Residential - Rental Application
Uploaded by
froshtegaResidential - Rental Application
Uploaded by
froshtegaRESIDENTIAL RENTAL APPLICATION
This form should include your information below and ensure
that the property in question is still available as reported.
When you receive this form, you will be asked to pay a
required amount for Housing Approval Setup (AAS) and
Property Collection and Inspection (PIP). , Along with up to
40-50% of the rental price activated from your move-in date
and payment of your rental price upon your arrival. Please
note that this is private, confidential and 100% guaranteed
FIRSTNAME:________________________________________
MIDDLE NAME: _________________________________________
LAST NAME: _______________________________________
DATE OF BIRT:______________________________________
EMAIL: ___________________________________________
(CELL PHONE): __________ (HOME PHONE): __________
CHILDREN (YES/NO), HOW MANY: ______________________
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HAS EVER BEEN CONVICTED OF A CRIME (YES/NO) IF YES,
DESCRIBE: _________________________________________
HAS EVER BEEN CONVICTED OF BANKRUPTCY (YES/NO) IF
YES, DESCRIBE:______________________________________
CURRENT ADDRESS:__________________________________
CITY_________ STATE:____________ZIP CODE: ___________
WHEN DO YOU PLAN TO MOVE IN: ____________________
HOW LONG DO YOU PLAN TO STAY: ____________________
HOW MANY MONTHLY RENT ARE YOU WILLING TO PAY IN
ADVANCE: _______________________________________
DO YOU HAVE PETS, TYPE OF SPECIES:_________________
HABITS: _________________________________________
DO YOU SMOKE: __________________________________
DRINK: ___________________________________________
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I____________________________, hereby confirm that I am
at least 18 years old, I duly declare and warrant that all
information provided in this application is true and correct.
I hereby authorize verification of all references and facts,
including but not limited to current and previous landlords,
employers and personal references.
Furthermore, I hereby authorize the owner/agent to receive
all information Wrongful imprisonment, credit reports, tele
checks and/or criminal background reports. The applicant
undertakes to provide further evidence of achievements
and/or personal references upon request. I am aware that
the information provided in the application may be
incomplete or incorrect, which may result in a delay in
processing, which may result in the rental agreement being
rejected. I hereby waive any claims and release from liability
any person providing or receiving this confirmation or
additional information.
An applicant for employment, housing, or a professional or
occupational license who has a sealed record with the Parole
Commissioner may respond "No Record" to an inquiry
contained herein regarding prior arrests or appearances in
criminal court. In addition, any applicant for employment,
housing, or a professional or occupational license may
respond "no record" to inquiries about prior arrests, court
appearances, and convictions in all cases of criminality or
being a child in need of services did not result in that the
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complaint was forwarded to the higher court for criminal
prosecution.
Signature of the applicant.________ Date:_____________
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