Fillable North Dakota Lease Application (Page 2 of 2) in pdf

SE CT ION C - P ERSONAL AND/OR CREDIT RE FERE NCES - INCLUDE PAST AN D PREVIOUS

LANDLORD

NAME

ADDRESS

PHONE NUMBER

YRS KNOWN/

RELATIONSHIP

Present Landlord

Previous Landlord

Applicant:

C0-Applicant:

1. Have you ever filed bankruptcy?

1.qYes qNo

2. Have you ever been convicted of or plead guilty or no contest to a felony?

2.qYes qNo

3. In the last ten years, have you been arrested, convicted of or plead guilty or no contest to a

3.qYes qNo

charge of possessing, dealing or manufacturing illegal drugs?

4. Have you ever been evicted, whether or not a court proceeding was necessary to evict you?

4.qYes qNo

5. Are you currently registered, or have you ever been required to register as a sex offender?

5.qYes qNo

6. Do you have or plan on allowing pets in the apartment unit?

6.qYes qNo

Name of nearest relative not living with you:

Telephone:

Relationship:

Address:

Automobile Make, Model & Year:

License #:

State:

Are you the co-maker and/or guarantor of any loan or contract? q Yes q No If Yes, to whom

Are there any unsatisfied judgments or liens against you? q Yes q No If Yes, to whom

Other obligations - (i.e. liability to pay alimony, child support, separate maintenance) Use separate sheet if necessary:

ACKNOW LEGEM ENT AND AGREEM ENT

Applicant agrees to submit a non-refundable application fee of $

Applicant agrees to submit a security deposit of $

. Applicant acknowledges and agrees that the security deposit will

only be refunded to applicant if Applicant does not meet the rental selection criteria of

Applicant hereby authorizes

to obtain any information it deems necessary for the purpose of evaluating this

application, including without limitation credit history, criminal history, civil information, rental history, employment history, income verification, vehicle records,

licensing records, information from public agencies, and/or any other information relevant to this application. Applicant understands that subsequent consumer

reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with

the rental or lease of a residence for which application was made. Applicant hereby releases

and any pro

or furnisher of information from any liability in the use, procurement, or furnishing of such information, and understands that the application information

contained herein may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies.

Applicant represents and warrants that all of the above information and statements are correct and complete, and agrees that the information may be used by

in determining whether to lease to Applicant. Applicant agrees that Applicant has no right to occupy an apart

unit until and unless this application is approved, a lease is signed and Applicant has made any necessary initial payments. Applicant understands that

any misrepresentation on this application may be cause for lease termination and/or non-acceptance of this application.

All persons will be treated fairly and equally without regard to race, creed, ancestry, color, religion, gender, familial status, disability, national origin,

age, marital status, sexual orientation, or public assistance status in compliance with the Fair Housing Act and all other applicable state law. Print

name of Applicant

Signature

Applicant:

Date:

CO-Applicant:

Date:

North Dakota Lease Application Page 2

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