Residential Lease Application Form Page 3
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4Residential Lease Application concerning
Privacy Policy: Landlord’s agent or property manager maintains a privacy policy that is available upon
request.
Fees: Applicant submits a non-refundable fee of $
for processing and reviewing this application and
(check only one box if applicable):
(1) $
to be applied to the security deposit upon execution of a lease or returned to
Applicant if a lease is not executed.
(2) an Application Deposit of $
in accordance with the attached Agreement for Application
Deposit and Hold on Property (TAR No. 2009 or similar agreement).
Acknowledgement & Representation:
(1) Signing this application indicates that Applicant has had the opportunity to review Landlord’s tenant
selection criteria, which is available upon request. The tenant selection criteria may include factors
such as criminal history, credit history, current income and rental history.
(2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of
this application and forfeiture of any application fee and may be grounds to declare Applicant in breach
of any lease the Applicant may sign.
(3) Applicant represents that the statements in this application are true and complete.
Applicant’s Signature
Date
For Landlord’s Use:
On
,
(name/initials) notified
Applicant
by
phone
mail
e-mail
fax
in person
that Applicant was
approved
not approved. Reason for disapproval:
(TAR-2003) 10-16-07
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