Cottage Rental Application

COTTAGE RENTAL APPLICATION

Application Date:

WHEREAS

WHEREAS, Owner Name: represents ownership of the cottage identified below; and

WHEREAS, Applicant seeks to obtain occupancy of the cottage located at Address: for the rental period requested; and

WHEREAS, Owner requires completion of this application and authorization to verify the information supplied before granting occupancy.

APPLICANT INFORMATION

PROPERTY & OCCUPANCY

Cottage Requested:    Rental Start:    Rental End:

Pets: Yes    Specifics (breed/weight):

Smoking on Premises: Applicant requests permission to smoke on premises

SCOPE OF TENANCY / INTENDED USE

EMPLOYMENT & INCOME

REFERENCES & EMERGENCY CONTACT

VEHICLE INFORMATION

CRIMINAL HISTORY & BACKGROUND CHECK

Have you ever been convicted of a crime? Yes

Applicant hereby authorizes Owner and Owner's agents to obtain consumer reports, credit history, rental history, employment verification, and background checks to evaluate this application. Applicant acknowledges that such reports may be obtained from third-party screening providers.

Consent to background and credit check: I authorize screening.

PAYMENT TERMS

Monthly Rent: $    Security Deposit: $

Payment Schedule:

Late Fee: (assessed for payments received after due date)

Returned Check Fee: $

TERM AND TERMINATION

Proposed Lease Start Date:    Proposed Lease End Date:

Notice Period for Termination by Either Party:

CONFIDENTIALITY / DATA USE

Owner will use applicant information solely for evaluation of tenancy and compliance with applicable law. Owner will limit dissemination of sensitive personal information except to obtain required tenant screening reports, to enforce lease terms, or as required by law.

GOVERNING LAW & ENTIRE AGREEMENT

This application and any subsequent lease shall be governed by the laws of the state in which the cottage is located. Applicant acknowledges that this application, when accepted by Owner in writing, and any incorporated screening disclosures and lease, shall constitute the entire agreement between the parties with respect to tenancy and supersede prior communications.

ACKNOWLEDGMENTS & AUTHORIZATION

I certify that the information provided in this application is true and complete. I understand that false statements or omissions are grounds for denial of this application or termination of tenancy. I authorize Owner to verify all information provided, to obtain consumer reports, and to contact references and employers as necessary to evaluate this application.

Applicant Initials:

ADDITIONAL INFORMATION

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