Real Estate Application Package

REAL ESTATE APPLICATION PACKAGE

PROPERTY IDENTIFICATION

Property Address:

APPLICANT INFORMATION

CO-APPLICANT / OCCUPANTS

Co-Applicant Name:   Relation:

FINANCIAL AND EMPLOYMENT

RENTAL / RESIDENCY DETAILS

Desired Move-In Date:   Monthly Rent Offered: $

REFERENCES AND EMERGENCY CONTACTS

DISCLOSURES / AUTHORIZATIONS

Lead-Based Paint: Yes No

Mold / Water Damage History: Yes No

Prior Evictions or Unlawful Detainer Proceedings: Yes No

I hereby authorize the landlord, its agents, and screening providers to obtain consumer and investigative consumer reports, credit reports, criminal history, rental history, employment verification, and other screening information necessary to evaluate this application. This authorization remains effective for any renewal or extension of tenancy. I acknowledge that a separate fee may be charged for such screening and that fees are non-refundable unless otherwise required by law.

I certify under penalty of perjury that the information provided in this application is true and complete. I understand that any material misrepresentation or omission is grounds for denial of tenancy or, if tenancy has commenced, termination and eviction. I agree that the landlord may rely on any information collected in evaluating this application.

Applicant understands and agrees that acceptance of this application and any holding deposit is subject to verification of all information and approval by the landlord. Holding deposits are applied toward the security deposit or first month's rent upon lease execution and may be retained by the landlord as liquidated damages if applicant withdraws or does not execute a lease within the agreed time, except where prohibited by law.

PRIVACY AND FAIR HOUSING

Information provided in this application is collected for the purpose of tenant screening and property management. The landlord will protect applicant information in accordance with applicable law. The landlord complies with all federal, state, and local fair housing laws and will not discriminate on the basis of race, color, religion, sex, familial status, national origin, disability, or any other protected characteristic.

ADDITIONAL INFORMATION

ATTACHMENTS CHECKLIST

Please attach the following with this application: Proof of income (pay stubs or bank statements), government-issued photo ID, and any additional documentation requested by landlord.

Attachments Included: Photo ID Income Proof Other

CERTIFICATION

By signing below, I certify that the statements contained in this application are true and correct to the best of my knowledge. I authorize verification of the statements herein and release any parties supplying information from liability for damages caused by furnishing such information. I understand that any false statements may constitute grounds for denial of this application or subsequent termination of tenancy.

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