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Western Terrace
Rental Application
Name
- Occupant
Soc. Sec. No.
Soc. Sec. No.
Name - Occupant
Names
of Children
Birthday
Apt. No.
Date of App.
Type
Rent
Date of Occup.
Lease
Security
and Birthdates
Length
Accepted
deposit
Pet deposit
Rejected
Prorate
Notified
Agent:
Date/lnit.
)
(
Home phone:
Birthday
Public servo transferred
Update
mailbox,
Rolodex,
lists
Keys checked/made
Lease
signed
& explained
Pre. ocC. given
Pre. occ. returned
Work
Present Address:
Street
Apt. No.
Mortgage
Yr. bought
Monthly payment
Street
Apt. No.
Company
Previous
Present
Previous
Company
address:
employer:
employer:
Occupant's
Vehicles
employer:
parked
on property:
Checking
Savings
City/StatelZip
Phone
account:
written
Rent Paid to
Length of Resid.
(If selling home) Selling real estate agent
Phone
Phone
Rent Paid to
Phone
from
phone
income
Supervisor
from
phone
income
Supervisor
from
phone
income
City/State/zip
Apt. Name
Length of Resid.
City/State/Zip
Position
Supervisor
Company
City/State/Zip
Position
Company
City/StatelZip
Position
Make
Year
License Number
account:
orders
Apt. Name
Motorcyle: Make
Year
License Number
Bank
City/State/Branch
Phone
Bank
City/State/Branch
Phone
Loan:
Phone
Monthly payment
open/closed
Loan:
Phone
Monthly payment
open/closed
Personal
reference:
Personal
reference:
Emergency
Name
contact:
Street address
City/State
ZIP
Phone
Please answer the following questlorls:
Do you own a pet?
What type?
Weight:
Have you ever been evicted from a place of rental?
Do you owe any unpaid rent?
Have you ever violated a lease, rental agreement or regulationsat a former place of rent?
Have you ever been charged with misuse or abuse to any rental property?
-
Have you ever been convicted of a crime other than a motor vehicle violation?
If so, please explain:
This isto inform you that as part of our procedure for processing your application, an investigativeconsumer report may be prepared whereby information is obtained through personal interviews
with your landlord, employer or others with whom you are acquainted and a credit check. This inquiry includes information as to your character, general reputation, personal characteristics and
mode of living.
l!We hereby agree, in the event of the approval of this rental application, to execute a lease in accordance with the terms set forth in this rental application and my/our rentalliabiiity shall
commence on
pursuant to the terms of the lease. Owner andior agent for the owner reserves the right to reject this application and to refuse possession of the above
mentioned accommodations. l!We have read the foregoing and certify that the information herein Is TRUE and CORRECT,that this application is submitted for the purpose of inducing approval
of this application in my/our behalf, and any errors in this application may be used by the owner andior agent to terminate the lease agreement at any time.
DEPOSIT and RECEIPT
Applicantherebydeposllsthe amountof $
. This amount willbe refundedwllhin 7 workingdays !!the applicantisnot acceptedas a residentby
, 20or if applicantwithdrawsthis applicationin writing by 5:00 p.m. on
.20
lithe applicationisacceptedandresidentdoes notenter intoa leaseagreementwllhin72hours01notdieation
of acceptance,thenthe amountdeposlledshallbe retainedas liquidateddamagesfor holdingthe apartmentoffthe market. Ifapplicantdoesenter intoa leaseagreementthenthe deposllshallby appiiedto
the securitydeposll requiredunderthe lease.Ifapplicantis acceptedas a residentandenters intoa leaseagreement,then this documentshallbecomepart of the lease. Ifthe landlorddeterminesthat any
informationcontainedherein isfalse,thanthat shallconstlluteanevent of defaullunderthe lease. l!there isan applicationfee, IIis non-refundable,
Date
Signature of applicant
Date
Signature of applicant
Date
Leasing Agent