Residential Information Questionnaire

Residential Information Questionnaire

RECITALS

WHEREAS: Resident Name: (the "Resident") is applying to occupy or continue occupancy of the residential premises identified below; and

WHEREAS: Property Manager/Owner: (the "Manager") manages the premises and requires a completed questionnaire to evaluate eligibility, verify information, and maintain records.

NOW, THEREFORE, in consideration of the Manager's review and potential continuing occupancy, the Resident submits the following information and authorizations for the Manager's evaluation and records.

PROPERTY IDENTIFICATION

SCOPE OF SERVICES / PURPOSE

Purpose: The information collected herein will be used to determine residency eligibility, to administer the lease or occupancy arrangement, and to maintain contact and emergency records. Provide any relevant scope details below.

RESIDENT CONTACT INFORMATION

HOUSEHOLD AND OCCUPANCY

Number of occupants (including Resident):    Adults:    Minors:

EMPLOYMENT AND INCOME

RENTAL HISTORY

Dates of tenancy: From to

VEHICLES / PETS

EMERGENCY CONTACT

REFERENCES

BACKGROUND DECLARATIONS

Have you ever been evicted or required to vacate for nonpayment or material lease violation? Yes No

Have you ever been convicted of a felony or misdemeanor involving crimes against persons or property? Yes No

AUTHORIZATION & CONSENT

By signing below the Resident authorizes the Manager and its agents to verify all provided information, including but not limited to credit reports, employment, income, rental history, criminal records, and references. The Resident further agrees that any information discovered that materially misrepresents eligibility may constitute grounds for denial of application or termination of tenancy.

Authorization to Contact Employers and References: I authorize

PAYMENT TERMS

Monthly Rent Amount: $

Payment Schedule:

Late Fee (if applicable): $ assessed after past due date.

TERM AND TERMINATION

Term Commencement Date:    Term Expiration Date:

Notice Period for Termination (prior written notice by either party):

CONFIDENTIALITY

All personal information provided by the Resident is confidential and will be used only for legitimate business purposes related to tenancy and property management. The Manager will not disclose such information except as required by law, to verify information through third-party vendors, or with Resident's express written consent.

GOVERNING LAW

This questionnaire, any resulting lease, and the use and verification of information disclosed herein shall be governed by and construed in accordance with the laws of the state in which the premises are located.

ENTIRE AGREEMENT

This document constitutes the entire Questionnaire and authorization between the Resident and the Manager with respect to the matters herein and supersedes all prior oral or written statements. Any modification must be in writing and signed by both the Resident and the Manager.

ADDITIONAL INFORMATION

RESIDENT ATTESTATION

I attest that the information provided in this Residential Information Questionnaire is true and complete to the best of my knowledge. I understand that false statements or material omissions may be grounds for denial of application or termination of tenancy. I authorize the Manager and its representatives to verify any information provided herein and to obtain consumer and tenant screening reports where permitted by law.

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