Real Estate Properties Application

REAL ESTATE PROPERTIES APPLICATION

Property Identification

Property Address:   Unit #:

Application Type

Applicant Entity: Individual Joint Applicants Business Entity

Applicant Information

Date of Birth:   Social Security Number:

Move-in Date:   Monthly Rent/Mortgage: $

Employment and Income

Position:   Supervisor:   Phone:

Rental History

Have you ever been evicted or served with an unlawful detainer? Yes No

References

Vehicles / Pets

Vehicle 1: Make/Model Plate:

Do you have pets? Yes No

Disclosures and Background

Has the applicant ever been convicted of a felony or misdemeanor? Yes No

Have you filed for bankruptcy in the past seven (7) years? Yes No

Lead-Based Paint Disclosure (if residence built prior to 1978): Yes No

Application Fees and Holding Deposit

Applicant acknowledges payment of an application processing fee which is non-refundable to cover the cost of credit and background screening and administrative handling. Receipt of fee does not obligate the Owner or Agent to lease the property. Applicant further acknowledges that a separate holding deposit, if accepted, may be forfeited if Applicant withdraws or defaults on an accepted provisional lease agreement.

Authorization and Certification

Certification: I certify that the information provided in this application is true, complete and correct to the best of my knowledge. I understand that false or omitted information may constitute grounds for rejection of the application or termination of any tenancy. I agree to notify Owner or Agent in writing of any material changes to the information provided.

Authorization: I authorize Owner, Agent, and their agents to obtain consumer reports, credit reports, rental history and criminal background reports as necessary to evaluate this application. I authorize any employer, landlord, creditor, or government agency to release information relevant to this application. I release all parties from liability for providing such information in good faith.

Compliance: Owner and Agent will comply with applicable laws concerning screening, privacy, and nondiscrimination. Nothing in this application obligates Owner or Agent to execute a lease. Acceptance of this application is subject to verification and approval by Owner or Agent.

Governing Law; Entire Agreement

This Application, together with any attachments and releases executed in connection with it, constitutes the entire agreement between Applicant and Owner/Agent with respect to the subject matter herein and shall be governed by the laws of the state in which the subject property is located. Any provision determined invalid shall not affect remaining provisions.

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