Rental/credit Application (Page 3 of 3) in pdf

Rental/credit Application Page 3

DISCLOSURE

I, the undersigned, understand that________is the leasing agent and representative for the

Owner/Landlord and that the leasing agent’s fees will be paid by the owner/landlord. The

undersigned acknowledge that this written notice is received prior to the undersigned receiving a

lease agreement.

RADON GAS – Notice to Prospective Tenant: Radon is a naturally occurring radioactive gas

that, when it has accumulated in a building in sufficient quantities, may present health risks to

persons who are exposed to it over time. Levels of radon that exceed federal and state guidelines

have been found in buildings in this state. Additional information regarding radon testing may be

obtained from your county public health unit.

I / We Declare the foregoing information is true and correct, and I/We hereby authorize you to

conduct an employment and credit check and to verify our references.

_______________________________________

________________________________

Applicant’s Signature

Co-Applicant’s Signature

Date

FORMS - RENTAL-CREDIT APPLICATION FORM

Rental/credit Application Page 3