"Words cannot express how thankful and grateful I am for being referred to you.. Ms. Stackhouse
AMBASSADORS REALTY
CONTACT ME NOW
704.620.7457
DONNA MINER
AGENT ON DUTY
I am totally committed to
my client's needs, and I
hard work to realize
their dreams as if they
were my own.
"REPRESENTING YOUR INTEREST IS OUR MISSION"
1914 J.N. Pease Place, Charlotte North Carolina 28262
Office: 704/620-7457  Fax: 704/596-5107
ONLINE RENTAL APPLICATION
Applicant #1 Information
Your name:
Home phone number:
Your cell number:
Current address, City State & Zip:
Previous address: City, State & Zip
Rent/Own:
How Long:
Monthly Payment/Rent:
Your SSN#:
Your birthdate:
Your Employer Name:
Your Employer Address:
Your Employer's number:
Monthly Wage:
Position:
How Long Employed:
Applicant #2 or Spouse's Information, If married
Your name:
Home number:
Your cell number:
Current address:
Previous address:
Rent/Own:
Monthly Payment/Rent:
Your SSN#:
Your birthdate:
Your Employer's Name:
Your Employer's Address:
Your Employer's number:
Monthly Wage:
Position:
How Long Employed:
References
Phone:
Name:
Relationship:
I authorize via electronic signature, the verification of the information provided on this application
as to my credit, employment and references.
Electronic Signature of Applicant #1:
Electronic Signature of Applicant #2: