Rental Application (Page 2 of 2) in pdf

How did you hear about Townside? Newspaper___ Friend___

Apt. Guide__ OCH Office___ Internet ____ Other _________

Most listened to radio station ______________ Most read newspaper_____________

Serious medical information in case of an emergency __________________________________________________

In case of an emergency, please notify _____________________ Address _________________________________

City __________________________ State __________ Zip ___________ Phone # ________________________

Relationship to Applicant _____________________, Work phone # ____________________________________

Are you potentially interested in buying? Yes ____ No ___ If so, are you currently working with a sales agent? Yes ___ No ___

If yes, name and agency?

*****GUARANTOR/LEASE INFORMATION******

ANY LEASE WILL BE CONTINGENT UPON VERIFICATION OF REQUIRED INCOME, A

SATISFACTORY CREDIT RATING, AND/OR A SATISFACTORY LANDLORD REFERENCE.

THIS APPLIES TO EACH INDIVIDUAL LESSEE AND EACH GUARANTOR, WHERE

APPLICABLE. WAIVER OF ANY LEASE REQUIREMENT OR ACCEPTANCE OF AN

ADDITIONAL SECURITY DEPOSIT, WHICH IS EQUIVALENT TO ONE FULL MONTHS RENT

(NOT JUST THEIR/YOUR PORTION) IS AT THE SOLE DISCRETION OF THE LANDLORD.

***GUARANTOR IS REQUIRED FOR EACH UNMARRIED APPLICANT OR ANY MARRIED COUPLE APPLICANT

WHOSE INCOME DOES NOT EQUAL THREE TIMES THE TOTAL MONTHLY RENT***

Name of Guarantor (parent or guardian) _______________________________Relationship to Applicant __________________

Guarantor’s address ______________________________________________ City____________________________________

State __________________________ Zip ____________ Guarantor’s phone number _________________________________

FAX # __________________________________________ E-MAIL _____________________________________________

I hereby state and represent that the information provided by me in this application is complete and accurate. I authorize you to verify

any and all information contained in this application and to inquire into my academic certification, character, general reputation,

personal characteristics and mode of living, and I release all concerned from any liability in connection with any information they give.

By my signature, I certify that I am not currently using or selling illegal drugs or substances. I acknowledge and agree that in the event I

enter into a lease with the owner that lease may be cancelled by the owner in the event any information provided by me in this

application is materially inaccurate or incomplete. I understand that the policies and regulations are adopted for the benefit of all

residents and proper operation of the property and I agree that my residency will be subject to them. Upon signing of this application,

applicant understands the property has been removed from the rental market. If approved, this application becomes part of the lease

agreement even in the event a lease is not signed. Should applicant fail to execute a lease agreement, Townside may make all

appropriate deductions from the deposit to recover the Lessor’s damages and expenses.

__________________________________________________________________________________________________________

Applicants should exercise whatever due diligence they deem necessary with respect to information on any sexual offenders

registered under Chapter 23(19.2-387 et seq.) of title 19.2 Code of Virginia; whether the owner proceeds under subdivision 1 or 2 of

subsection A of 55-519. Such information may be obtained by contacting the local police department or the Department of State Police

Criminal Records Exchange at (804) 674-2000 or the website address or

Megans-Law.asp

__________________________________________________________________________________________________________

AGENCY DISCLOSURE: THE UNDERSIGNED DO HEREBY ACKNOWLEDGE DISCLOSURE THAT THE LICENSEE,

TOWNSIDE PROPERTY MGMT, INC REPRESENTS THE LANDLORD (OWNER) IN RENTAL ACTIVITIES. THE LICENSEE

WILL NOT ACT AS A TENANT’S AGENT OR AS A DISCLOSED DUAL AGENT OR DESIGNATED AGENT REPRESENTING

BOTH LANDLORD AND TENANT. IN SALES ACTIVITIES, THE LICENSEE DOES PRACTICE DUAL AND DESIGNATED

REPRESENTATION FOR SELLERS AND BUYERS.

__________________________________________________________________________________________________________

A $35.00 NON-REFUNDABLE FEE TO COVER ADMINISTRATIVE COST MUST ACCOMPANY APPLICATION.

SIGNATURE__________________________________________________________________________________________

DATE________________________________________________________________________________________________

Rental Application Page 2

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