Residential Lease Request

RESIDENTIAL LEASE REQUEST

Applicant Name:   Phone:   Email:

Current Address:

Property Identification

Unit/Apartment #:   Parcel / APN #:

Requested Lease Terms

Desired Move-In Date:   Lease Start Date:   Lease End Date:

Lease Term (months):   Proposed Monthly Rent: $   Security Deposit Proposed: $

  I request permission to keep pets at the property. If checked, describe below.

Proposed Pet Deposit: $   Number of Parking Spaces Requested:

Occupants & Use

Number of Occupants:

Financial and Rental History

Position:   Monthly Gross Income: $

Background & Disclosures

 Have you ever been evicted? If yes, provide details below.

 Have you been convicted of a crime that would be relevant to tenancy? If yes, provide details below.

 Have you filed for bankruptcy in the past seven years? If yes, provide details below.

 Have you caused material damage to a rental property? If yes, provide details below.

 I authorize landlord or agent to obtain consumer reports, criminal background checks, rental history and employment verification for the purpose of evaluating this request. I understand that approval is conditioned on satisfactory results.

 I acknowledge any required application fee is non-refundable and required to process this request where applicable.

Maintenance, Alterations & Utilities

Applicant requests the following alterations or special accommodations (structures, fixtures, or other modifications). No alterations may be made without prior written landlord approval:

 I acknowledge routine tenant responsibilities (cleaning, minor maintenance, timely reporting of defects) and that major repairs are the landlord's responsibility unless caused by tenant negligence.

Legal Certifications and Conditions

By signing below, Applicant certifies that all information provided in this Residential Lease Request is true, complete and accurate to the best of Applicant's knowledge. Applicant understands that any material misrepresentation may be grounds for denial of the request or subsequent termination of any lease. Applicant authorizes verification of all statements and understands submission of this request does not create a binding lease unless and until a written lease agreement is executed by both landlord and tenant.

Acceptance of this request, if any, will be conditioned upon: (a) approval of background and credit checks; (b) execution of a formal lease; (c) receipt of any required deposits and fees; and (d) any additional terms specified by landlord. Applicant acknowledges landlord may require renter's insurance and reserves the right to deny or condition approval based on lawful criteria.

Governing Law: This request and any resulting lease shall be governed by the laws of the state where the property is located. Severability: If any provision is held invalid, remaining provisions remain in effect. Remedies: Landlord's remedies for default include those provided by statute and common law.

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