Residential Rental Home Application

RESIDENTIAL RENTAL HOME APPLICATION

Property Address:   Unit/Apartment #:

Parcel / APN #:   Desired Move-In Date:

Applicant Information

Co-Applicant / Occupant (if any)

Rental History (Current and Previous)

Employment and Income

References & Emergency Contact

Vehicles, Pets & Occupants

Pets: Yes   No

Number of Occupants (including applicant):

Smoking on Premises: Yes   No

Background, Criminal & Eviction History

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

Have you ever been convicted of a felony or misdemeanor? Yes   No

Disclosures

Lead-Based Paint Disclosure (applies to residences built before 1978): Presence of known lead-based paint hazards? Yes   No

Known mold, water damage, or structural damage: Yes   No

Application Fee & Holding Deposit

Application Fee Amount:

Holding Deposit (if any) Amount:

I acknowledge the application fee is retained by the property owner/manager to cover screening costs and is not refundable. I acknowledge that any holding deposit will be applied as specified in a separate written agreement upon approval. I acknowledge

Authorization to Verify Information

By signing this application, Applicant authorizes owner, manager, or their agents to obtain consumer reports, including credit reports, criminal background checks, eviction records, employment and income verification, rental history, and other public records as necessary to evaluate this application. Applicant further authorizes persons and entities contacted to release such information. This authorization survives the submission of this application.

Applicant consents to electronic and telephonic contact for purposes related to this application, including automated calls and text messages to the phone numbers provided. Consent to contact

Applicant certifies that all information provided in this application is true and complete. Applicant understands that false or omitted information is grounds for denial of tenancy or, if tenancy has commenced, for subsequent termination. Applicant agrees to provide proof of the information supplied upon request.

Fair Housing and Use of Information

Owner/Manager will consider each applicant in accordance with applicable fair housing laws and shall not discriminate on the basis of race, color, religion, sex, national origin, disability, familial status, or other protected characteristic. Information gathered in connection with this application will be used solely for tenant screening and leasing decisions.

Certification and Signature

I certify under penalty of perjury that the foregoing is true and correct. I understand that approval of this application is at the sole discretion of the Owner/Manager and that acceptance of proposed tenancy is conditioned upon satisfactory screening, verification, and execution of a written lease with the Owner/Manager. Applicant acknowledges receipt of any required disclosure documents prior to signing the lease when applicable.

Sign Now