Manassas Meadows Rental Application (Page 2 of 3) in pdf

PLEASE LIST YOUR BANK AND CREDIT REFERENCES

YOUR BANKS

CITY-STATE

BRANCH

TYPE OF ACCT

1.______________________________________________________________________________________________________

2.______________________________________________________________________________________________________

CREDIT REFERENCES

City-State

1.______________________________________________________________________________________________________

2.______________________________________________________________________________________________________

Your Driver’s License

Number_______________________________________________________State______________________________________

Your Vehicle Make/Model__________________________________Year_________Tag #_____________State_____________

Second Vehicle Make/Model________________________________ Year________ Tag #_____________ State_____________

HAVE YOU EVER:

Filed for Bankruptcy?

______No

______Yes

Been Evicted from Tenancy?

______No

______Yes

Willfully or intentionally refused to pay rent when due? ______No

______Yes

Been involved in a Foreclosure action? ______No ______Yes

Please give any additional information which might help management evaluate this application:

__________________________________________________________________________________________

If Management has any questions about this application, please give PHONE NUMBERS where you can be located:

Day Phone(s)_____________________________________Night Phone(s)___________________________________________

Application is hereby made to rent apartment #_______ at ______________________________________________ under a lease for

___________ beginning on the _____ day of ______________ 20_____ for a monthly rental of $_____________ which shall be paid

IN ADVANCE, without deduction or demand, ON THE FIRST DAY OF EACH MONTH.

This application is made by the Applicant subject to approval or disapproval by the management of Manass Meadows Apartments.

At the time of making this application, the Applicant has paid a Security Deposit of $__________. Upon approval of this application

by the management, the Applicant has the following obligations:

To execute a written Lease Agreement for a term of ______________for said premises after notification of approval

by management.

To pay the first month’s rent or Pro-rated rent of $__________ prior to taking possession of the apartment.

To take possession of the apartment on _____________________________________________________.

In the event management disapproves this application, it is agreed that the entire Security Deposit will be returned to the Applicant.

In the event the management approves this application, but the Applicant subsequently withdraws, or the Applicant subsequently fails or

refuses to perform all the obligations listed above, it is agreed that an amount equal to loss of rent until such property can be re-rented

shall be retained.

Upon approval of the application by the management and the execution of the written Lease Agreement entered into between the

Applicant, as Lessee, and the management as Lessor, this application becomes a part of the Lease Agreement.

It is understood and agreed that the information set forth by the Applicant in this application constitutes a material basis and inducement

for the management to approve the application and enter into a written Lease Agreement with the Applicant. Therefore, it is understood

and agreed that if the Applicant gives any untrue or incorrect information in this application or omits any material information, such

untrue or incorrect information or omission shall be deemed to be a breach of the written right by the management as Lessor, at its

option, to cancel the Lease Agreement and to repossess the leased premises in the manner provided by Virginia Law.

Manassas Meadows Associates, its employees and agents are hereby authorized to run any consumer report and make such inquiries

as they deem necessary to verify the accuracy of the information set forth in this Rental Application.

Signature of Applicant______________________________________________________ Date _______________________________

************************************************************************************************************

This application

____ Approved ____ Not Approved

By______________________________________________________

Applicant Notified By _______________________________________________________ Date Notified_______________________

EQUAL HOUSING OPPORTUNITY

Manassas Meadows Rental Application Page 2

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