Please complete the rental application form below. There is a one-time, non-refundable $100 application fee per applicant. Spouses are included at no additional charge. You may be required to submit additional information as required to process your application. This may include pay stubs, bank statements, proof of the previous residency, etc. Your completed application will be routed to your agent upon completion. Rental application submissions are valid for 1 year.

Personal Information

Have you ever been evicted?
If Yes, explain.
Have you ever been convicted of a crime?
If Yes, explain.

Residential History

Current Address

Previous Address (If less than two years at current address.)


Employment History

Current Employer


Other Info

Any Pets?

How Many?

Breed & Sizes (Weight):

Vehicles?

How Many?

Make/Model(s):


Your Agent


Additional Applicants

Click the links below to add additional applicants to your application. If you have multiple roommates, simply click the "Add Roommates" link once for each roommate to add additional roommate fields.



Spouse Personal Information

Have you ever been evicted?
If Yes, explain.
Have you ever been convicted of a crime?
If Yes, explain.

Spouse Residential History

Current Address


Spouse Employment History

Current Employer


Authorization of Release of Information

The applicant represents that all information and statements presented on this rental application are true, and hereby authorize an investigative consumer report including, but not limited to, residential history, (rental or mortgage), employment history, criminal history records, court records, and credit records. This signed application authorizes Modern Living Real Estate to process this application and obtain applicant's credit and background reports. Applicant acknowledges that information herein constitutes grounds for rejection of this application, termination of the right of occupancy, and/or forfeiture of fees and deposits, and may constitute fraud under the Laws of the State of Florida. The undersigned warrants and represents the information on this application to be true and correct. All persons or firms named may freely give any requested information concerning me and I hereby waive all right of action for any consequences resulting from such action. All application fees paid in the submission of this application are non-refundable.


Primary Applicant Signature


Spouse Signature


Payment Details


Billing Address


Payment Method