Homestead Land Holdings Limited

Florida Vacation Rentals

Rental Application

* Indicates a required field.
Applicant Two fields are only required if there is an additional applicant.

Location Information

Location: *	I know which CITY I would like I know which BUILDING I would like
City: * Building: *

Timing Information

Desired Start Date: *

Personal Information

	Applicant One	Applicant Two
First Name: *
Last Name: *
Date of Birth: *	/ / YYYY / MM / DD	/ / YYYY / MM / DD
Home Telephone: *	Include area code	Include area code
Work Telephone:	Include area code	Include area code
Cell Telephone:	Include area code	Include area code
Email:	Include an email address that is regularly checked
Social Insurance Number:
Drivers License Number:

Other Proposed Occupants

	First Name	Last Name	Age	Relationship
Do not include the above applicant(s) in this section
Occupant One:
Occupant Two:
Occupant Three:

Present Address

	Applicant One	Applicant Two
Street Address: *
City: *
Province: *
Country: *
Postal / Zip Code: *
Length of Tenancy: *
Rent Paid: *	$ / Month	$ / Month
Landlord's Name: *
Landlord's Phone: *	Include area code	Include area code
Reason for Leaving: *

Previous Address

	Applicant One	Applicant Two
Only required if less than 2 years at current address
Street Address: *
City: *
Province: *
Country: *
Postal / Zip Code: *
Length of Tenancy: *
Rent Paid: *	$ / Month	$ / Month
Landlord's Name: *
Landlord's Phone: *	Include area code	Include area code
Reason for Leaving: *

Occupational Information

	Applicant One	Applicant Two
Employment Status: *
Notice: Official documents for proof of non-employed status may be required.
Occupation: *
Length of Employment: *
Employer: *
Supervisor Name: *
Supervisor Work Phone: *	Include area code	Include area code
Approximate Salary: *	$ / Year	$ / Year

Vehicle Information

	Year	Make / Model	License Plate
Vehicle One:
Vehicle Two:
Vehicle Three:

Finalize Application

(Note: The privacy and permission links below will open in a new window so that your data won't be lost)
Accuracy: *	I have answered all of the questions truthfully to the best of my ability.
Agreement: *	I have read and understand Homestead's Privacy Policy.
Consent: *	I give Homestead permission to acquire and/or release rental and employment information.

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