ADDENDUM A - RENTAL APPLICATION

All Applicants, eighteen (18) years of age or older, who will be residing in the Premises, must fill out a separate Application.

List every City and State you have resided in since you reached the age of 18: (1)(2)(3)(4)(5)(6)(7)(8)

In the past 7 years, have you:

* PLEASE NOTE - If you have been exposed to bed bugs, and are unwilling to give the above representations, warranties, and authorizations, your application could be denied.

I understand the application fee is a non-refundable payment for a credit and criminal check and processing charge of this Application and such sum is not a rental payment or security deposit. This amount will be retained by Landlord to cover the cost of processing the application as furnished by the Applicant, regardless if the Applicant is approved or denied; any false or misleading information or intentional omission will result in rejection of application. THIS APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGATE LANDLORD TO EXECUTE A LEASE OR TO DELIVER POSSESSION OF THE DWELLING UNIT TO APPLICANT. THE RENTAL AGREEMENT WILL NOT BECOME EFFECTIVE UNTIL THIS APPLICATION IS APPROVED BY LANDLORD. Completed Applications will be reviewed on a first come, first served basis. An application is not considered complete unless all necessary and required information is provided by Applicant, and Applicant has signed all necessary documents. Applicant is responsible for signing all required documents.

This amount less any holding fee and less the application fee will be refunded within 7 working days: 1) if the Application is denied, or 2) if the Application is accepted and the Applicant withdraws the Application in writing within 72 hours of the date of notification of acceptance. Landlord will notify Applicant of denial or acceptance in writing via email, or via phone if Applicant does not have an email address.

If the Application is accepted and Applicant fails to occupy the Premises on the Move In Date (regardless if Applicant executes a lease or not), except for delay caused by Landlord, the holding fee amount will be retained by Landlord as liquidated damages for holding the Premises off the market. In such instance, Landlord will provide Applicant written notice of such application of funds within 20 days. If the delay in providing Applicant with this specific Premises is longerthan seven (7) days, Applicant may terminate the lease by notifying Landlord in writing, and Landlord will refund all amounts less the appliation fee. If Landlord does not deliver possession of the Premises on or before the Move-In Date for any reason, Landlord shall not be liable to Resident for any damages whatsoever for failure to deliver possession on the Move-In Date.

DISCLOSURE OF INFORMATION

I warrant and represent the information provided on this application to be true and correct. I authorize Landlord to make such investigation into Applicant/Resident/Occupant's credit, employment, rental and criminal history, as Landlord may deem apprpriate, and release all parties from liability for any damage that may result from furnishing such information to Landlord. Landlord shall have the continuing right to review and obtain this credit and criminal information, rental application, payment history and occupancy history for account review, improving application review methods, and all other purposes. If approved, Applicant shall have a continuing and on-going duty to update all of the information provided on the Application. Applicant acknowledges that Landlord may enter into a Lease in reliance on the information contained in Applicant's rental application and any and all other information provided to Landlord by Applicant. Applicant/Resident shall promptly notify Landlord in writing of any subsequent change in the information provided by Applicant on Applicant's application. If Applicant is approved, Landlord shall have the right to terminate Applicant's tenancy on three days notice to quit: 1) if it is determined that Applicant provided false or misleading information on this Application, or 2) if the Application information is no longer correct, for example, Applicant in convicted of a sexual offense after moving into the Premises.

Landlord does not have a duty to verify, and does not represent or promise that it will verify, the accuracy or the answers provided in the Application of any applicant. Furthermore, Landlord has no duty, and expressly disclaims any obligation, to perform a criminal background check on each applicant. Landlord does not represent or guarantee that all residents have no prior criminal record or background.

Landlord's approval or denial of this Application is based on information provided by independent third parties. Landlord makes no representation as to the accuracy of the information that Landlord obtains from third parties in approving or denying this Application.   

