Residential Rental Application Form Page 2

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Other Income to Consider
AMOUNT
SOURCE
CONTACT PHONE
$
$
$
$
Automobile
VEHICLE 1
YEAR
MAKE
MODEL
COLOR
LICENSE TAG
STATE
COUNTY
VEHICLE 2
YEAR
MAKE
MODEL
COLOR
LICENSE TAG
STATE
COUNTY
Mandatory Screening Questions
HAVE ANY OF THE APPLICANTS EVER BEEN CONVICTED OF A FELONY OR MAJOR MISDEMEANOR?
HAVE ANY OF THE APPLICANTS EVER BEEN EVICTED FOR NON-PAYMENT OF RENT?
HAVE ANY OF THE APPLICANTS EVER FILED BANKRUPTCY, OR CURRENTLY IN THE PROCESS OF FILING BANKRUPTCY?
PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT MAY BE HELPFUL WHEN EVALUATING YOUR APPLICATION
EACH APPLICANT MUST ATTACH A COPY OF THEIR DRIVER’S LICENSE OR STATE ISSUED IDENTIFICATION TO THIS APPLICATION, IN ORDER FOR IT TO BE PROCESSED
COPY OF PHOTO ID
COPY OF PAYSTUB(S)
AUTHORIZATION TO RELEASE CONSUMER INFORMATION
Each person eighteen (18) years of age or older must complete and sign an application. If a co-signer is necessary, the co-signer must also complete and sign an application, or
guarantor form. Non-refundable processing fee (per applicant) will be collected with this application, in order to process the consumer reports on each applicant. Holding Deposits
are accepted, in some cases, and are applied to the security deposit when approved applicant signs a lease. If the applicant is not approved, the "deposit" is refunded. The
"deposit" is nonrefundable if the applicant is approved and chooses not to rent the property. Please completely fill in your application. If you do not, we will not be able to process
the application successfully. Tenancy will be denied if any information is misrepresented on this application. If misrepresentations are found after the rental agreement is signed,
your rental agreement will be terminated immediately, and you will be asked to leave the property. We verify your current and past employment, your current and past rental and
eviction history, run a full credit report, and review all criminal records within the last 20 years on a nationwide scale. All applicants are processed without regard to race, color,
religion, sex, handicap, familiar status or national origin. This is to advise that I, the undersigned, hereby authorize Resident Research, LLC, acting as the landlord's designated
screening organization for the above-referenced rental property, to obtain a consumer credit report from any or all 3 credit bureaus, conduct a nationwide criminal records search,
a nationwide eviction search, residence verification(s), and employment verification(s) to determine eligibility for tenancy and assessing credit worthiness. I certify that all
statements I have made on this document are true, correct and complete. I authorize a verification of all statements made by me, including but may not be limited to credit
history, criminal background, eviction history, current & former landlords, as well as current and former employers. I release from all liability or responsibility all persons,
companies and corporations conducting such verifications, or supplying information for such verifications. I understand that typing my name in the Electronic Signature of Rental
Application section below, and my Social Security Number in the same section below, and clicking on the “Submit” submission link below, constitutes my electronic signature,
dated as of when I click on the "Submit" button, and that by doing so:
Applicant’s Authorization
I AUTHORIZE MW PROPERTIES OF NC, INC. &/OR IT’S AGENT(S) TO CONDUCT THE BACKGROUND CHECK(S) LISTED ABOVE
I AM PROVIDING MY CONSENT TO USE ELECTRONIC MEANS TO SIGN THIS FORM
FULL NAME
CONTACT PHONE
LAST 4 DIGITS OF SS#
Co-Applicant’s Authorization
I AUTHORIZE MW PROPERTIES OF NC, INC. &/OR IT’S AGENT(S) TO CONDUCT THE BACKGROUND CHECK(S) LISTED ABOVE
I AM PROVIDING MY CONSENT TO USE ELECTRONIC MEANS TO SIGN THIS FORM
FULL NAME
CONTACT PHONE
LAST 4 DIGITS OF SS#
Page 2 of 2 Revised 5/26/11

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