Fillable Application To Rent Form (Page 3 of 3) in pdf

SIGNATURES AND RELEASE OF INFORMATION

Please read the following prior to signing this Rental Application.

I warrant that the information supplied is true and correct, and that I am at least 18 years of age.

I am aware that the background reports I consent to may include information obtained from a variety of sources,

including but not limited to government agencies, national credit reporting agencies, and other sources. I am aware that if

I choose, I may obtain a complete disclosure of the nature and scope of any report prepared about me if I make a written

request within a reasonable time after I execute this authorization.

I also authorize and request every person, firm, company, corporation, governmental agency, court, law

enforcement office, and any other entity having control or possession of any information pertaining to me or my

background.

By this authorization, I hereby forever release, discharge, exonerate, hold harmless and indemnify Lessor,

and their affiliates, employees, representatives, agents, and subcontractors, and any other person, entity,

organization or institution furnishing information to them, from any and all liabilities of every nature and kind, including but

not limited to claims for libel, slander invasion of privacy, related tort claims, misuse of the information obtained, and any

other claim or cause of action arising out of the furnishing, inspection or copying of any documents, files, records, and

other information, or the investigation made by or on behalf of Lessor or Attacca Realty, unless such release is

determined to violate the public policy of the state or federal district in which this contract is executed, and in that event

this release will be permitted to the maximum extent allowed by the governing law. I understand that a photocopy,

facsimile or scanned copy of this signed document shall be considered as valid as an original.

I have been informed that my credit will be used to evaluate my qualifications as a potential tenant. Any

information derived from credit reports or other sources will be kept confidential and not revealed to any outside party.

I hereby acknowledge that false information given in this Rental Application may constitute grounds for rejection

of this application and/or termination of my lease.

I hereby acknowledge that incomplete Rental Applications will be rejected.

I authorize listed references, including employers and financial institutions, to release information to

Lessor (Landlord) and

I, the undersigned Applicant(s), have read and agree to all provisions of this Rental Application.

Signature: __________________________________________

Printed Name: ____________________________________ Date: ________________________

Application To Rent Form Page 3