Resident understands and acknowledges that Broker is the agent for the property owner (Landlord), and Broker represents only the Landlord's interests in this transaction. The Owner (Landlord) of the property has granted to Broker the authority to manage and administer the Premises and Property and to enter into. administer and enforce provisions of this Application and any subsequent Lease that may result from the approval of this Application. and Broker is not considered an agent for the Resident/Applicant at any time for any reason. As a prospective Resident. you are a customer in this transaction. A customer is a party to a real estate transaction with whom the Broker has no brokerage relationship because such party has not engaged or employed the Broker. either as the party's agent or as the party's transaction-broker. If you desire representation, Broker recommends that you obtain either your own Broker or legal advice from an attorney.

Different brokerage relationships are available that include seller agency. landlord agency, buyer agency. tenant agency or transaction- brokerage. The Colorado Real Estate Commission has a form setting forth the definitions of these working brokerage relationships (Form DD25 Upon request. Broker will provide the working definitions of the various brokerage relationships to you.

Lead Paint Disclosures Applicable: YES

Prior to signing a lease for the Premises, the Landlord is legally required to provide all Prospective Residents (Applicants) with DISCLOSURES OF INFORMATION ON LEAD-BASED and/or LEAD-BASED PAINT HAZARDS Prospective Resident acknowledges that Landlord or Landlord's Agent will not process this application until such time that Prospective resident acknowledges in writing that Prospective Resident has received such disclosures.

Additionally, while not legally required. Landlord has voluntarily disclosed that the premises may contain asbestos. Prospective Resident acknowledges that Landlord or Landlord's Agent will not process this application until such time that Prospective resident acknowledges in writing that Prospective Resident has received such asbestos disclosures.

By signing this Application, Applicant acknowledges receiving Landlord's disclosure of application-related costs, any pest control disclosures, if applicable, and a receipt for all application fees paid by Applicant. Applicant also agrees to receive via email communications from Landlord's regarding the decision on this Application. If Applicant is approved and a lease is executed by Applicant and Landlord, Applicant agrees to receive an electronic copy of the fully executed lease from Landlord.

THIS APPLICATION HAS IMPORTANT LEGAL CONSEQUENCES. PARTIES TO THIS APPLICATION SHOULD CONSULT LEGAL COUNSEL BEFORE EXECUTION.

This form has not been approved by the Colorado Real Estate Commission It was prepared by Century Property Management & Sales, LLC's legal counsel Tschetter Sulzer, PC.

APPLICATION CONSENT RELEASE

Credit history, Employment history, Landlord history and Criminal History

The undersigned applicant and/ cosigner hereby consent to allow Century Property Management & Sales, LLC ("owner"), itself or through its designated agents or employees, to obtain a consumer report and criminal record information for applicant and to obtain and verify applications credit and employment information for the purpose of determining whether to lease an apartment or house to applicant. Applicants also agree and understand that the owner may want to update or review account. Upon my request, owner will tell me whether consumer reports or criminal record reports were requested and the names and address of any consumer-reporting agency that provided such reports.

Applicants understand and agree that applicant will NOT receive a copy of any of the above reports.

Necessary credit information may include verifying checking and / or savings accounts or reviewing tax returns

This application will become part of lease. Century Property Management & Sales, LLC may continue to take applications until an application is approved.

I affirm the above is true and correct to the best of my knowledge

Please return completed application to Century Property Management & Sales, LLC, 823 Main Street, Alamosa, co 81101. The application fee must be collected prior to application processed.

We accept money orders, checks, and cash. If using cash please bring exact change, we do not keep change in office.

EMERGENCY CONTACT FORM

This form must be completed in its entirety before the application can be processed

We require that you list three contacts of whom we can reach for emergency purposes and in case; we are unable to reach you.

Below please fill out form; we require name, address, and phone numbers for each reference. We ask that you include at least one close family member. regardless if they live in Colorado.

If form is not complete, application is considered incomplete and will not be processed.