Real Estate Unit Application

REAL ESTATE UNIT APPLICATION

PROPERTY IDENTIFICATION

Unit Number:    Desired Move-In Date:

APPLICANT INFORMATION

Date of Birth:    Social Security Number:

CURRENT RESIDENCE

Landlord / Manager Name:   Landlord Phone:

Monthly Rent / Mortgage:   Duration at Address:

EMPLOYMENT & INCOME

Employer Phone:   Position/Title:

RENTAL HISTORY (PREVIOUS)

Previous Landlord:   Phone:

OCCUPANTS, PETS & VEHICLES

Pets Present: Yes    No

REFERENCES / EMERGENCY CONTACT

BACKGROUND & DISCLOSURES

Have you ever been evicted or had a prior landlord obtain a judgment against you?    Yes    No

Have you been convicted of a felony or misdemeanor involving theft, violence, or drugs within the last seven years?    Yes    No

Does any occupant smoke tobacco or use cannabis inside the unit?    Yes    No

LEAD-BASED PAINT / OTHER DISCLOSURES

Is this building known to have been built before 1978?    Yes    No

Prior water, mold, structural or fire damage known to applicant?    Yes    No

APPLICATION TERMS & AUTHORIZATION

Application Fee: Applicant acknowledges payment of an application screening fee in the amount of which is non-refundable except as required by law.

By signing below, applicant certifies that all information provided in this application is true, complete, and correct. Applicant authorizes verification of credit, criminal, eviction, employment, income, rental history and other consumer reports as reasonably necessary to evaluate this application. Applicant releases current and prior landlords, employers and references from liability for furnishing such information.

Applicant understands that acceptance of this application is conditioned upon verification of the information provided and compliance with all screening criteria. Landlord or manager may require additional documentation (proof of income, photo identification). Applicant further understands that false statements are grounds for denial of the application or subsequent termination of tenancy and may subject applicant to civil or criminal penalties under applicable law.

PRIVACY & LIMITATION OF LIABILITY

Applicant acknowledges receipt of a copy of any required privacy or consumer disclosure where applicable, and consents to electronic communication regarding this application. Property manager and owner shall not be liable for loss of employment or inconvenience arising from delays in processing this application, provided reasonable efforts are made to process information in a timely manner.

Sign Now