Tenancy Application Form

Tenancy Application Form

This Tenancy Application Form (the "Application") is submitted by Applicant Name: and is submitted to Landlord/Agent Name: concerning the rental premises located at Address: .

RECITALS

WHEREAS, Applicant seeks to obtain tenancy of the Premises described above and has submitted information necessary for Landlord/Agent to evaluate Applicant's suitability as a tenant; and

WHEREAS, Landlord/Agent will rely upon the accuracy of the information provided, and upon Applicant's consent to obtain consumer reports, rental history, employment verification, and related background information; and

WHEREAS, the parties desire to set forth the terms of this Application and the Applicant's certifications and authorizations in writing.

NOW, THEREFORE, in consideration of Landlord/Agent's review of this Application and other good and valuable consideration, Applicant and Landlord/Agent agree as follows:

1. APPLICANT INFORMATION

2. EMPLOYMENT AND INCOME

3. RENTAL HISTORY

Have you ever been evicted? Yes

4. AUTHORIZATION FOR BACKGROUND AND CREDIT CHECK

Applicant expressly authorizes Landlord/Agent and its agents to obtain and use consumer credit reports, criminal background checks, civil records, eviction records, employment and income verifications, and rental history for the purpose of evaluating this Application. Applicant acknowledges that an adverse result may be basis for denial.

By checking the box and signing below, Applicant consents to the procurement of consumer reports and the release of information by third parties to Landlord/Agent.

5. FEES, DEPOSITS AND PAYMENT TERMS

Applicant acknowledges payment of an application fee in the amount indicated below, which fee is intended to cover the cost of processing and obtaining consumer reports. Applicant further acknowledges that any security deposit or holding deposit paid is subject to the terms set by Landlord/Agent and may be forfeited for materially false statements or failure to execute a lease when offered.

6. PETS, VEHICLES AND OCCUPANTS

Pets permitted: Yes No

7. REPRESENTATIONS, WARRANTIES AND ACKNOWLEDGMENT

Applicant represents and warrants that all information contained in this Application is true, complete and correct to the best of Applicant's knowledge. Applicant acknowledges that intentional misrepresentation, concealment, or omission of material facts constitutes grounds for denial of tenancy or termination of any tenancy subsequently granted.

Applicant agrees to immediately notify Landlord/Agent of any material change in the information provided prior to execution of a lease.

8. NOTICES

Any notice required or permitted under this Application must be in writing and delivered to the contact addresses provided in this Application. Applicant designates the address below for receipt of notices.

9. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

Governing Law: This Application shall be governed by and construed in accordance with the laws of the state in which the Premises are located, without regard to its choice-of-law principles.

Entire Agreement: This Application, when executed by Applicant and acknowledged by Landlord/Agent, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, understandings, or agreements.

Severability: If any provision of this Application is held to be invalid or unenforceable, such invalidity or unenforceability shall not affect the remaining provisions, which shall remain in full force and effect.

10. AMENDMENTS; WAIVER; COUNTERPARTS

Amendments: Any amendment to this Application must be in writing and signed by both Applicant and Landlord/Agent.

Waiver: The failure of either party to enforce any provision of this Application shall not be construed as a waiver of that provision or any other provision of this Application.

Counterparts: This Application may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument.

11. ACKNOWLEDGMENT AND CERTIFICATION

Applicant certifies under penalty of perjury that the information provided in this Application is true, complete and correct. Applicant understands that false statements may constitute grounds for denial of tenancy or termination of tenancy if already granted.

Applicant further acknowledges that submission of this Application does not obligate Landlord/Agent to enter into a lease and that any offer of tenancy is conditioned upon satisfactory verification of the information contained herein.

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