Real Estate Application

REAL ESTATE APPLICATION

Property Identification

Applicant Information

Date of Birth:

Length of Residency:   Monthly Rent/Mortgage:

Occupancy & Use

Intended Move-in Date:

Pets: Yes No

Smoking Allowed: Yes No

Employment and Income

Employer Phone:   Job Title:

Rental History

References & Emergency Contact

Vehicles

Background & Screening Disclosures

Have you ever been evicted or asked to vacate a property? Yes No

Have you been convicted of a felony or misdemeanor that is pertinent to tenancy? Yes No

Have you filed bankruptcy within the last seven years? Yes No

Lead-Based Paint & Material Disclosures

Is the subject property known to contain lead-based paint or lead-based hazards? Yes No Unknown

Application Fee, Screening and Deposit

Screening Fee (nonrefundable): $   Security Deposit Requested: $

I acknowledge that payment of the screening fee is for processing the application and is not a deposit toward rent or security unless expressly stated in writing. Screening fee is nonrefundable except as required by law.

Authorization & Certification

By signing below, Applicant certifies that all information provided in this application is true and complete. Applicant authorizes verification of credit history, rental history, employment, income, criminal background, eviction history, and any other information necessary to process this application. Applicant releases from liability any person or entity providing information to the Landlord or its agents. Applicant acknowledges that false statements may constitute grounds for denial of this application or immediate termination of tenancy if discovered after occupancy.

Applicant understands that submission of this application does not create a tenancy or obligation to lease and that any approval is conditioned upon verification and acceptance of all required documents and funds.

Additional Declarations

Do you require a co-signer or guarantor? Yes No

Acknowledgement of Policies

Applicant acknowledges receipt of any required disclosures and understands the Landlord's policies regarding criminal history, prior evictions, and debt to prior landlords. Applicant agrees to provide government-issued identification and proof of income upon request.

Sign Now