Applicant Name:                                                                             Birthdate:                                                     Social Security Number:

__________________________________________________________________________________________________________________________

Applicant Name:                                                                              Birthdate:                                                     Social Security Number:

_________________________________________________________________________________________________________________________

Present Address:                                                                              Present Phone Number (s):                                Email Address

__________________________________________________________________________________________________________________________

Landlord (Name and Number):

_________________________________________________________________________________________________________________________

 Present Employer (Name, Address & Phone Number):

________________________________________________________________________________________________________________________

Emergency Contact (Name & Phone Number):

________________________________________________________________________________________________________________________

Childrent (Names & Ages):

________________________________________________________________________________________________________________________

Pets (Breed and size):

________________________________________________________________________________________________________________________

Automobiles (Make & Model):

________________________________________________________________________________________________________________________

Have you or any occupants ever been arrested for, convicted of, put on probation for, or had adjudication withheld or deferred for a felony offense? 

                                     YES                                      NO                                

If Yes, please explain: ________________________________________________________________________________________________   

Have you ever had an eviction filed against you?

                                                      YES                                                           NO

If   Yes, please explain:  ____________________________________________________________________________________________________        

 

Applicant represents that all of the statements and representations are true and complete, and hereby, authorizes verification of the above information, references and credit records. Applicant understands that an investigative consumer report including information about character, credit history, general reputation, personal characteristics, mode of living, and all public record information including criminal records may be made. Applicant agrees that false, misleading or misrepresented information may result in the application being rejected, will void a lease/rental agreement if any and/or be grounds for immediate eviction with loss of all deposits and any other penalties as provided by the lease terms if any.  Applicant authorizes verification of all information by the Landlord and or Management Company.  Applicant has the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation. NON REFUNDABLE APPLICATION FEE--Applicant(s) has paid to Landlord and/or Management company herewith the sum of   $50.00    as a NON REFUNDABLE APPLICATION FEE for costs, expenses and fees in processing the application. APARTMENT DEPOSIT AGREEMENT -- If applicant is approved by Landlord and/or Management and the lease is entered into and possession of the apartment is taken the “APARTMENT DEPOSIT” shall be applied toward the security/damage deposit.  If applicant is approved, but fails to enter into the lease within 3 days of verbal and/or written approval and/or take possession after lease signing, the FULL “APARTMENT DEPOSIT” shall be forfeited to the Landlord or Management in addition to any penalties as provided in the lease if the lease has been signed by the applicant.  The “APARTMENT DEPOSIT” shall be refunded only if applicant is not approved.  Keys will be furnished only after lease and other rental documents have been properly executed by all parties and only after applicable rentals and security deposits have been paid.  This application is preliminary only, in no way implies that a particular rental unit shall be available and in no way obligates Landlord or Management to execute a lease or deliver possession of the proposed premises.

 

I HAVE READ AND AGREE TO THE PROVISIONS AS STATED

 

___________________________________________________________________________________________________________________________

Applicant Signature                                                                                                                            Date

 

___________________________________________________________________________________________________________________________

Applicant Signature                                                                                                                            Date

 

 

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