C3 Homes

C3 Homes

305 N Vance Ave Erskine, MN 56535
DATE*

MonthDayYear
Date
How did you hear about this property*

Newspaper/AdFriendInternetOther
Each household member 18 years of age or older must complete and sign an application form & send a $35.00 application fee
PERSONAL INFORMATION
Complete Legal Name (Last/First/Middle)*
Other Names Used (Married, Maiden, or Nicknames)*
Applicant's Date of Birth*

MonthDayYear
Date
Applicant's Social Security #*
Applicant's Email Address*
example@example.com
Applicant's Phone Number*
Is there additional applicant's*

YesNo
2nd Applicant's complete Legal Name (First/Middle/Last)*
Relationship to applicant*
2nd Applicant's Date of Birth*

MonthDayYear
Date
2nd Applicant's Social Security Number*
Is there additional applicant's*

YesNo
3rd Applicant's complete Legal Name (First/Middle/Last)*
Relationship to applicant*
3rd Applicant's Date of Birth*

MonthDayYear
Date
3rd Applicant's Social Security Number*
Is there additional applicant's*

YesNo
4th Applicant's complete Legal Name (First/Middle/Last)*
Relationship to applicant*
4th Applicant's Date of Birth*

MonthDayYear
Date
4th Applicant's Social Security Number*
Motor Vehicle License Plate Number
Vehicle Make
Vehicle Model & Color
Year of Vehicle
RESIDENCE HISTORY
Current Street Address*
Current City*
Current State*
Current Zip Code*
Present Landlord/Manager
Present Landlords Phone Number
Please enter a valid phone number.
Currently Monthly Rent Amount
Move in Date

MonthDayYear
Date
Move out Date

MonthDayYear
Date
List all states resided in over the past ten (10) years
Have you ever been evicted from tenancy or had an Unlawful Detainer served on you?*

YesNo
If yes, Date*

MonthDayYear
Date
Have you ever been convicted of a crime (except driving citation) within the past 10 years?*

YesNo
If yes, Date*

MonthDayYear
Date
If you answered yes to either of the questions above, please explain*
MONTHLY INCOME
Applicant's Employer
Contact or Supervisor's Name
Monthly Gross Income
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Employers Address

Address

Street Address Line 2

CityState

Zip
Employers Phone Number
Have you ever filed for bankruptcy?*

YesNo
Year & Comments*
EMERGENCY CONTACT
Name of Emergency Contact
Emergency Contacts Address
Relationship to household
Emergency Contacts Phone Number
CERTIFICATION/AUTHORIZATION TO RELEASE:
Is there any information that might appear on your credit, rental or criminal history that you wish to disclose and/or address up front, knowing that failure to disclose such information may be considered grounds for denial of this application?*

YesNo
Applicant understands and agrees that if he/she makes incorrect or misleading statements or omissions on this form, applicant may forfeit his/her deposit. Applicant which may be accepted or rejected by management. If Management does not accept this application the prelease deposit will be refunded except as provided below. If Management notifies the applicant that the application has been accepted, applicant must enter into the tenancy applied for or the deposit will be forfeited. Management is a fair housing provider and will grant equal opportunity to all persons under the law. Prelease deposit of ONE MONTHS RENT received (personal check, Money Order), which payment will be applied as full liquidated of my failure or refusal to pay the first month's rent and execute the Lease. When the lease is signed, the application deposit will be held as and become a security and damage deposit in accordance with the Lease.

Applicant hereby grants to Management full authorization necessary to verify the information on this form, including but not limited to verification of credit history, rental history, criminal history, income verification, information from public agencies and other information relevant to this application for a residential tenancy.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Applicant understands and agrees that if he/she makes incorrect or misleading statements or omissions on this form, applicant may forfeit his/her deposit. Applicant which may be accepted or rejected by management. If Management does not accept this application the prelease deposit will be refunded except as provided below. If Management notifies the applicant that the application has been accepted, applicant must enter into the tenancy applied for or the deposit will be forfeited. Management is a fair housing provider and will grant equal opportunity to all persons under the law. Prelease deposit of ONE MONTHS RENT received (personal check, Money Order), which payment will be applied as full liquidated of my failure or refusal to pay the first month's rent and execute the Lease. When the lease is signed, the application deposit will be held as and become a security and damage deposit in accordance with the Lease.

