Pay Holding Deposit

Please enter the information on this form to pay a Holding Deposit equal to one month's rent.

Please make sure you have spoken to a rental agent beforehand to ensure the apartment is still available, and that your application is approved or pending.

First name and M.I.*
Last name*
Organization
Current Address*
Current Address 2
Current City*
Current State*
Current Zip*
Country
Email*
Amount*
Port Property Mgt Apartment Address and Unit Number*
Electronic Signature
I/We do hereby certify that the information on this application is correct and complete to the best of my knowledge. I/We do hereby authorize Port Property Management, any of its staff and/or an authorized representative to contact any prior employers, companies, credit bureaus, law enforcement agencies and/or consumer reporting bureaus, including but not limited to Real Page, Inc. I understand that the $25 application fee is non-refundable. I authorize and consent to the permanent recording and retention by RealPage, Inc. of this application. However, this application and the information herein may only be re-published and released upon my subsequent written or electronic authorization and only to a third party I specifically designate. I release and hold Real Page, Inc. harmless from any and all liability for said acts provided these conditions are met.
I/We agree to make a deposit of one (1) month's rent.Should I/We decide NOT to rent the aforementioned apartment within twenty-four (24) hours of the verbal approval of this application, the deposit may take up to two (2) weeks to be refunded. Should I/We decide NOT to rent the aforementioned apartment AFTER twenty-four (24) hours of verbal approval of an application, the deposit will be held as a security deposit to cover any rent lost incurred due to PPM taking the apartment off the rental market I/We understand that at the time of lease signing, the first month’s rent and security deposit will be due. In the event that Port Property Management rejects the application(s), I/We understand that the deposit will be returned, but any and all fees are non-refundable.
I agree to the above*
Yes  
Payment Information
Credit Card Number*
Expiration Date* /
Card (CVV) Code*

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