Académique Documents
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Property Information
Address_________________________________________________________________________________
Monthly rent__________________________ Move in Date requested___________________________
Applicant Information
Name first_______________________________ Middle _________________Last_______________________
Maiden name or other names used__________________________________________________________
Date of birth________________________ Social security
#________________________________________
Phone #________________________________________ Cell phone _________________________________
Name(s) of Other persons to occupy unit (non-applicants)
1.__________________________________________ Birthdate__________________________
2.__________________________________________ Birthdate__________________________
3.__________________________________________ Birthdate__________________________
4.__________________________________________ Birthdate__________________________
Auto
Make and model_____________________ Year______________ License#________________ Color_____
References
1. Name____________________________________ phone #_______________________________
2. Name____________________________________ phone #_______________________________
We are working with the city, neighbors and other Landlords in this area to maintain the quality of the
neighborhood. Therefore, we use screening procedures to evaluate each prospective tenant before we
rent. These procedures are listed below. Please review our criteria below and if you feel you meet the
criteria, please apply. Please note that we provide equal housing opportunity; we do not discriminate
on
the basis of race, color, religion, sex, disability ,nation of origin, family status, marital status, sexual
orientation, lawful source of income, age, ancestry, and status as a victim of domestic abuse, sexual
abuse, or stalking.
Application
We must receive one completed rental application from each adult 18 years of older applying. The
application fee is $20 for credit check and $10 for criminal and reference check for a total of $30.00
per applicant. If the completed application contains omissions (not satisfactory explained) It will be
returned to you before we proceed the application process. If incorrect social security number is
provided, an additional credit check fee will be applicable.
Personal ID
We require a photo ID to be presented with your completed application.
Rental History
It is your responsibility to provide us with the necessary information to contact your previous landlords.
We reserve the right to deny your application if, after making a good faith effort, we are unable to
verify your rental history.
You may be denied if:
1. You misrepresent any information on the application. If misrepresentations are found after
agreement is signed, your rental agreement will be terminated.
2. In the past 5 years, you have had any conviction for any type of crime.
3. Your credit check show accounts that are not current or your credit score is less than 550.
4. If you have ever been evicted.
5. Previous landlord references are poor or they would be disinclined to rent to you again for any
reason pertaining to the property during your tenancy such as: excessive non-life/safety police
calls, excessive noise, lack of proper care of the premises, inadequate pet maintenance,
unauthorized guests on the property, or conflicts with other tenants or neighbors.
Earnest Money deposit
There is earnest money deposit required that is conditionally refundable. If you are accepted the
earnest money will be applied to your security deposit. If you withdraw your application after you have
been accepted, certain deductions, allowed by law, will be made. You may review a copy of the rental
agreement and all written rules and regulations before you complete this application or pay any
earnest money.
I have read and understand the screening criteria.
Signiture_______________________________________________________Date_______________________________