Guarantor Application Form Page 3

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THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL, TAX OR OTHER COUNSEL BEFORE
SIGNING.
375 E. Horsetooth Road, Suite 3-100
Fort Collins, CO 80525
(970) 221-2323 Fax (970) 221-5310
Guarantor: ______________________________________ SS#: _________________________ DOB: _______________
Contact: Home ____________________ Cell _____________________ Email _________________________________
Address: __________________________________ City ________________________ State ________ Zip ___________
Employment: ___________________________________________ Monthly Income: ____________________________
Other Income: (Please Explain) _______________________________________________________________________
GUARANTOR AGREEMENT: I have examined the information I have provided on this application and hereby agree that all the
questions I have answered are true to the best of my knowledge. I understand and agree that this application is subject to approval by
Agent based primarily on the information I have supplied on this application. I hereby waive any claim for damages if my application
is not accepted. On behalf of the owner and any assignees, I hereby authorize Agent to obtain a current credit bureau report, and to call
or write any of my references for verification that the statements are true and accurate I also authorize Agent to make further credit
inquiries in regard to continued creditworthiness and collection of unpaid rent or damages to the premises. Your credit report may be
shared with principle owner(s) and assignees. This application will be attached and made part of the lease agreement.
AGENCY DISCLOSURE: Mountain-n-Plains, Inc., hereinafter known as Agent, is a licensed Real Estate Agency in the State of
Colorado and Charlie Koons, CPM is the current managing broker. Agent is managing and or leasing the property as Agent for the
owner and is not the agent of the Resident. Any leasing and/or management fees due Agent for this transaction will be paid by the
Owner and not by the Resident. Agent owes duties to the Owner, which includes good faith, loyalty, and fidelity and will negotiate on
behalf and act as an advocate for the Owner. Agent shall disclose to Resident all adverse material facts about the property actually
known by us (subject to the limitations of section 38-35.5 – 101, C.R.S.). Applicant should not tell Agent any information which
applicant does not want shared with the Owner. Resident shall not be vicariously liable for Agent’s acts when Agent acts as Agent of
the Owner. (Vicarious liability is a principal’s liability for the acts of an agent when the agent is acting within the scope of the Agent’s
employment.)
Any faxed documents with signatures pertaining to the lease, accepted in good faith, shall be considered original
signatures.
Guarantor Signature ______________________________________________ Date ______________________
3
This document has not been approved by the Colorado Real Estate Commission

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