Application Agreement New Application Print Completed Application Pay Application Fee

I have read and agree to the Application Agreement. Click Here to read Application Agreement.
Application Fees are $50.00 per person over the age of 18 in the household.
(NOTE:  An application will not be processed until fees are received.)
Property Information
Property Address:
Date Visited:
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Date you will take occupancy:
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Date Submitted

03-13-2026
Applicant type: Individual   Individual w/Guarantor
Applicant Information
Personal Information
First:
Middle Initial:
Last:
Date of Birth:
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SSN:
Home Number:
Cell Number:
Email:
Driver License #:

State:
Expires: Click Here
Automobile Information
Make:
Model:
Year:
Color:
License plate#:
State:

Make:
Model:
Year:
Color:
License plate#:
State:

Any other name(s) used (including maiden name): 
Residential History
Current Address
Street1:
Street2:
City:
State: Zip:
Residency: Rent   Own
Previous Address
Street1:
Street2:
City:
State:
Zip:
Residency:
Rent   Own
Employment Information
Employment Status
Full-Time   Part-Time   Retired   Student   Self-Employed   Unemployed  
If Retired, Student, Self-Employed or Unemployed what is your Monthly income?
Current Employer
Employer:
Address:
City:
State:
Zip:
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Monthly Income:
Start Date:
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Previous Employer
Employer:
Address:
City:
State:
  Zip: 
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Monthly Income:
Start Date:
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End Date:
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Applicant Questions
Have you ever been asked to move out of a residence?
Yes   No

Have you ever been party to an eviction?
Yes   No
Are you a registered sex offender?
Yes   No
Have you or any member of your household been convicted or pleaded no contest to a felony?
Yes   No


Do you have liquid furniture? (i.e. waterbed)
Yes   No

Do you have renter insurance?
Yes   No
Have you ever filed bankruptcy?
Yes   No
Have you ever had any collections?
Yes   No
Pets
Do you have Pets?
Yes   No
Children
Will there be children under the age of 18 living in the residence?
Yes   No

Emergency Contacts
Emergency Contact
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:

Personal Reference
First:
Middle:
Last:
Phone:
E-mail:
Financial Information
Do you own a home or other real estate? Yes   No

Bank Name Account Type Phone
Credit Reference Name Account Type Balance
Additional Income Source Monthly Income
Pension
Social Security and/or SSI
Alimony
Child Support
AFDC/Government Assistance
Unemployment Compensation
Other (Please Specify)
Additional Comments or Notes
Application Completion

DISCLOSURE AND AUTHORIZATION

The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in rejection of this and any future applications for housing we manage.  The undersigned does further understand that all persons or firms associated with Gulfbelt Properties, Inc may freely give any requested information concerning me.

I also hereby authorize Gulfbelt Properties, Inc to verify my past and present employment earnings records, bank statements, previous residences and/or any information given for the purposes of renting and/or leasing through Gulfbelt Properties, Inc including but not limited to a credit check.  I further understand and agree that Gulfbelt Properties, Inc will rely upon this rental application as an inducement for entering into a rental agreement or lease and I warrant that the facts contained in this application are true.  If any facts prove to be untrue, Gulfbelt Properties, Inc may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorney fees resulting there from.  Gulfbelt Properties, Inc welcomes all applicants and supports fair housing.  We do not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, marital status, race, creed, religion, age, familial status, physical or mental handicap, color or national origin.

Investigational Background Search Disclosure

Gulfbelt Properties, Inc conducts applicant screening on persons applying to live in our managed properties, such screenings may include criminal background investigations.  Prior to acceptance of an applicant, we may use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant.  Gulfbelt Properties, Inc will determine if the criminal background information pertains to the applicant and if the report indicates that one or more such felony and or misdemeanor records were found.  We will then compare the records to our established acceptance policies to determine whether or not the applicant may be accepted.  If your application is declined based on the discovery of public records that indicate an unacceptable criminal background, you will be given the name, address, and telephone number of the consumer reporting agency that provided the criminal background report.  An applicant who is declined based on a criminal background may obtain a free copy of the report and may initiate a reinvestigation to have any erroneous information contained in the report corrected.  The consumer reporting agency will advise you of the procedures that you should follow in order to do so.

Valid Photo Identification must be presented prior to final approval of this application.

I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief. By clicking "Apply Now," you agree to the terms stated above. Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information. Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application. By signing below, the applicant understands that a good faith/holding deposit is required by management in connection with the holding of one of our residential dwellings. I further understand and agree that if such a good faith deposit is remitted and my lease application is approved, this deposit will be applied toward the payment of my security deposit upon my execution of the lease. If management denies my application for any reason other than falsifying information, the good faith deposit will be refunded to me in full. I understand I can cancel this application within 24 hours of submission and receive a full refund of the good faith deposit within 30 days of cancellation. I understand if I fail to cancel the application within 24 hours and/or fail or refuse to enter into the contemplated lease within 14 days of the remittance of the good faith deposit, the lessor or management may retain said good faith deposit as liquidated damages covering the costs of taking and processing this application and the loss of rental value due to such untimely cancellation and/or failure to sign. I further understand homes are taken off the market and reserved for approved applicants on a first-come, first-served basis according to the order in which Good Faith Deposits are received. To remove a property from the market, we must receive a Good Faith Deposit along with your approved application. No property will be removed from the market until your application is approved and we have received your Good Faith Deposit. I understand the good faith deposit is not a rental payment and will not be applied towards any rental payment.


APPLICANT SIGNATURE: 




   
Web:  http://www.gulfbelt.com/index.htm       E-mail:  [email protected]
Database Info:  GPI000_82371  SingleFamilyHomes