Lease Application |

Property Name*

1. Lease Term

The term of the lease of the Property for which Applicant is applying for shall start on and end on the following dates.

Lease Start Date*

Lease End Date*

2. Proposed Monthly Rent

Monthly Rental Amount*

3. Lease Application Fee

Applicant has paid Landlord a nonrefundable Lease Application Fee of $0.00 to process this Rental Application, determine Tenant's credit worthiness to lease the Property and conduct a background investigation of Applicant.

4. Authorization to Do Credit and Background Check

Applicant hereby authorizes Landlord and Landlord's authorized agents to do whatever background and credit check on Applicant Landlord or Landlord's agents deem appropriate. This may include among other things obtaining one or more credit reports on Applicant. Such credit report(s) may be obtained before and during the term of the Lease and after the expiration or termination of the Lease as part of any effort to collect rent, costs, fees and charges owning under such Lease. Applicant acknowledges that merely requesting such reports may lower Applicant's credit score and Applicant expressly consents to the same.

I agree to the credit and background check*

Yes
No

5. Reservation Fee

A reservation fee by check, certified check, or money order is being made along with this rental application. If Applicant's application is approved and a lease is entered into between Landlord and Applicant the fee shall be applied toward Applicant's security deposit referenced in said lease. If Applicant's application is denied, the rental deposit shall be refunded to Applicant without interest. If the Applicant's application is approved, and Applicant fails to execute Landlord's standard lease agreement for the Premises prior to the Commencement Date (or to pay the required rent thereunder such that the lease does not Commence), then Landlord may retain the rental deposit as liquidated damages, it being acknowledged and agreed that the same is a reasonable pre-estimate of Landlord's damages for not seeking to rent the Property to others during this time period and not a penalty.

Reservation Fee*

Check
Certified Check
Money Order

6. Use of Information

The information in this application or obtained as a result of the authorization given herein by Applicant will not be sold or distributed to others. However, Landlord and Landlord's agents may use such information to decide whether to lease the Property to Applicant and for all other purposes relative to any future lease agreement between the parties including the enforcement thereof.

7. Application Does Not Create a Lease

This application, even if accepted, shall under no circumstances be considered a lease agreement between Applicant and Landlord or an offer to lease. No lease shall exist between Applicant and Landlord unless and until the parties enter into a formal Lease Agreement and Applicant pays all required fees, deposits and advance rent.

8. Information About Applicant

A. GENERAL

Name*

First Middle Last

Social Security Number*

Date of Birth*

Driver's License Number*

Driver's License State*

Home Phone*

Work Phone*

Cell Phone*

Email Address*

Emergency Contact*

First Last

Emergency Contact Phone*

Present Address*

Street Address Address Line 2 City State ZIP Code

Length at Current Address*

Current Lease Amount*

Landlord Name*

First Last

Landlord Phone*

Landlord Address*

Street Address Address Line 2 City State ZIP Code

Previous Address*

Street Address Address Line 2 City State ZIP Code

Length at Current Address*

Lease Amount*

Reason for Leaving*

Previous Landlord Name*

First Last

Previous Landlord Phone*

Previous Landlord Address*

Street Address Address Line 2 City State ZIP Code

Spouse or Significant Other Name

First Last

Must fill out a separate application

Names and ages of individuals under 18

Pets*

Yes
No

What Kind? How Many? Weight? Size? Age?*

Are you registered or required to register as a sex offender in any state in the United States?*

Yes
No

If so, what state(s)?*

B. EMPLOYMENT

Employer*

Position*

Employer Address*

Street Address Address Line 2 City State ZIP Code

Supervisor*

First Last

Phone*

Length of Time at Present Job*

Annual Income*

C. REFERENCES

Bank*

Bank Phone*

Personal Reference

First Last

Phone*

Additional Previous Landlord

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Lease Period

Lease Amount

Additional Previous Landlord

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Lease Period

Lease Amount

9. Warranty of Applicant

Applicant hereby warrants that the information supplied above is complete and accurate and that the breach of this warranty by Applicant may result in the termination of any Lease entered into with Applicant by Landlord.

10. Commitment to Equal Housing

Landlord and Landlord's agents are committed to providing equal housing opportunities to all rental applicant regardless of race, color, religion, national origin, sex, handicap or familial status.

11. Reason for Denial

If this Application is denied, Landlord or Landlord's agent shall within ten (10) days thereafter and upon the written request of applicant, state the basis for said denial to Applicant.

12. Other Matters

Accepted By:

Signature

Lease Application

1. Lease Term

2. Proposed Monthly Rent

3. Lease Application Fee

4. Authorization to Do Credit and Background Check

5. Reservation Fee

6. Use of Information

7. Application Does Not Create a Lease

8. Information About Applicant

9. Warranty of Applicant

10. Commitment to Equal Housing

11. Reason for Denial

12. Other Matters

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