Scott Zeller: Murfreesboro Tennessee Realtor

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SCOTT ZELLER
Mobile: 615-479-4776
Business: 615-893-1130
Fax: 615-893-3246
Email: szeller@realtracs.com
Realtor ID: #299846

HOUSE INFORMATION
House Address Wanting To Rent:
For How Many Months:
Monthly Rent:
Deposit Price:
Any Arrangements Made:
The applicant understands that the Landlord or agent may perform a credit check and references before the Applicant is accepted as a renter.	yes no

APPLICANT INFORMATION
Your Name:
# Of Occupants:	Adults Children
Smokers:	yes no
NO PETS!!
Present Address:
How Long At Current Address:
Home Phone:
Cell Phone:
Pager:
Current Landlord Name:
Their Phone:
Current Rent Payment:
Notice Given To Them:	yes no
Prior Addres:
How Long Their:
Landlord:
Their Phone:
Reason For Moving:

FINANCIAL INFORMATION
Social Security Number:
Drivers Licence Number:
Vehicle Model:
Date Of Birth:

Sources Of Income:
Wages:
Salary:
Child Support:
Government Assistance:

Current Emplyer:
Position:
Superviser:
Business Phone:

NEAREST RELATIVE
Name:
Address:
Home Phone:
Relationship:

PERSONAL REFERENCES
Name:
Address:
Phone:
Relationship:

Name:
Address:
Phone:
Relationship:

GENERAL INFORMATION
Name Of Bank:
Have You Ever Owned Real Estate:	yes no
Have You Ever Been Evicted From Any Rental Pemises:	yes no
Have You Ever Been Convicted Of A Felony:	yes no

I represent that the information provided in the application is true and correct to the best of my knoledge. The owner or representative is authorized to verify the references and employment information given in teh application and to request a credit check:	yes no

REMINDER	IT IS AGAINST THE LAW TO DISCRIMINATE AGAINST PROSPECTIVE TENANTS ON THE BASIS OF RACE, RELIGION, NATIONAL ORIGIN, AGE, DISABILITY OR FAMILY STATUS. LOCAL OR STATE LAWS MAY INCLUDE ADDITIONAL CLASSES WHICH ARE PROTECTED FROM DISCRIMINATION IN HOUSING.