Renting A Home

RENTAL APPLICATION
(One For Each Adult Applicant)

Every person living in the house over 18 is required to fill out a separate application and submit $35 application fee.

Application is hereby made to rent the premises generally described as ("Property")

The multiple listing service number for this property, if known, is

1. Lease Term The term of the lease of the Property for which Applicant is applying shall start on ("Commencement Date") and end on .

2. Proposed Monthly Rent.

3. Lease Application Fee. Applicant has paid Landlord a nonrefundable Lease Application Fee of $35.00 to process this Rental Application, determine Tenant's credit worthiness to lease the Property and conduct a background investigation of the 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 reports(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 owing under such Lease. Applicant acknowledges that merely requesting such reports may lower Applicant;s credit score and Applicant expressly consents to the same.

5. Reservation Fee. A reservation fee of $ by  check, cash 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 towards 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 other during this time period and not a penalty.

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 of 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

First Name: Middle: Last Name:

SS#: Date of Birth:

Driver's License #: Driver's License State:

Home Phone: Work: Cell:

Email Address:

Emergency Contact Information:

Present Address:

City/State/Zip: How Long?:

Current Lease Amount: $

Landlord Name: Phone #:

Landlord Address:

Previous Address:

City/State/Zip:

How Long?: Lease Amount: $

Reason for Leaving:

Previous Landlord Name: Phone #:

Previous Landlord Address:

Spouse/Significant Other Name (must fill out a separate application):

Names and ages of individuals under 18:

Pets?  YES No What Kind? How Many?

Pet Weights:

Are you registered or required as a sex offender in any sate in the United States?

If so, what state(s)?

B. Employment

Employment: Position:

Employer Address:

City/State/Zip:

Supervisor: Business Phone:

Length of Time at Present Job: Annual Income:

C. REFERENCES

Bank: Phone #:

Personal Reference: Phone #:

Credit Reference: Phone #:

Additional Previous Landlord: Phone #:

Address:

Lease Period: Lease Amount: $

Additional Previous Landlord:

Phone #:

Address:

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 any 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 applicants' regardless of race, color, religion, national origin, sex, handicap or familial status.

9. 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.

9. Other Matters.

Accepted By:
Applicant's Printed Name:
Date:

Signature: