HAVE
Y OU
O R
A NY
H OUSEHOLD
M EMBER
E VER:
Been
a rrested
o r
c harged
o r
c onvicted
o f
a
c rime?
YES
NO
Been
E victed
o r
r efused
t o
p ay
r ent?
Y ES
NO
Filed
f or
B ankruptcy?
Y ES
N O
Been
c onvicted
o f
o r
p leaded
g uilty
o r
n o
c ontest
i nvolving
s exual
m isconduct?
YES
NO
Have
a ny
p ending
o r
u nresolved
c ourt
m atters
( other
t han
t raffic
o ffenses)?
Y ES
NO
If
y es
t o
a ny,
p lease
e xplain
a nd
i nclude
d ates,
s tates
a nd
c ounties:
PERSONAL
R EFERENCE:
EMERGENCY
C ONTACT:
Name
Phone
Name
Phone
The
f oregoing
i nformation
i s
s upplied
t o
_ ___________________________
t o
i nduce
t hem
t o
r ent
t o
m e
a nd
i s
t rue
a nd
c orrect
i n
a ll
r espects.
I
a uthorize
whatever
c redit
i nvestigation
_ ___________________________
c onsiders
a ppropriate.
I
u nderstand
t his
m ay
i nclude
c urrent
a nd
p revious
c redit
h istory,
p ast
o r
present
e mployment
i nformation,
p ast
o r
p resent
r ental
h istory,
p ast
o r
p resent
c riminal
h istory
o r
a ny
o ther
b ackground
i nformation
r equested.
I
u nderstand
t hat
I
w ill
n eed
t o
p ay
t he
a pplication
f ees
w ith
t his
a pplication
a nd
t hat
t hese
f ees
a re
N ON
R EFUNDABLE.
I f
I
p rovide
a
d eposit
t o
h old
a
u nit
a nd
my
a pplication
i s
n ot
a ccepted,
m y
d eposit
w ould
b e
r eturned.
I f
m y
a pplication
i s
a ccepted
a nd
I
c hoose
n ot
t o
m ove
i n,
t hen
m y
d eposit
i s
N OT
R EFUNDABLE.
I
understand
t hat
o nce
m y
a pplication
i s
a ccepted
a nd
a ny
p ortion
o f
t he
d eposit
i s
p aid,
t he
d eposit
i s
N ON
R EFUNDABLE
i f
I
d ecide
n ot
t o
s ign
t he
r ental
agreement.
I
u nderstand
t hat
_ ___________________________
w ill
o nly
“ hold”
a
p roperty
f or
u p
t o
1 0
d ays
f rom
t he
d ate
o f
m y
a pproval
o nly
i f
I
h ave
submitted
t he
d eposit.
I
u nderstand
t hat
r ent
w ill
b e
d ue
a nd
p ayable
n o
l ater
t han
1 0
d ays
a fter
I
h ave
b een
a pproved.
I
u nderstand
t hat
a s
a
r epresentative
o f
the
p roperty
o wner,
_ ___________________________
m ust
a ct
i n
t heir
b est
i nterests
a nd
w ill
c hoose
t he
b est
a pplication
i f
m ore
t han
o ne
g roup
h as
a pplied.
Signature
b elow
a cknowledges
I
h ave
r ead
a nd
u nderstand
t he
r ental
p olicies.
X
Signature
o f
A pplicant
Date