Washington DC Furnished Rentals

Rental Application

Kindly fill out this application below and return thru email if possible with $35 thru paypal for application fee.

Kindly send the Security Deposit of $500 www.paypal.com. The balance due at arrival. Once the security deposit is received then I will send the confirmation on your dates.

Deposit
Your $500 reservation deposit is paid www.paypal.com and should be filled out on the lease agreement.
The reservation deposit is refunded at the end of your stay.

$500 security deposit is only for 1107 property. For all other properties one to two month security deposit is required depending on persons credit rating.

Please enter your correct information. Fields marked (*) are required.

APPLICATION

Contact Information

(*) Last Name:
(*) First Name:
(*) Phone:
Fax:
(*) E-mail:
Address:
City:
State:
ZIP Code:
Social Security Number:
How long at this address:
DOB:
Driver license#:
State:

Credit Information

(*) Address:
City:
State:
ZIP Code:
How long at current address:
(*) Telephone:
Fax:
(*) E-mail:
(*) Bank name:
Bank address:
(*) Phone:
City:
State:
ZIP Code:

INVOICING

Method of Payment (Circle One).

Pay Pal

Cash

Check

Other

Business/Work References

(*) Company name:
Address:
City:
State:
ZIP Code:
(*) Phone:
Fax:
(*) E-mail:
Type of account:

(*) Company name:
Address:
City:
State:
ZIP Code:
(*) Phone:
Fax:
(*) E-mail:
Type of account:

Company name:
Address:
City:
State:
ZIP Code:
Phone:
Fax:
E-mail:
Type of account:

Agreement

By submitting this application, you authorize Rakesh Batheja to make inquiries into the banking and business/trade references that you have supplied.

Signatures:

Title:
Date:

Title:
Date:

"PRINTING VERSION"

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