• Received on Pick a Date* (date) at   *   (time)

  • RESIDENTIAL LEASE APPLICATION
    USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS®, INC. IS NOT AUTHORIZED.
    ©Texas Association of REALTORS®, Inc. 2018
    Each occupant and co-applicant 18 years or older must submit a separate application.

  • If referred by a real estate agent. Name: Phone: E-mail:      

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    Pick a Date
  • Emergency Contact:(Do not insert the name of an occupant or co-applicant.)

  • Name all other persons who will occupy the Property:

  • Name: Relationship: Age:      

  • Name: Relationship: Age:      

  • Name: Relationship: Age:      

  • Name: Relationship: Age:      

  • (TXR-2003) 2-1-18   Page 1 of 4

    Century 21 John Walton Realtors
    Phone: (806) 793-8111
    Fax: (806) 799-2188
    4718 S Loop 289 Lubbock TX 79414

     

  • Note: If Applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA,attorney, or other tax professional.

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  • (TXR-2003) 2-1-18   Page 2 of 4

    Century 21 John Walton Realtors
    Phone: (806) 793-8111
    Fax: (806) 799-2188
    4718 S Loop 289 Lubbock TX 79414

     

  • Authorization: Applicant authorizes Landlord and Landlord's agent, at any time before, during, or after any tenancy, to:

    1. obtain a copy of Applicant's credit report;
    2. obtain a criminal background check related to Applicant and any occupant; and
    3. verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.

    Notice of Landlord's Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

    Privacy Policy: Landlord's agent or property manager maintains a privacy policy that is available upon request.

  • Fees: Applicant submits a non-refundable fee of $ to (entity or individual) for processing and reviewing this application. Applicant               to be applied to the security deposit upon execution of a lease or returned to Applicant if a lease is not executed.

  • Acknowledgement & Representation:

    (1) Signing this application indicates that Applicant has had the opportunity to review Landlord's tenant selection criteria, which is available upon request.The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.

    (2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.

    (3) Applicant represents that the statements in this application are true and complete.

  • Clear
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  • (TXR-2003) 2-1-18   Page 3 of 4

    Century 21 John Walton Realtors
    Phone: (806) 793-8111
    Fax: (806) 799-2188
    4718 S Loop 289 Lubbock TX 79414

     

  • AUTHORIZATION TO RELEASE INFORMATION
    RELATED TO A RESIDENTIAL LEASE APPLICANT

    USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS®, INC. IS NOT AUTHORIZED.
    ©Texas Association of REALTORS®, Inc. 2018
    Each occupant and co-applicant 18 years or older must submit a separate application.

  • I, (Applicant), have submitted an application to lease a property located at (address, city, state, zip).

  • The landlord, broker, or landlord's representative is:

       Century 21 John Walton Realtors (name)
       4718 S Loop 289 (address)
        Lubbock, TX 79414 (city, state, zip)
     (806) 793-8111  (phone)   (806) 799-2188 (fax)
    c21rentals@c21johnwalton.com (email)
  • I give my permission:

    (1) to my current and former employers to release any information about my employment history and income history tothe above-named person;

    (2) to my current and former landlords to release any information about my rental history to the above-named person;

    (3) to my current and former mortgage lenders on property that I own or have owned to release any information aboutmy mortgage payment history to the above-named person;

    (4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to theabove-named person; and

    (5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reportingagency and to obtain background information about me.

  • Clear
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  • Note: Any broker gathering information about an applicant acts under specific instructions to verify some or allof the information described in this authorization. The broker maintains a privacy policy which is available uponrequest.

  • (TXR-2003) 2-1-18   Page 4 of 4

    Century 21 John Walton Realtors
    Phone: (806) 793-8111
    Fax: (806) 799-2188
    4718 S Loop 289 Lubbock TX 79414

     

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