Applicant hereby grants to Management full authorization necessary to verify the information on this form, including but not limited to verification of credit history, rental history, criminal history, income verification, information from public agencies and other information relevant to this application for a residential tenancy.
Background Screening, Rental Criteria and Process

An Equal Housing Opportunity

Fair Housing Statement: We are a fair housing provider. We do not discriminate against persons on the basis of race, color, religion, national origin, sex, familial status, disability, creed, marital status, public assistance, ancestry, sexual or affectional orientation.

Business Relationship: The relationship between a landlord and tenant is a business relationship. A courteous and businesslike attitude isrequired from both parties. We reserve the right to refuse rental to anyone who is verbally abusive, swears, is disrespectful, makes threats, hasbeen drinking, is argumentative, or in general displays an attitude at the time of the unit showing and application process that causes management to believe we would not have a positive business relationship.

Occupancy: Maximum number of residents equal to two persons per bedroom.

Application Requirements: Your application must be filled out completely, accurately and clearly with blue or black ink only. An incomplete application may be rejected or not processed. Any misstatements or omissions made on your application, whether or not discovered before you move into the building, is grounds for denial of an application or termination of an existing lease. Information must be legible and verifiable.

Housing History: Applicants must have a positive housing history. We require the name and last known telephone/fax number of each landlord/property manager for each address you have had for the last three years.

Evictions Filings: Unlawful detainers or evictions may be a basis for rejection of an application.

Criminal History: Applicants who have a criminal history may be rejected.

Credit: A positive credit history is required. (In cases where limited credit history is established, payment of first and last month's rent or the addition of a non-resident lease holder with positive credit history may be an option

Verification:Applications are subject to verification of income, rental history, criminal background and credit history - for information regarding your credit history you may contact: RHR (Rental History Reports) 7900 W 78th St. Suite 400, Edina, MN 55439. Telephone 952-545-3953

Identification/Photo ID: Each person 18 and over must be screened and must provide a photo copy of a government-issued photo ID.

Prelease/Security Deposit: Payment of ONE MONTHS RENT Prelease/Security Deposit for the apartment must be included on a separate check or money order made to Country Place Apartments with the application. (If your application is not accepted by management, this check will be payable returned to you)

Application Fee: A $35 application fee for each person 18 years of age and older is required at the time you apply for the apartment. THE APPLICATION FEE IS NON-REFUNDABLE.

The Lease: Leases are 12 months

Garage: Garages are available for a $60 per month additional fee (limited available)

Indoor storage units: storage units are available for a $25 per month additional fee (limited available)

Management pays: Management pays the heat, water, electric, sewer and garbage

Resident pays: Resident pays telephone, cable, internet, etc.

Pets: No pets are allowed

Non-Smoking: Smoking is not allowed in the apartment building.
RENTAL HISTORY REPORTS

General Consent Form - Each applicant 18+ over MUST complete a consent form
Last Name*
First*
Middle*
Maiden
Current Address*

Current Address

Street Address Line 2

CityState

Zip Code
Applicant's Date of Birth*

MonthDayYear
Date
Applicant's Sex*
Applicant's Social Security Number*
Driver's License Number
Driver's License State
Applicant's Phone Number*
I/We authorize Rental History Reports (RHR) and/or the above named company to do a complete investigation of all information provided within my application for residency. I/We have personally filled in and/or reviewed all information contained within the application. I/We understand failure to complete these documents completely and truthfully may result in denial and/or forfeit of deposit. A complete investigation may include any or all of thefollowing:Credit Report, Verification of Employment and Income, Criminal Record Search, Rental History References (including MPHA), UnlawfulDetainer/Eviction Investigation, Identity Trace, Sex Offender Search, Terrorism Search, Check Writing History, and Personal Interviews with all provided references. The source of the information may come from, but is not limited to: credit bureaus; banks and other depository institutions; current and former employers; federal or state records including State Employment Security Agency records, county or statecriminal records, count agencies as it relates to the applicant's eligibility, non-eligibility and/or benefit amounts received by the tenant, or other sources as Itis understood that a photocopy or facsimile copy of this form will serve as authorization. I/We understand that I/We have a right to make required. writtenrequest within 30 days to receive information pertaining to this report if I/We are not accepted based upon information contained in the a report. I/We authorize RHR to produce to the credit granter Federal and State records of employment and income history, including State Employment Security Agency records. This authorization continues in effect for one (1) year unless limited by state law, in which case, the authorization continues in effect for the maximum period, not to exceed one (1) year.
Applicant Signature*

