Real Estate Applications

REAL ESTATE APPLICATION (RESIDENTIAL RENTAL)

Property Address: Unit #: APN / Parcel #:

Legal Property Description

Applicant Information

Date of Birth: Social Security Number:

Residence Type: Monthly Rent/Mortgage: Length of Residency:

Previous Residence (If less than 3 years at current)

Landlord/Manager Name: Phone:

Employment and Income

Employer Address:

Position/Title: Supervisor:

Monthly Gross Income: Length of Employment:

Additional Sources of Income

References

Occupants, Pets & Vehicles

Do you have pets? Yes No

Rental History / Evictions

Have you ever been evicted? Yes No

Have you ever filed for bankruptcy? Yes No

Criminal History & Sex Offender Registry

Have you ever been convicted of a felony or misdemeanor other than a traffic violation? Yes No

Are you listed on any sex offender registry? Yes No

Application Fee & Screening Consent

Non-refundable Application Fee:

Applicant hereby authorizes Owner/Agent and any authorized screening bureau to obtain credit, criminal, eviction, and public records information for purposes of tenancy qualification. Applicant acknowledges that submission of this application and payment of the application fee does not create a tenancy or obligate Owner/Agent to execute a lease.

Consent to screening (check to consent):

Disclosures

Lead-Based Paint (for dwellings built before 1978): Yes No

Known mold or water intrusion: Yes No

Acknowledgements, Certifications and Release

Applicant certifies that all information provided in this application is true and complete. Applicant understands that Owner/Agent may verify any information provided and may request additional documentation. Applicant authorizes employers, landlords, and references to release information to Owner/Agent. Applicant releases such parties from liability for furnishing information to Owner/Agent consistent with this authorization.

Applicant acknowledges that falsification, material omission, or misrepresentation of information on this application may constitute grounds for denial of tenancy or immediate termination of any lease entered into based on this application.

Applicant agrees that, if approved, any security deposit, rent, or other payments will be handled pursuant to the lease terms and applicable law. Applicant understands that approval is conditioned on verification of all information and acceptance by Owner/Agent in their sole discretion.

Governing Law: This application and any resulting tenancy shall be governed by the laws of the state in which the property is located. This application, together with any attachments and verifications, constitutes the entire agreement between Applicant and Owner/Agent regarding the application process.

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