Name *
Name
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CURRENT address
Address
Address
Did you rent or own this property?
Previous address
Address 1
Address 1
Did you rent or own this property?
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previous employment / title
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BASE RENT AND OTHER MONTHLY CHARGES ARE DUE ON THE FIRST DAY OF EACH MONTH IN ADVANCE.  MANAGEMENT SHALL NOT MAKE AND INQUIRY CONCERNING RACE, RELIGIOUS CREED, COLOR, NATURAL ORIGIN, SEX, SEXUAL ORIENTATION, AGE (EXCEPT FOR A MINOR), ANCESTRY OR MARITAL STATUS OF THE APPLICANT OR CONCERNING THE FACT THAT THE APPLICANT IS A VETERAN OR A MEMBER OF THE ARMED FORCES OR IS HANDICAPPED OR DISABLED.

THE APPLICANT AUTHORIZES THE MANAGEMENT AND/OR RENTING AGENCY TO OBTAIN OR CAUSE TO BE PREPAIRED A CONSUMER CREDIT REPORT RELATING TO THE APPLICANT.

NEITHER THE OWNER NOR THE MANAGEMENT IS RESPONSIBLE FOR THE LOSS OF PERSONAL BELONGINGS CAUSED BY FIRE THEFT, SMOKE, WATER, OR OTHERWISE, UNLESS CAUSED BY THEIR NEGLEGENCE.

THE UNDERSIGNED WARRANTS AND REPRESENTS THAT ALL STATEMENTS HEREIN ARE TRUE AND AGREES TO EXECUTE UPON PRESENTATION A LEASE AGREEMENT IN THE USUAL FORM, A COPY OF WHICH THE APPLICANT HAS RECEIVED OR HAS HAD  OCCASION TO EXAMINE, WHICH LEASE OR AGREEMENT MAY BE TERMINATED BY THE LESSOR IF ANY STATEMENT HEREIN MADE IS NOT TRUE.  

INQUIRIES MAY BE MADE TO VERIFY THE STATEMENT HEREIN.  ALL INFORMATION IS REGARDED AS CONFIDENTIAL IN NATURE.  

I HEREBY AUTHORIZE THE LANDLORD TO OBTAIN A CONSUMER CREDIT REPORT, CRIMINAL BACKGROUND REPORT, AS WELL AS INFORMATION REGARDING MY EMPLOYMENT AND RENTAL HISTORY. I CERTIFY THAT I UNDERSTAND THAT FALSE STATEMENTS OR INFORMATION ARE PUNISHABLE UNDER APPLICABLE STATE OR FEDERAL LAW.

DEPOSIT IS TO BE APPLIED TO ACTUAL DAMAGES SUSTAINED BY THE OWNER, EXCEPT IT IS TO BE REFUNDED IF SAID APPLICATION IS NOT ACCEPTED BY OWNER.  THIS APPLICATION AND DEPOSIT ARE TAKEN SUBJECT TO PREVIOUS APPLICATIONS.