Rental Application Form (Page 2 of 2) in pdf

HAVE YOU OR CO-APPLICANT EVER Been sued for non-payment of Rent?

Yes

Been evicted or asked to move out?

Yes

Broken a Rental Agreement or Lease?

Yes

Sued or Damaged a Rental Property?

Yes

Declared Bankruptcy ?

Yes

Please give any additional information that might help management evaluate your application?

___________________________________________________________________________________________________________________________________________

How did you hear about our property? ____________________________________________________________________________________________________________

If management has any questions about you application, please give phone Numbers where you can be located:

Day Phone:______________________________________________________ Night Phone:_________________________________________________________________

In case of Emergency, Notify:___________________________________________ Relationship_____________________________________________________________

Full Address_________________________________________________________________________________________________________________________________

Home Address:__________________________________________________________________________ Work Phone:__________________________________________

I hereby apply to lease the above described premises for the term and upon the conditions above set forth and agree that the rental is to be payable the___________ day of

each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true;

however, should any statement made above be a misrepresentation or not a true statement of facts, $___________ of the deposit will be retained to offset the agent’s cost,

time, and effort in processing my application.

I hereby deposit $_________________ as earnest money to be refunded to me if this application is not accepted within ___________ business banking days. Upon

acceptance of this application, this deposit shall be retained as part of the security deposit. When so approved and accepted I agree to execute a lease for_________________

months before possession is given and to pay the balance of the security deposit within _____________business banking days after being notified of acceptance, or the

deposit will be forfeited as liquidated damages in payment for the agent’s time and effort in processing my inquiry and application, including making necessary investigation

of my credit, character, and reputation. If this application in not approved and accepted by the owner or agent, the deposit will be refunded, the applicant thereby waiving any

claim for damages by reason of non-acceptance.

I AUTHORIZE YOU TO CONTACT PREVIOUS LANDLORD(S), CREDIT AND PERSONAL REFERENCES THAT I HAVE GIVEN IN THIS APPLICATION. I

ALSO AUTHORIZE MANAGEMENT TO OBTAIN ALL RELEVANT REPORTS INCLUDING CRIMINAL AND CONSUMER CREDIT REPORT.

Signature of Applicant________________________________________________________________________ Date Signed _____________/_____________/___________

Signature of Co-Applicant_____________________________________________________________________ Date Signed ____________/_____________/____________

APPLICANT : PLEASE DO NOT WRITE BELOW

PAYMENT OF $_________________________RECEIVED BY (NAME) _________________________________________________ DATE_______________________

THIS APPLICATION FORM RECEIVED BY (NAME) ________________________________________________________________ DATE_______________________

REFERENCE VERIFICATION NAME

REFERENCE COMMENTS

Comments:

___________________________________________________________________________________________________________________________________________

THIS APPLICATION

APPROVED

NOT APPROVED

BY___________________________________________Title______________________________________ Date ______________________________________________

If not approved, specify reason(s) _______________________________________________________________________________________________________________

Applicant Notified By (Name)______________________________________________________ Date Notified _______________________________________________

Notified by:

LETTER (Attach Copy)

FORM

TELEPHONE

FAX

IN PERSON

Rental Application Form Page 2

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