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Important: Application Fees need to be paid before filling out application

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  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. Lease Application Fee. Applicant has paid Landlord a nonrefundable Lease Application Fee to process this Rental Application,
  determine Tenant's credit worthiness to lease the Property and conduct a background investigation of Applicant.

  3. 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 report(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.

  4. 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 parties including the enforcement thereof.

  5. Application Does Not Create a Lease. This application, even if accepted, shall under no circumstances be considered a lease agreement between Applicant and   Landlord or an offer to lease. No lease shall exist Applicant and Landlord unless and until the parties enter into a formal Lease Agreement and Applicant pays all   required fees, deposits and advance rent.

Information About Applicant

A. General

First Name	Middle
Last Name	SS #
Date of Birth	Driver's License #
Driver's License State	Present Address
City	State
Zip	How Long?
Previous Address	City
State	Zip
How Long?	Reason for Leaving
Spouse/Significant Other Name	SS #
Date of Birth	Names and ages of individuals under 18
Pets?	What Kind?
How Many?	Pet Weights
Home Phone	Work Phone
Cell Phone	Email Address
Emergency Contact Information	Are You Registered or required to register as a sex offender in any state
If so, what state?

B. EMPLOYMENT

Employer	Position
Employer Address	City
State	Zip
Supervisor	Business Phone
Length of Time at Present Job	Annual Income

C. SPOUSE / SIGNIFICANT OTHER'S EMPLOYMENT

Employer	Position
Employer Address	City
State	Zip
Supervisor	Business Phone
Length of Time at Present Job	Annual Income

D. REFERENCES

Bank	Phone
Personal Reference	Phone
Credit Reference	Phone
Previous Landlord	Phone
Lease Period	Lease Amount
Previous Landlord	Phone
Lease Period	Lease Amount

  6. Warranty of Applicant. Applicant hereby warrants that the information supplied above is complete and accurate and that the breach of this warranty by Applicant   may result in the termination of any Lease entered into with Applicant by Landlord.

  7. Commitment to Equal Housing. Landlord and Landlord's agents are committed to providing equal housing opportunities to all rental applications regardless of   race, color, religion, national origin, sex, handicap or familial status.

  8. 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 of for said denial to Applicant.

  SIGNATURE & DATE of APPLICATION

Applicant's Printed Name	Signature
Date