previous address_______________________________________________
Dates as a tenant (From)_____________to___________________

Employment

Current Employer_________________________________________________
Address __________________________________ State____
Date employed______________________Telephone # ______________
Gross monthly income $__________ Additional Income $________________
Wage Garnishment Y/N Supervisors Name_____________________________
Previous employer_________________________________________________
Date of employment___________to____________Telephone #______________
Supervisors Name_______________________________

Emergency contacts not living with you

Full Name____________________________________Telephone # ___________
Current Address________________________City_____________
State_______________Zip_________
Relationship to you ________________

Pets are not allowed unless specified by the Property Manager.

A copy of your Driver’s License and a recent pay stub is required upon application submission.

The undersigned declares that the information on this rental application completely accurate and understands that false statements or missing information may result in rejection of this and any future applications for housing with this company. Your signature authorizes the investigation and release of information to Xspann Real Estate and its affiliates as it pertains to verification of employment, emergency contacts, rental history, criminal background check and collection. Furthermore, by signing you agree to hold Xspann Real Estate and its affiliates harmless in perpetuity.

The undersign agrees that all information submitted is true and further agrees that, if untrue, Xspann Real Estate may terminate tenancy immediately and collect from tenant(s) any damages incurred including reasonable attorney’s fees resulting thereof. You are also herein notified that a negative credit report reflecting your credit record may be submitted in the future to a credit reporting agency if you fail to fulfill the terms of your rental obligations or if you default in those obligations in any way.

____________________________ __________________
Applicant signature Date