Rental Application

A SEPARATE APPLICATION TO RENT IS REQUIRED FOR EACH OCCUPANT 18 YEARS OF AGE OR OVER.
Rental Address
City
State
Zip
Rent Rate $
Deposit $
Starting Date

Personal Information

Property to be occupied by:
# of Adults
#of Children
Do you have Pets?
 Yes NO
How many?
Do you Smoke?
 Yes No
Have you ever: Filed for bankruptcy?
 Yes NO
Been sued?
 Yes NO
Been evicted?
 Yes NO
Been convicted of a crime?
 Yes NO

Residence History

Present Address
Address
City
State
Zip
How long?
Months
Years
Status
 Rent Own
Phone #
Monthly Payment
Previous Residence Address
Address
City
State
Zip
Previous Landlord
Phone
How long?
Monthly Payment
EMPLOYMENT AND INCOME HISTORY

ADDITIONAL INCOME: Additional Income such as child support, alimony, or separate maintenance need not be disclosed unless such Additional Income is to be included for qualification hereunder.

Source:
Amount of $
per

Vehicle Information

Number of Vehicles on Property [numberVehicles step:15]
Do you have any recreational vehicles, vans, boats, motorcycles? If so specify:
CREDIT AND LOAN REFERENCE
Loans & Charge Accounts including Department Stores, Credit Cards, etc.

Bank References

Physician Address
In Case of Emergency, Call
Relationship

Applicant hereby authorizes verification of any and all information set forth on this Application, including release of information by any bank or savings and loan, credit reporting agencies, employer (present and former) and any Lender. Applicant hereby specifically authorizes Management to perform a credit check and criminal background check to verify information on this Application. All such information hereon, and released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentations on the Application will constitute a default under the Lease or Rental Agreement between the parties. CREDIT CHECK CHARGE - Applicant has submitted the sum of $which is nonrefundable payment for a credit check and processing charge, receipt of which is acknowledged by Management. Such sum is not a rental payment or deposit amount. In the event this application is approved or disapproved, this sum will be retained by Management to cover the cost of processing application as furnished by applicant. This application must be signed before it can be processed by Management. GOOD FAITH DEPOSITS - I hereby deposit $ with Management as a good faith deposit in connection with this rental application. If my application is accepted, I understand this deposit can be applied toward payment of my security deposit of $ when I take possession of the rental unit. If for any reason Management decides to decline my application, the Management will refund this good faith deposit to me in full. I understand I may cancel this application by written notice within 72 hours and receive a full refund of this good faith deposit within 30 days of the cancellation. If I cancel after 72 hours or refuse to occupy the premises on the agreed upon date, I understand this good faith deposit will be held until Management can determine if it has incurred any expenses or rent loss due to my cancellation. These costs will be deducted from this good faith deposit and the balance will be refunded to me.

Applicant's Signature Applicant's Signature
RELEASE OF GOOD FAITH DEPOSIT - I authorize Management to release my good faith deposit of $ on rental unit and apply it towards a security deposit of
$.


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