Application To Rent Template Page 5

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Application to Rent
Application Receipt
Applicant Copy
THIS SECTION TO BE COMPLETED BY AGENT
Applicant has deposited the sum of $
as a non-refundable good faith deposit
on the Premises. The deposit is evidenced by a personal check, payable to _______________.
If deposit is in cash, deposit shall be
held in Broker’s Trust Account or
given to Owner.
The executed lease or rental agreement will require additional sums to be paid, as security
deposit, rent or for other purposes. If the Application to Rent is approved, the deposited sums
shall be applied to the total sums due upon execution of a lease or rental agreement. If the
Application to Rent is not approved, the deposit shall be returned to the Applicant.
In addition or separately, Applicant has paid $
as screening fee to be applied
to the credit report and other out-of-pocket expenses incurred for processing
credit
report(s).
The undersigned has read the foregoing and acknowledges receipt of a copy.
___________________________________________________________
Applicant, date
The undersigned has received the deposit and/or screening fee indicated above.
___________________________________________________________
Agent, date
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