| Name |
DOB
Drivers License #
|
| Soc Sec # |
Phone
|
| Address |
|
| City
State
Zip
|
| Email |
|
|
RENT
OWN Landlord Name
|
| Monthly Payment
Move in Date?
|
Others to occupy apartment?
|
| In case of emergency, notify
Phone
email
|
| |
| EMPLOYMENT |
|
| Employer |
Work Phone
|
| Address |
City
State
Zip
|
| Supervisor |
Gross Income
|
| Position |
|
| Start Date |
|
Please Read Carefully
Correct Information: Applicant represents that all
of the above statements are true and complete. Applicant
hereby authorizes verification of the above information,
references and credit records, and releases from all liability
or responsibility all persons and corporations requesting
or supplying such information. Applicant acknowledges
that false, incomplete or misleading information herein
may constitute grounds for rejection of this application,
termination of right of occupancy of all occupants under
the contemplated lease, and/or forfeiture of deposits
and may constitute a criminal offense under the laws
of this State. Applicant agrees to the terms of the "Application
Deposit Agreement" below.
Application Deposit Agreement
Applicant for whom a credit check is run is
required to pay the sum of $540, in consideration for
owner taking the dwelling unit off the market while considering
approval of this application. Of this amount $40 is a
non-refundable fee for processing the application and
$250 is a non-refundable administration fee. The remainder
$250 is an application deposit in connection with this
application deposit shall be credited to the required
security deposit. If applicant notifies the owner that
applicant wishes to withdraw this application for rental
prior to approval, or if applicant is approved, but fails
to promptly enter into the contemplated lease, then the
entire sum of $540 shall be forfeited to the owner. If
the application is not approved, the non-refundable administration
fee and the application deposit will be refunded. Keys
will be furnished only after contemplated lease and other
rental documents have been properly executed by all parties,
and only after applicable rentals and security deposit
fees have been paid. This application is preliminary
only and does not obligate owner or owner's agent to
execute a lease or deliver possession of the proposed
premises.
|
|
I have read and agree to the provisions as stated. |
