Residential Lease Application Form

Residential Lease Application Form

Property Identification

Unit/Apartment #:   Requested Move-In Date:

Applicant Information

Telephone:   Email:

Co-Applicant / Additional Occupants

Proposed Lease Terms & Financial Information

Desired Lease Term:   Monthly Rent Offered: $

Willing to pay security deposit of: $   Able to pay move-in funds on approval: Yes   No

Rental History (Current and Previous)

Current Rent Amount: $   Landlord Phone:

Employment & Income

Position:   Supervisor:

Monthly Gross Income: $   Employer Phone:

References / Emergency Contact

Reference Phone:

Disclosures

Is the property constructed prior to 1978 (may indicate lead-based paint risk)? Yes   No

Any prior mold, flooding, structural damage or unresolved material damage at applicant's current or prior residence? Yes   No

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

Have you ever been convicted of a felony? Yes   No

Pets / Smoking / Vehicles

Do you intend to keep pets on premises? Yes   No

Smoking inside unit? Yes   No

Background, Credit & Verification Authorization

I hereby certify that the information in this application is true and complete to the best of my knowledge. I authorize verification of all information provided, including credit reports, criminal background, eviction history, employment, and rental history. I understand that providing false or misleading information is grounds for denial of this application or for termination of any subsequent tenancy.

By signing below, I authorize the owner/manager and their agents to obtain consumer reports and to contact current and former employers, landlords, and references to verify information and obtain relevant information. I release all parties from liability for providing such information in good faith.

Applicant acknowledges that the application fee is non-refundable except where prohibited by law. Approval is contingent upon satisfactory screening results and receipt of required move-in funds. This application is not a lease or an offer of tenancy until executed by the owner/manager.

Identification and Documentation

Certifications and Signature

Certification: I certify under penalty of perjury that the foregoing statements are true and complete. I understand that false statements may subject me to penalties under applicable law and may result in denial of this application or termination of tenancy. I agree to provide documentation to substantiate income or identity upon request.

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