Tenant Information Sheet

TENANT INFORMATION SHEET

Purpose: This Tenant Information Sheet collects factual, verifiable information required to process occupancy of the identified property and to permit background, credit and rental-history verification. Completion of this form does not constitute a lease or tenancy; it is an administrative record used by Management for evaluation and records.

Property Identification

Primary Applicant (Tenant)

Full Legal Name:

Date of Birth:    Phone:

Move-in / Occupancy Date (if known):    Duration at Current Address:

Co-Applicant / Other Occupants

Employment and Income

Employer Phone:    Position/Title:

Rental History

Personal References & Emergency Contact

Relationship:    Phone:

Vehicles & Parking

Pets

  I have pets      I do not have pets

Disclosures

Lead-Based Paint Disclosure Applicable for Properties Built Before 1978:    Yes    No

Have you ever been evicted or had a prior tenancy terminated?   Yes    No

Have you ever declared bankruptcy within the last 7 years?   Yes    No

Have you been convicted of a felony or misdemeanor related to property, violence, or drugs?   Yes    No

Authorization and Certification

I certify under penalty of perjury that the information contained in this Tenant Information Sheet is true and complete. I authorize Management, its agents and affiliates to verify any information provided, to obtain consumer credit reports, criminal background checks, eviction history, and to contact employers, landlords, and references for purposes of tenancy evaluation. I understand that falsification or omission of material facts is grounds for denial of tenancy or later termination of any tenancy entered into on the basis of this information.

I further acknowledge that any deposits or application fees submitted are subject to the terms of the application and local law. I understand that approval of an application is conditioned upon satisfactory verification and that Management is not obligated to accept this application.

Consent to Screening: I consent to credit, criminal, and rental-history screening as described above.

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