Residential Tenant Lease Application

RESIDENTIAL TENANT LEASE APPLICATION

Please complete all sections of this application. Incomplete applications may be denied. Applicant acknowledges that an application screening fee may be charged for background, credit, and eviction history checks and that submission of this application constitutes consent to such screening as provided in the Authorization and Release section below.

PROPERTY INFORMATION

Unit/Apartment:    Desired Move-in Date:    Lease Term (months):

APPLICANT INFORMATION

Date of Birth:    Phone:    Email:

Landlord/Manager:    Phone:    Monthly Rent: $

Length of Occupancy:    Reason for Leaving:

PREVIOUS ADDRESS (if less than 3 years at current)

Dates Occupied: From to    Landlord Phone:

EMPLOYMENT AND INCOME

Employer Address:

Position:    Supervisor:    Supervisor Phone:

Monthly Gross Income: $    Other Income (source/amount):

REFERENCES AND ADDITIONAL INFORMATION

Relationship:    Phone:    Years Known:

PETS, SMOKING, AND OCCUPANCY

Do you have pets? Yes No

Smoking in unit? Yes No

DISCLOSURES

Is the property known to have lead-based paint hazards (if built before 1978)? Yes No Unknown

Mold issues at current or prior residence? Yes No

Prior property damage or unpaid rental balance owed to a landlord? Yes No

CRIMINAL HISTORY

Have you been convicted of a felony or misdemeanor within the past seven years? Yes No

APPLICATION FEE

Application Fee Amount: $    Payment Method:

I acknowledge that payment of the application fee is non-refundable except as required by law. Initial here

AUTHORIZATION AND RELEASE

Applicant certifies that all information provided in this application is true and complete. Applicant authorizes landlord, owner's agent, property manager, and their authorized representatives to obtain consumer reports, credit reports, criminal background checks, eviction history, employment verification, and rental history for the purpose of evaluating the application. Applicant authorizes any person or entity to release such information to landlord or agent upon request.

Applicant understands that false, incomplete, or misleading information is grounds for denial of this application or immediate termination of tenancy if discovered after occupancy. Applicant agrees that landlord may terminate any resulting lease based on such misrepresentations and may seek damages and recovery of costs.

Applicant releases all persons from liability for providing requested information to landlord or agent. Applicant acknowledges that decisions regarding this application will be based on objective screening criteria applied by landlord.

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