Tenant Rental Questionnaire

TENANT RENTAL QUESTIONNAIRE

WHEREAS

WHEREAS Landlord requires prospective occupant information to evaluate suitability for tenancy and to verify representations made by applicants; and

WHEREAS Applicant provides the following factual information and authorizations for the sole purpose of tenancy evaluation; and

WHEREAS this questionnaire is incorporated in any screening or lease application process and will be relied upon by Landlord in considering tenancy.

APPLICANT INFORMATION

Applicant Name:

Date of Birth:    Phone:    Email:

TENANCY HISTORY

EMPLOYMENT & INCOME

REFERENCES

VEHICLES & OCCUPANTS

PETS, SMOKING & SPECIAL REQUESTS

Do you have pets? Yes No

Smoking on premises? Yes No

BACKGROUND & SCREENING

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

Have you ever been convicted of a felony or crime that could affect tenancy suitability? Yes No

AUTHORIZATION & CERTIFICATION

I hereby certify that all information provided in this questionnaire is true and complete to the best of my knowledge. I authorize Landlord, its agents and designated screening providers to verify the information contained herein, to obtain consumer or credit reports, and to contact employers, landlords, and references for purposes of tenancy evaluation. I understand that falsification or omission of material facts may constitute grounds for denial of the application or for termination of tenancy.

Consent to obtain consumer report: I consent to the obtaining of consumer reports for tenancy screening purposes.

CONFIDENTIALITY

All information supplied by Applicant will be held in confidence, used solely for tenant evaluation, and maintained in accordance with applicable privacy laws. Landlord may disclose information as required by law or to third parties engaged to perform screening services.

GOVERNING LAW & ENTIRE AGREEMENT

This questionnaire and any authorization herein shall be governed by the laws of the state in which the subject property is located. This document constitutes the complete statement of Applicant's representations for screening and supersedes all prior statements, whether oral or written, related to the tenant evaluation.

ADDITIONAL INFORMATION

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