House Rental Application Form (Page 3 of 3) in pdf

CREDIT/CRIMINAL: I hereby consent to allow Property Owner and/or its designated agents and employees, to obtain a consumer credit report and criminal

record information for the purpose of determining whether to lease a house to me. I also agree and understand that Owner and/or its agents and

employees may obtain additional consumer credit reports and criminal record reports on me in the future to update or review my account. Upon my

request, Owner and/or its agents or employees will tell me whether consumer credit reports or criminal record reports were requested and the names and

addresses of any consumer reporting agency that provided such reports.

INSURANCE: Neither the Owner nor its designated agents or representatives carry insurance on the personal property of residents or other occupants. It

is recommended that residents obtain insurance coverage.

APPLICATION FEE (nonrefundable). The application fee delivered by Applicant(s) to the Owner and/or its designated agent or representative in the

amount indicated below is to defray the cost of administrative paperwork and is nonrefundable.

APPLICATION DEPOSIT (may or may not be refundable). In addition to the application fee, Applicant(s) has delivered to the Owner or its designated

agent or representative an application deposit in the amount indicated below. The application deposit is not a security deposit. However, it will be

credited toward the required security deposit when the contemplated House or Townhouse Lease Contract has been signed by all parties; OR it will be

refunded if Applicant or any Co-Applicant is disapproved; OR it will be retained as liquidated damages if: 1) Applicant or any Co-Applicant is notified of

approval and fails to sign the contemplated House or Townhouse Lease Contract within 24 hours of having received notification of approval from Owner

or its agents or employees, or 2) decides not to rent the house for any reason after approval.

RECEIPT. Application fee (nonrefundable):

$ 20.00

Application deposit (may or may not be refundable): $_______________

Total of above application fee and application deposit: $______________

MANAGER AND STAFF REPRESENT OWNER: Applicant(s) agree and understand that the Manager and all staff and employees of Owner

represent the Owner exclusively in the house application and leasing process. Applicant(s) further understand that they may, at their own

expense, select an agent or agents to represent them in the house application and leasing process.

VERIFICATION: I represent that all of the information in this House Rental Application is true and accurate to the best of my knowledge, and I acknowledge

that Owner and its agents or representatives will rely on this information in considering this application. All persons and/or firms named above may freely

give any requested information concerning me, and I hereby waive all right of action for any consequence resulting from such information. In the event

that any of the foregoing information is discovered to be false, I waive any rights that I may have under applicable law to notice or the establishment of

grounds for eviction and grant Owner or its agents or representatives the unconditional right to cancel my lease and immediately cause my eviction

without prior notice or the establishment of grounds for eviction.

_____________________________________________________________

LINDSEY MANAGEMENT CO., INC., Agent

Applicant

Date

_____________________________________________________________

_____________________________________________

Applicant

Date

CERTIFICATION: For the purpose of allowing Owner or Owner’s Agent or Representative to evaluate my application and determine my suitability as a

resident, I hereby certify that neither I nor any potential occupants of my home have ever been charged with or convicted of a felony or any crime