Real Estate Application with Requirements

REAL ESTATE APPLICATION WITH REQUIREMENTS

Property Identification

Property Address:   Unit:

Parcel / APN:

Applicant Information

Date of Birth:   Phone:   Email:

Move-in Date:   Monthly Rent: $

Employment and Income

Employer Phone:   Position:   Start Date:

Rental History (Previous)

Previous Landlord:   Phone:   Rent: $

Personal References

Relationship:   Phone:

Vehicle Information

License Plate:   State:

Pets, Smoking, and Special Circumstances

Pets: Yes   No

Smoking: Allowed   Not Allowed

Criminal and Eviction History

Have you ever been convicted of a felony or misdemeanor? Yes   No

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

Application Fee and Holding Deposit

Application Fee Amount: $   Fee Paid:

Applicant acknowledges that the application fee is required to process screening and is non-refundable except where prohibited by law. If a holding deposit is accepted, applicant understands specific terms governing refunds and forfeiture will be set in writing at the time of deposit.

Consent, Authorization and Certification

By submitting this application, Applicant certifies that all information provided is true, complete, and accurate to the best of Applicant's knowledge. Applicant authorizes verification of income, employment, rental history, criminal background checks, credit reports, and any other screening necessary to evaluate this application. Applicant further authorizes landlords, employers, personal references, and credit bureaus to release information requested for this purpose.

Applicant understands that any material misrepresentation or omission may be grounds for denial of this application or for later termination of tenancy. Applicant releases and holds harmless the landlord, property manager, and their agents from liability for conducting such investigations and from any claims arising from the disclosure of information in accordance with this authorization.

Consent to Screening and Release: I authorize background and credit screening as described above.

Disclosures and Notices

Lead-Based Paint / Hazard: Applicable for pre-1978 housing. Applicant hereby acknowledges receipt of any applicable notices regarding lead-based paint hazards and understands that additional disclosures may be provided for older properties.

Mold, Structural Defects and Material Damage: Applicant acknowledges that obvious defects observed during a viewing were noted and that further disclosures, if any, will be made prior to execution of a lease. Applicant is advised to inspect the property to their satisfaction prior to lease.

Certification

I certify under penalty of perjury that the foregoing statements are true and correct. I understand that this is only an application and does not obligate the landlord to lease the property to me. Acceptance of this application by the landlord is contingent upon satisfactory screening and approval. Any approval may be conditioned on additional requirements, deposits, or execution of a lease containing standard and special terms.

Sign Now