Rental Occupant Application

RENTAL OCCUPANT APPLICATION

Property Address:    Unit #:

Desired Move-In Date:    Monthly Rent Ability: $

Applicant Information

Date of Birth:    SSN (Last 4 digits acceptable):

Current Address

Occupants to Reside

Employment & Income

References

Vehicle Information

Pets

Do you have pets? Yes No

Criminal History & Evictions

Have you ever been convicted of a felony or misdemeanor involving theft, sexual misconduct, drugs or violence? Yes No

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

Disclosures

Is the property known to have lead-based paint or hazards? Yes No

Has the dwelling had documented mold or water intrusion issues? Yes No

Smoking allowed in unit? Yes No

Authorization & Certification

I certify that the information provided in this application is true, complete and correct to the best of my knowledge. I understand that knowingly providing false information is grounds for rejection of this application or termination of any subsequent lease. I authorize the landlord, property manager and their agents to obtain consumer reports, criminal background checks, rental history, employment verification and other information necessary to evaluate this application. I release from liability any person or entity providing such information. I further acknowledge that the landlord may retain this application whether or not the application is approved.

Application Fee Acknowledgment: I understand that any application processing fee paid is non-refundable to the extent permitted by law. I understand that approval is subject to verification of all information provided and is not binding until a written rental agreement is executed by all parties.

Consent to Background / Credit Check: Applicant consents

Emergency Contact

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