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Aplication form

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Lease Application Fee. Applicant has paid Landlord a non-refundable Lease Application Fee of $70.00 to process this rental application, determine Tenant’s credit worthiness to lease the Property and conduct a background investigation of the applicant.
Authorization to Do Credit and Background Check. Applicant hereby authorizes Landlord and Landlord’s authorized agents to do whatever background and credit check on Applicant Landlord or Landlord’s agents deem appropriate. This may include among other things obtaining one or more credit reports on Applicant. Such credit report(s) may be obtained before and during the term of the Lease and after the expiration or termination of the Lease as part of any effort to collect rent, costs, fees and charges owing under such Lease. Applicant acknowledges that merely requesting such reports may lower Applicant’s credit score and Applicant expressly consents to the same.
Use of Information. The information in this application or obtained as a result of the authorization given herein by Applicant will not be sold or distributed to others. However, Landlord and Landlord’s agents may use such information to decide whether to lease the Property to Applicant and for all other purposes relative to any future lease agreement between the parties including the enforcement thereof.
Application Does Not Create a Lease. This application, even if accepted, shall under no circumstances be considered a lease agreement between Applicant and Landlord or an offer to lease. No lease shall exist between Applicant and Landlord unless and until the parties enter into a formal Lease Agreement and Applicant pays all required fees, deposits and advance rent.
Warranty of Applicant. Applicant hereby warrants that the information supplied above is complete and accurate and that the breach of this warranty by Applicant may result in the termination of any Lease entered into with Applicant by Landlord.
Commitment to Equal Housing. Landlord and Landlord’s agents are committed to providing equal housing opportunities to all rental applicants regardless of race, color, religion, national origin, sex, handicap or familial status.
Reason for Denial. If this Application is denied, Landlord or Landlord’s agent shall within ten (10) days thereafter and upon the written request of applicant, state the basis for said denial to Applicant.

Name

Driver’s License #

Date of birth

SSN

Phone

Current address

City

State

ZIP Code

Own or Rent

Monthly payment or rent

How long?

Landlord Name

Phone

Reason for leaving

Previous address

City

State

ZIP Code

Own or Rent

Monthly payment or rent

How long?

Landlord Name

Phone

Reason for leaving?

sex offender?

If so, what state?

Current employer:

Employer address:

How long?

Employ Phone:

Employ Email

Employ Fax

Employ city

Employ State:

Employ ZIP Code:

Employ Position:

Employ Type of contract:

Employ Annual income:

Name of a person not residing with you:

Emergency adress:

Emergency City:

Emergency State:

Emergency ZIP Code:

Emergency Phone:

Emergency Relationship:

Co- Applicant Name:

Co- Applicant Date of birth:

Co- Applicant SSN:

Co- Applicant Phone:

Co- Applicant Current address:

Co- Applicant City:

Co- Applicant State:

Co- Applicant ZIP Code:

Co- Applicant Own or Rent

Co- Applicant Monthly payment or rent:

Co- Applicant How long?

Co- Applicant Previous address:

Co- Applicant Previous City:

Co- Applicant Previous State:

Co- Applicant Previous ZIP Code:

Co- Applicant previous Own or Rent

Co- Applicant Previous Monthly payment or rent:

Co- Applicant Previous How long?

Co- applicant Current employer:

Co- applicant Employer address:

Co- applicant How long?

Co- applicant Employ Phone:

Co- applicant Employ E-mail:

Co- applicant Employ Fax:

Co- applicant Employ City:

Co- applicant Employ State:

Co- applicant Employ ZIP Code:

Co- applicant Employ Position:

Co- applicant Employ Type of contract:

Co- applicant Employ Annual income:

Reference #1 Name:

Reference #1 Address:

Reference #1 Phone:

Reference #2 Name:

Reference #2 Address:

Reference #2 Phone:

Reference #3 Name:

Reference #3 Address:

Reference #3 Phone:

Acceptance

I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application.

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