Date:

Rental Application

Please fill this application out in full — incomplete applications will be returned, delaying the process.

Return This Application To:

Application Fee:

Address Applying For:

Desired Move-In Date:

Personal Information

Please do not leave any blanks in this section.

First Name:MI:Last Name:

Social Security #:

Date of Birth:

Driver's License #:

Phone Number:

Alternate Phone:

Email:

Who else will be living with you?

Rental History

Please include all addresses you have lived at for the previous 5 years. Use additional paper if needed.

Current Address:

City, State, Zip:

Move-in Date:

Landlord's Name:

Landlord's Phone:

Monthly Rent:

Reason for Moving:

Previous Address:

City, State, Zip:

Move-in / Move-out:

Landlord's Name:

Landlord's Phone:

Monthly Rent:

Reason for Moving:

Previous Address:

City, State, Zip:

Move-in / Move-out:

Landlord's Name:

Landlord's Phone:

Monthly Rent:

Reason for Moving:

Employment Information

Please include all sources of income. Self-employed: supply tax returns for the previous two years and the two most recent bank statements.

Current Employer:

Position:

Employer Phone:

Supervisor Name:

Gross Wages / Month:

Hire Date:

Other Income Source:

Amount / Month:

Explain:

Questionnaire

Please answer all of these questions truthfully.

How long will you live here?

What pets do you have?

Evictions filed upon you?

How many felonies?

Ever broken a lease?

Do you smoke?

Vehicles owned:

Move-in amount available now?

Desired move-in date:

How did you hear about this home?

Checking account? / Balance:

Savings account? / Balance:

For what reasons could you not pay rent on time?

Why should we rent to you?

Emergency Contact — Name / Phone / Relationship:

(Including to contact regarding rent or tenancy.)

Additional Information

Certification & Authorization

Applicant certifies that the information contained in this application is true and correct, and understands that false or misleading information is grounds for immediate disqualification. Applicant shall pay to the Landlord a nonrefundable fee to accompany this application to cover the Landlord's administrative costs and expense to verify the information submitted. Applicant authorizes the Landlord or Landlord's representatives to make any inquiries deemed necessary to verify the Applicant is the most qualified — including direct contact with Applicant's employers, current and previous landlords, references, law enforcement and government agencies, consumer reporting agencies, public records, eviction records, and any other sources deemed necessary — and agrees that the Landlord and Landlord's representatives shall not be held liable for damages of any kind resulting from such verification. This authorization extends through Applicant's tenancy (to ensure continued compliance or to recover financial obligations) and beyond its expiration. Should the Applicant be denied or face other adverse action based on information received in a consumer report, the Applicant has the right to obtain a free copy of the report and to dispute its accuracy by contacting the Consumer Reporting Agency: Phone:

Holding Fee

Upon verbal or written approval of the Applicant's tenancy, if the tenant will not be taking occupancy immediately, a Deposit to Hold Agreement will be executed and a non-refundable holding fee ("Deposit to Hold") equal to one month's rent is required within 24 hours to hold the property until a mutually agreed move-in date (no rental will be held more than 14 days). The Deposit to Hold removes the property from public offering and holds it exclusively for the Applicant until all other requirements are met; once a lease is completed it transfers to the security deposit. If the Applicant fails to provide the Deposit to Hold within 24 hours of approval, the Applicant may be disqualified. Before occupancy, Applicant must supply all required move-in funds (security deposit, first month's rent, and any additional deposits and fees), transfer all tenant-paid utilities into Applicant's name, and execute a lease. If the Applicant fails to complete all move-in requirements, the property returns to public offering and the entire Deposit to Hold is forfeited to the Landlord for expenses including lost rent, holding, advertising, and marketing costs.

Qualification Standards

Your application will be denied if you do not meet the following standards: current photo identification and a valid Social Security number • monthly household income exceeding three times the rent, from verifiable sources • positive references from all previous landlords for the previous 5 years • no evictions or unpaid judgments from previous landlords • a responsible financial life with a credit score of at least 600 • a background check (conducted on all applicants over 18) exhibiting a pattern of responsibility • non-smoker • occupancy limited to 2 people per bedroom. At the Landlord's discretion, compensating factors such as an additional security deposit or co-signer (guarantor) may be required if the Applicant fails to meet any one requirement. In the event of multiple applicants, tenancy will be granted to the most qualified based on the above criteria. Applicant authorizes release of all information to the Landlord and agrees the information provided in this rental application is true and correct; this authorization extends beyond the end of Applicant's tenancy.

Applicant Signature

Date