Housing Dwelling Application

HOUSING DWELLING APPLICATION

This application is submitted to evaluate the applicant for tenancy in the dwelling identified below. Applicant understands that submission of this application does not constitute approval of tenancy or a promise of occupancy. Applicant authorizes verification of all information supplied and consents to background, credit, criminal and rental history checks as described in this application.

Property and Lease Information

Desired Lease Start Date:    Desired Lease Term (months):    Proposed Monthly Rent: $

Applicant Information

Date of Birth:    Phone:    Email:

Current Landlord/Manager:    Phone:

Occupancy From:    To:    Monthly Rent: $

Employment and Income

Employer Address:

Position:    Supervisor:    Phone:

Gross Monthly Income: $    Additional Income (source & amount):

Previous Rental History

Previous Landlord:    Phone:

Previous Landlord:    Phone:

Occupants, Vehicles & Pets

Vehicles (make/model/color/license):

Do you have pets? If yes, list:

References

Background Information

Have you been evicted or had a judgment for unpaid rent within the last seven years?

Have you ever been convicted of a felony? If yes, provide explanation below:

Fees, Payment, and Application Processing

Application Fee: $ (acknowledge non-refundable)

Holding Deposit (if required): $    Refundable:

Consent, Certification and Release

By signing below, Applicant certifies that all information provided in this application is true and complete to the best of Applicant's knowledge. Applicant authorizes the owner, manager, agent or their designees to obtain consumer and investigative reports, including credit reports, criminal history, eviction records and rental reference checks, and to contact employers, landlords and references for the purpose of evaluating this application. Applicant releases all parties providing information from liability for doing so in good faith.

Applicant consents to electronic processing of this application and acknowledges that fraudulent, misleading or omitted information may be grounds for denial of tenancy or termination of tenancy if already granted.

I authorize verification: Applicant Name:

Confidentiality and Governing Law

Information collected on this application will be used only for tenant screening and related housing purposes and will be handled in a commercially reasonable manner to protect confidentiality. Applicant understands that information may be retained in electronic or paper form.

Governing Law: This application and any resulting tenancy are governed by the laws of the jurisdiction where the property is located. Governing State/Jurisdiction:

Entire Agreement: Applicant acknowledges that this application, when approved and accompanied by a signed lease, and any attachments incorporated by reference, will constitute the entire agreement between parties regarding occupancy of the dwelling and supersedes prior negotiations and representations.

Additional Information

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