Parkside Studios - Rental Application (Page 3 of 3) in pdf

ALL occupants(s) under 18 and relationship to applicant(s)

Name ____________________Relationship____________Birthdate______/____/ __Social Security or ITIN _____/____/_____

ALL APPLICANTS

Has any applicant been convicted of a felony?

Yes

No If yes, type of felony ________________________________

Has any applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years?

Yes

If yes, please explain ______________________________________________________________________________________

Emergency Information - Person to Notify:_____________________ Phone (___)___________ Relationship _______________

Address _______________________________________________________________________________________________________

Emergency Information - Person to Notify:__________________ Phone (___)___________ Relationship __________________

Address ________________________________________________________________________________________________

If your household is selected to rent a unit at Parkside, the unit shall be occupied only by the person(s) named in this application.

Applicant(s) represent(s) the above information to be true, correct, and complete and hereby authorize(s) verification of the information

provided, including obtaining credit report(s), UD report(s), and criminal background report(s) at the cost of a nonrefundable $ 30.00 fee to

be paid by applicant(s). Applicant(s) understand(s) and agree(s) that the landlord may disqualify applicant and/or terminate any rental

agreement entered into for any misrepresentation made above.

_______________

___________________________

___________________

____________________

Date

Applicant 1 Signature

Phone (day)

Phone (Evening)