Fillable Duke Barrington Rental Application (Page 2 of 5) in pdf

RELEASE AND ACKNOWLEDGEMENT

I certify the information provided in my rental application is complete and accurate to the best of my knowledge. I

authorize the individuals, companies and agencies concerned to provide Intrepid Professional Group and/or its

agents with all information necessary to verify the statements I have made in this application and I release them

from any liability for so doing. I understand I must receive satisfactory references before an offer for housing or an

acceptance of my application for housing can be made. I understand that incomplete or unsigned applications will

not be considered and that false, incomplete or misleading statements are grounds for the immediate termination

of my lease or denial of my application.

I understand these policies cannot be changed except in writing.

authorize Intrepid Professional Group and/or its affiliates and representatives to inquire into my character, general

reputation, personal characteristics and mode of living, at any time and for any reason including but not limited to:

Previous Employers

Credit History

State and County Criminal Conviction Records for any State and County in which I may have resided

Drivers History

Previous Landlords

Personal References

I expressly authorize all personnel, schools, companies, corporations, credit bureaus and law enforcement agencies

to supply any and all information concerning my qualifications for the housing applied for and the information given

by me herein. In consideration for being considered for housing, I release Intrepid Professional Group and/or its

affiliates and representatives, as well as any individual or entity providing information, from any and all liability in

connection with any inquiries and investigations made, information they may supply any decisions made or action

taken concerning my application based on such information. I understand that any offer for housing from Intrepid

Professional Group and/or its affiliates and/or representatives is based upon my successful completion of a

background check including both criminal and credit history.

I understand that an offer of housing with Intrepid Professional Group and/or its affiliates and representatives is

subject to my ability to establish eligibility under the Immigration Reform and Control Act as it may be amended

and upon my satisfactory completion of a background investigation.

I authorize Intrepid Professional Group and/or its agents to confirm all statements contained in this application and

to the extent permitted by federal, state or local law. I agree to complete any requisite authorization forms for the

background investigation.

I authorize and consent to, without reservation, any party or agency contacted by Intrepid Professional Group to

furnish any information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state or

local law, any party delivering information to Intrepid Professional Group and/or its duly authorized representative

pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result

of the delivery or disclosure of the above requested information.

I hereby release from liability Intrepid

Professional Group and/or its representative for seeking such information and all other persons, corporations, or

organizations furnishing such information.

I CERTIFY THAT ALL THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE,

ACCURATE AND COMPLETE TO THE BEST OF MY ABILITY.

______________________________

_____________________________

______

Signature

Print Name

Date

We pledge not to discriminate against any applicant based on their race, color, sex, age, religion, national origin,

familial status or handicap.

Equal Opportunity Employer

TDD#: 1-800-649-3777

Duke Barrington Rental Application Page 2

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