Real Estate NW App

REAL ESTATE NW APPLICATION

Property Identification

Property Address:

Unit/Apartment #:    Desired Move-In Date:

Applicant Information

Date of Birth:    Phone:    Email:

Length of Residency:    Landlord/Manager:    Landlord Phone:

Co-Applicant / Other Occupants

Employment and Income

Employer Address:

Position/Title:    Supervisor:    Phone:

Rental History

Dates of Tenancy:    Reason for Leaving:

References

Relationship:    Phone:    Years Known:

Vehicles, Pets, and Property Use

Vehicles (make/model/license):

Pets? Yes    No    If yes, describe:

Smoking in Unit? Yes    No

Disclosures and Condition

Has the property been constructed prior to 1978? Yes    No

Known prior water or mold damage to residence being applied for? Yes    No

Screening Authorization and Fees

Application Fee (non-refundable):    Screening Consent: I authorize Real Estate NW and its agents to obtain credit, criminal, eviction, and landlord verification reports and to contact references for purposes of evaluating this application. I understand the application fee is non-refundable for processing and screening.

Applicant initial to confirm consent:

False Information, Withholding, and Denial

Applicant certifies all information provided is true and complete. Applicant acknowledges that falsification, omission, or withholding of information may be grounds for denial of the application, forfeiture of any deposited funds, and eviction should tenancy commence. Applicant further acknowledges landlord may rely on the representations contained herein.

Privacy and Data Retention

By signing below, applicant authorizes collection and use of personal information provided for screening and tenant selection processes. Applicant acknowledges information will be retained in accordance with landlord's record retention practices for screening and compliance purposes.

Governing Law and Entire Agreement

This application is governed by the laws of the state in which the property is located. Applicant acknowledges this application, together with any holding deposit agreement executed separately, constitutes the entire agreement between the parties with respect to the application process and supersedes all prior representations and agreements, whether oral or written.

Additional Information

Relationship:    Phone:

Certification and Authorization

By signing below, I certify under penalty of perjury that the foregoing statements are true and correct, and I authorize verification of the information contained in this application including background, credit, employment, income, and rental history checks. I release from liability any person or entity providing information in good faith to Real Estate NW and its agents in connection with my application.

Sign Now