Bedroom Community to JERUSALEM: Givat
Sharet, Beit Shemesh
Adorable 2-Bedroom Partially-Furnished Apartment + Garden + Private Courtyard
Rental Application
Rental
Terms / Contract | Estimated
Utility Bills | Photos
| Neighborhood
Info
Tenant's Family Name: ________________________ First Name:
______________ Middle: ____
Previous Last Name: __________________________ First Name:
______________ Middle: ____
Date of Birth: month _________ day ___ year ____ Birthplace:
city __________ state _________
ATTACH *SEPARATE APPLICATIONS* FOR EACH ROOMMATE and/or YOUR SPOUSE:
Spouse's Family Name: ________________________ First Name:
______________ Middle: ____
Children - Name: _____________________ Age: _____ Name:
____________________ Age: ____
Tenant's Email Address(es): _________________________________________________________
Tenant's Website Address: __________________________________________________________
Tenant's Country of Origin: __________________________ SSN No.
______________________
Tenant's Passport (attach xerox copy) No._______________________ Expiration:
________________
Tenant's Driver's License (attach xerox copy) No.__________________ Expiration:
_______________
Tenant's Israeli ID / Teudat Za'hut (attach xerox copy) No.___________________________________
Tenant's Israeli Driver's License (attach xerox copy) No.___________________
Expiration: _______
Vehicle - Make: _____________ Model: _________ Year: _____
License Plate No.: ____________
Where will vehicle be kept? _____________________________________________________________
CURRENT Address (full mailing address) - Street: _______________________________________
City: _______________ State/County: ______________ Postal/Zip Code:
________ Country: ______
Dates of occupancy: __________________ Monthly Rent: ________
Landlord: _________________
Landlord Address (full mailing address) - Street: ____________________________________________
City: _______________ State/County: ___________ Postal/Zip Code:
________ Phone: ____________
PREVIOUS Address (full mailing address) - Street: _______________________________________
City: _______________ State/County: ______________ Postal/Zip Code:
________ Country: ______
Dates of occupancy: __________________ Monthly Rent: ________
Landlord: _________________
Landlord Address (full mailing address) - Street: ____________________________________________
City: _______________ State/County: ___________ Postal/Zip Code:
________ Phone: ____________
HOME ADDRESS ABROAD (for mailing) - Street: _______________________________________
City: _______________ State/County: ______________ Postal/Zip Code:
________ Country: _______
Home Phone Abroad: ____________________________ Fax: ______________________________
Do you rent ___ or own ___? Monthly Payment: ________ Dates
of occupancy: _________________
Landlord Name: ____________________ Street: __________________________________________
City: _______________ State/County: ___________ Postal/Zip Code:
________ Phone: ____________
Guardian/Co-signer's Last Name: ___________________ First Name:
_____________ Middle: ___
Guardian/Co-signer's Full Mailing Address - Street: __________________________________________
City: _______________ State/County: ___________ Postal/Zip Code: ________
Country: __________
Guardian/Co-signer's Phone: __________________________ Fax: ____________________________
Employer: ________________________________ Employer Phone: _______________________
Employer's Email: _________________________________________________________________
Employer's Website Address: ________________________________________________________
Full Work Address - Street: _________________________________________________________
City: _______________ State/County: ___________ Postal/Zip Code: ________
Country: _________
Position: _________________________________________ Date of Hire:
_____________________
Monthly Net Salary: _________________________________________________________________
Supervisor's Name: _________________________________ Phone:
_______________________
Other Sources of Income: ___________________________________________________________
KINDLY DO NOT USE EMPLOYER AS ONE OF THE FOUR (4) REFERENCES BELOW:
Reference #1 - Family Name: __________________ First Name:
________________ Middle: ___
Occupation: _______________ Phone: _________________ Email
Address: __________________
Relation to Tenant: _________________________________________________________________
Mailing Address: _________________________________________________________________
Reference #2 - Family Name: __________________ First Name:
________________ Middle: ___
Occupation: _______________ Phone: _________________ Email
Address: __________________
Relation to Tenant: _________________________________________________________________
Mailing Address: _________________________________________________________________
ALL APPLICANTS MUST PROVIDE TWO (2) NON-FAMILY CHARACTER REFERENCES AND TWO (2)
FINANCIAL REFERENCES. KINDLY PRINT THE REMAINING TWO REFERENCES ON A SEPARATE
SHEET AND ATTACH TO THIS APPLICATION.
Thank you for your cooperation.
Incomplete or illegible applications will be returned to sender for resubmission.
Have you ever been evicted? ______ Have you ever
been convicted of a crime? ______
Do you smoke? _________
In case of emergency notify: _____________________________ Phone:
______________________
I declare that the statements above are true and correct.
I authorize verification of my rental history, references, guardians,
employment and background as they relate to my tenancy AND to future rent
collections.
I understand that prior approval and written permission must be received from
the landlord
before animals/pets can be kept in the apartment or in the garden or courtyard.
Signature: ______________________________________________ Date: _____________________
Print Full Name in all CAPS: _________________________________________________________
Send the following:
(1) Completed Rental Application(s) - one for each tenant
(2) Clear copies of Passports (both Israeli and Country-of-Origin) - for each
tenant
(3) Clear copies of Driver's licenses - for each tenant
(4) Clear copies of Israeli I.D./T.Z. - for each tenant
(5) Last THREE (3) Pay Stubs - for each tenant
(6) The contact details (phone and mailing address) of Two Character References
(non family)
(7) The contact details (phone and mailing address) of Two Financial References
(non family)
TO: PAUL & RUTH TOAL, ALTIQUIN, Drumkeerin, Co. Leitrim, Ireland.
FAX: 1-775-535-3382
This
site was designed in full and is maintained by: Ruth
Toal, designer of www.ruthtoal.com
Verified By _______:
SSN___ Passport___ DL___ T.Z.___ IDL___ CurTen___
Prev___ Emp___ G/CoS___ Ref#1___ Ref#2___
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