Village Rental Application

Village Rental Application

Property Information

Property Address:   Unit #:

Desired Move-In Date:   Lease Term Requested (months):

Applicant Information

Phone:   Email:

Date of Birth:   Driver's License / ID #:   State:

Co-Applicant (If Applicable)

Phone:   Email:

Additional Occupants

Residential History (Most Recent First)

Dates of Tenancy: From To   Monthly Rent: $

Employment & Income

Employer Phone:   Position:

Supervisor Name:   Monthly Gross Income: $

Other Income / Assets

References

Vehicle Information

Pet Information

Emergency Contact

Background Questions & Disclosures

Have you ever been evicted from housing or had a lease terminated? Yes No

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

Do you have any judgments, liens or bankruptcies currently pending or within the past seven years? Yes No

Lead-Based Paint & Property Condition

Is the dwelling known to contain lead-based paint? Yes No

Are you aware of any prior water, mold, or structural damage at the proposed residence? Yes No

Authorization, Certifications and Applicant Acknowledgements

Certification of Accuracy: I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that falsification or omission of information is grounds for denial of this application or termination of a tenancy if discovered after occupancy. I will notify management in writing of any material changes to the information contained herein prior to occupancy.

Authorization to Verify: I authorize the landlord, agent and their representatives to verify the information provided, to obtain credit reports, criminal background checks and tenancy history from consumer reporting agencies, former landlords and employers, and to share such reports with agents and decision-makers involved in the rental process. This authorization is continuous for the duration of my application and any ensuing tenancy, unless revoked in writing.

Release of Liability: I hereby release from liability any person or entity furnishing information to the landlord or its agents, and I waive any claims against them arising out of the release or use of such information, so long as the request was made in good faith for the tenancy determination.

Application Fee and Holding Deposit: I acknowledge that any application fee paid is non-refundable and that a holding deposit, if accepted, will be applied toward the security deposit or first month's rent in the event of acceptance. I understand the property will be held subject to the landlord's written acceptance and execution of a lease. I agree that the landlord may retain the holding deposit if I fail to execute the lease within the prescribed time or otherwise withdraw.

Occupancy and Guarantor Policy: Occupancy is limited to persons listed on this application. Management may require additional deposits or a guarantor for applicants who do not meet screening criteria. Acceptance is contingent on satisfactory screening pursuant to landlord's criteria.

Equal Housing Opportunity: Applicant acknowledges the property is offered in compliance with applicable fair housing laws and agrees not to engage in discriminatory conduct in connection with tenancy.

Optional Additional Information

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