Clear
Date*

MonthDayYear
Is there additional applicants over 18 years of age? If so they must also complete a background check RHR General Consent Form.*

YesNo
RHR Rental History Reports

General Consent Form - Each applicant 18 + over MUST complete a consent form
Last Name*
First*
Middle*
Maiden
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Applicant's Sex*
Social Security Number*
Driver's License Number
Driver's License State
Applicant's Phone Number*
I/We authorizeRental History Reports (RHR) and/or the above named company to do a complete investigation of all information provided within my application for residency. I/We have personally filled in and/or reviewed all information contained within the application. I/We understand failure to of complete these documents completely and truthfully may result in denial and/or forfeit of deposit. A complete investigation may includeanyorall the following: Credit Report, Verification of Employment and Income, Criminal Record Search, Rental History References (including MPHA), UnlawfulDetainer/Eviction Investigation, Identity Trace, Sex Offender Search, Terrorism Search, Check Writing History, and Personal Interviews with all provided references. The source of the information may come from, but is not limited to: credit bureaus; banks and other depository criminal institutions; current and former employers; federal or state records including State Employment Security Agency records, county or state records,count agencies as it relates to the applicant's eligibility, non-eligibility and/or benefit amounts received by the tenant, or other sources as It is understood that a photocopy or facsimile copy of this form will serve as authorization. I/We understand that I/We have a right to make required. writtenrequest within 30 days to receive information pertaining to this report if I/We are not accepted based upon information contained in the a report. I/We authorize RHR to produce to the credit granter Federal and State records of employment and income history, including State Employment Security Agency records. This authorization continues in effect for one (1) year unless limited by state law, in which case, the authorization continues in effect for the maximum period, not to exceed one (1) year.
Applicant Signature*

Clear
Date*

MonthDayYear
All Applicant's 18 years of age and over are required to pay a $35 application fee (per applicant) before the application process can begin. This fee is to run our Credit, Criminal and Rental History Backgrounds. If you would like us to set up an auto payment through your checking or savings account please complete the form below. If you do not have a checking or savings the application can not be processed until we receive your money order in our office.
Do you have a checking or savings account to set up for the application fee?*

YesNo
AUTHORIZATION FOR AUTOMATIC PAYMENT

I authorize Greater Minnesota Management and the bank named below to initiate debits from my checking/savings account. This authority will remain in effect until I notify you in writing to cancel it in such time as to afford the bank a reasonable opportunity to act on it. I can stop payment of any debit by notifying my bank
three (3) days before my account is charged. I can have the amount of an erroneous charge immediately credited to my account up to fifteen (15) days following issuance of my bank statement or sixty (60) days after posting, whichever occurs first.
NAME OF FINANCIAL INSTITUTION*
NAME on Checking/Savings Account*
Is this a Checking or Savings Account*

CheckingSavings
ROUTING NUMBER*
Re-enter Routing Number*
Account Number*
Re-enter Account Number*
SIGNATURE*

Clear
On (date) Date* I authorize Greater Minnesota Management in Erskine, Minnesota to initiate electronic debit from my account and agree to the terms as detailed on the authorization. This authority will remain in effect until I cancel it in writing to the company
3rd Applicant's complete Legal Name (First/Middle/Last)*
Should be Empty:

C3 Homes

PERSONAL INFORMATION

RESIDENCE HISTORY

MONTHLY INCOME

EMERGENCY CONTACT

CERTIFICATION/AUTHORIZATION TO RELEASE:

RENTAL HISTORY REPORTS

RHR Rental History Reports