Residential Lease Application

RESIDENTIAL LEASE APPLICATION

Application Date:    Property Applied For:

Requested Lease Terms

Applicant Information

Date of Birth:    Social Security No.:

Length at Current Address:    Monthly Rent/Mortgage:

Employment and Income

Position:    Start Date:

References

Household, Vehicles & Pets

Rental & Background History

Have you ever been evicted? Yes No

Have you been convicted of a felony or misdemeanor affecting rental suitability? Yes No

Property Disclosures

Does the dwelling contain lead-based paint or lead hazards? Yes No

Has the property had water intrusion, mold remediation, or prior structural damage? Yes No

Applicant Authorization, Certification and Release

I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that false, misleading, or omitted information may be grounds for denial of the application or termination of any tenancy based on this application. I authorize the landlord, property manager, or their agents to verify all information provided, including credit reports, criminal background, rental history, employment and income verification, and references.

I authorize and consent to the release of information by current and former employers, landlords, credit bureaus, and law enforcement agencies in response to inquiries in connection with this application. I release all parties from liability for providing truthful information. I understand that a separate non-refundable application fee and screening fee may be required to process this application and that acceptance of this application is contingent upon satisfactory screening results and execution of a lease agreement.

By signing below I represent that I have read, understand, and agree to the statements set forth above and acknowledge that management may terminate any lease entered into if any information provided herein is later discovered to be materially false.

Sign Now