Family Owned Home Rental

Beautiful single story home in peaceful Wells Branch. Newly renovated with direct view to Green Belt and walking distance to Katherine Fleischer Park.

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• Online Rental Application Form

  14705 Great Willow Drive

• All applicants pay a $85 screening fee used to obtain credit reports, collect civil/criminal records and character reports, verify employment status and income, and confirm rental history.

  We will contact you (the applicant) to collect the screening fee once the initial form is reviewed.

• If you would like to see the House, check the checkbox below and a tentative date for the screening.

  You have to submit fhis form to see the house. We will not charge any screening fee unless you agree but we may ask you to send us more details before you can see the house.

• Would you like to see the house?
  YesNo
• Tentative date of showing
   -Month -DayYear

  Date

• Personal Information

• Full Name*
  First NameLast Name
• Date of Birth*
   -Month -DayYear

  Date
• E-mail*
  example@example.com
• Driver's License #*
• Phone Number*
  Please enter a valid phone number.

• Current Housing Information

• Current Address*
  Street Address

  Street Address Line 2

  CityState / Province

  Postal / Zip Code Please Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Turkish Republic of Northern Cyprus Northern Mariana Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Republic of the Congo Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia South Sudan Spain Sri Lanka Sudan Suriname Svalbard eSwatini Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Transnistria Pridnestrovie Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands Isle of Man US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country
• Own or Rent?*
  OwnRent
• Monthly Rent (if applicable)
• Current Landlord Name & Phone (if applicable)
• Length of Tenancy (if applicable)
• Reason for Leaving (if applicable)
• Were you ever late to pay rent? (if applicable)
  YesNo
• If YOU WERE EVER LATE TO PAY RENT, why?

• Previous Housing Information

• Previous Address
  Street Address

  Street Address Line 2

  CityState / Province

  Postal / Zip Code Please Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Turkish Republic of Northern Cyprus Northern Mariana Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Republic of the Congo Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia South Sudan Spain Sri Lanka Sudan Suriname Svalbard eSwatini Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Transnistria Pridnestrovie Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands Isle of Man US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country
• Own or Rent?
  OwnRent
• Monthly Rent (if applicable)
• Current Landlord Name & Phone (if applicable)
• Length of Tenancy (if applicable)
• Reason for Leaving (if applicable)
• Were you ever late to pay rent? (if applicable)
  YesNo
• If YOU WERE EVER LATE TO PAY RENT, why?

• Financial Information

• Are you currently employed?*
  YesNo
• Current Employer*
• Length of Employment*
• Monthly Salary (USD)*

• Current Monthly Financial Obligations

  Fill out any that applies to your current situation
• Car(s)
• Credit(s)
• Loan(s)
• Other
• How do you prefer to pay rent?*
  CheckMoney OrderOnline Payment

• Personal Background & History

• In the past seven (7) years, have you been convicted of, or do you currently have any charges pending for, any criminal offense?*
  YesNo
• Have you ever been convicted of, or plead guilty or no contest to, any charge involving sexual misconduct or a crime against a child (whether or not it resulted in a conviction).*
  YesNo
• Have you ever been evicted or do you currently owe any money to a landlord for any reason?*
  YesNo
• If you answered yes to any of these questions, please explain:
• Are you, or any of the occupants is a smoker?*
  yesno
• Do you have renter's insurance?*
  yesno
• Do you keep any pets?*
  YesNo
• Please, describe pets you keep, if any.

• Occupancy Information

• Besides applicant, list any other adults/children who plan to reside in the apartment. Anyone listed 18 or over who is not a dependent of the applicant must complete a separate rental application, pay a screening free, and sign all documents.

  Add First Name, Last Name, Age and Relationship for every occupant, each on a single line in the box below.

• First Name, Last Name. Age. Relationship
• Preferred Move-In Date (if you're not sure, a tentative date is OK)*
   -Month -DayYear

  Date

• In compliance with the Fair Credit Act and Florida law, this is to inform you that an investigation to verify the statements made on this application will be conducted. A non-refundable fee of $85.00 is required for tenant screening. This application is NOT an agreement to rent and all applicants must be approved.

  I CERTIFY to the best of my knowledge that all statements in this application are true. Any false, fraudulent, or misleading information provided on this application may be grounds for denial of tenancy and/or termination of your lease agreement.

  
  I hereby AUTHORIZE the Landlord, both for initial tenancy and again upon any future lease modifications or renewals, to obtain and verify all information provided on this application by obtaining credit reports, collecting civil/criminal records and character reports, verifying employment status and income, and confirming rental history.

• Confirm*
  I Agree
• Date
   -Month -DayYear

  Date
• Signature
• SubmitSubmit
• Should be Empty: