Residency Application Form

Residency Application Form

WHEREAS, the Applicant seeks consideration for occupancy of residential premises owned or managed by the Property Representative; and

WHEREAS, the Property Representative requires standard application information, screening authorizations, and payment of applicable fees in order to evaluate the Applicant's suitability for residency;

WHEREAS, submission of this form creates a binding authorization for investigation and does not by itself constitute a lease, but may form part of the parties' agreement governing occupancy if accepted and executed by both parties.

Applicant Information

Date of Birth:

Residential History

Landlord Phone:    Duration at Address: From to

Employment and Income

References

Scope of Residency (Scope of Work)

The intended occupancy consists of residential use only. The applicant requests approval to occupy the premises identified by the Property Representative for the purpose of primary residence, subject to the terms that will be contained in any subsequent lease or occupancy agreement.

Payment Terms

Applicant agrees to pay the following non-refundable application fee and, if selected, any required deposits pursuant to the schedule below.

Late payments assessed after any acceptance of tenancy shall incur a late fee of or whichever is greater.

Term and Termination

This application, if accepted, shall identify the proposed lease start date and term. Until a lease is executed, either party may withdraw their offer in writing. If accepted, the proposed lease term is:

Proposed Lease Start:

Proposed Lease End:

Confidentiality

All personal information provided in this application will be used by the Property Representative solely for the purposes of evaluation, tenant screening, and lease administration. The Property Representative shall take commercially reasonable measures to protect applicant data from unauthorized disclosure, except as required by law or to complete screening (including credit, criminal, and rental history checks).

Authorizations and Certifications

By checking the consent box and signing below, Applicant certifies that the information provided in this application is true, complete, and accurate to the best of Applicant's knowledge. Applicant authorizes the Property Representative to obtain consumer reports, credit history, employment verification, rental history, and criminal background checks as necessary to evaluate this application.

  I consent to background, credit, and reference checks as described above.

Governing Law; Entire Agreement

This application and any resulting lease shall be governed by and construed in accordance with the laws of the jurisdiction in which the subject premises are located. This document constitutes the entire agreement between Applicant and the Property Representative with respect to the application process and supersedes all prior communications and representations, whether oral or written, except as set forth in any subsequently executed lease agreement.

Applicant acknowledges that submission of false or misleading information is grounds for denial of this application and may constitute grounds for eviction if discovered after occupancy.

Attachments

  Government-issued photo ID      Pay stubs / proof of income      Reference letters      Other (describe below)

Certification

I certify under penalty of perjury that the foregoing is true and correct. I understand that acceptance of this application is contingent upon satisfactory verification of the information provided and completion of required checks and payments.

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