Residential Lease Application

Property Address

Anticipated Move-in Date: *

Date

Anticipated Monthly Rent: $

Security Deposit: $

Property Condition: Applicant is strongly encouraged to view the Property prior to submitting any application. Landlord makes no express or implied warranties as to the Property's condition. Applicant requests Landlord consider the following repairs or treatments should Applicant and Landlord enter into a lease:

Applicant was referred to Landlord by:

If Real estate agent?

NamePhone number

Applicant's Name

First NameMiddle NameLast Name

Is there a co-applicant? (If yes, co-applicant must submit a separate application.)

YesNo

Applicant's former last name (maiden or married)

E-mail

example@example.com

Home Phone

Please enter a valid phone number.

Work Phone

Please enter a valid phone number.

Mobile/Pager

Please enter a valid phone number.

Social Security No.

Driver License No.

Driver License State

Date of Birth

Date

Civil Status:

Citizenship (country)

In case of emergency, please notify:

First NameLast Name

Emergency Phone Number

Please enter a valid phone number.

Emergency Contact Email

example@example.com

Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name

First NameLast Name

Relationship

Age

Name

First NameLast Name

Relationship

Age

Name

First NameLast Name

Relationship

Age

Applicant's Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Landlord or Property Manager's Name:

Phone Number

Please enter a valid phone number.

Email

Date Moved In

Date

Move-Out Date

Date

Rent $

Reason for move

Applicant's Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Landlord or Property Manager's Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Current Employer

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.

Supervisor's Name

Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Phone Number

Please enter a valid phone number.

E-mail

example@example.com

Gross Monthly Income: $

Position

Previous Employer

Supervisor's Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Employment Start Date

Date

Employment End Date

Date

Gross Monthly Income: $

Position

List all vehicles to be parked in the property (each on a separate line):

Type, Year, Make, Model, License/State, Montly Payment

Will any pets (dogs, cats, birds, reptiles, fish, and other pets) be kept on the Property?

YesNo

List all pets (Type & Breed, Name, Color, Weight, Age in Yrs, Gender, if they are Neutured, Declawed, and if Rabies shots are current):

Will any waterbeds or water-filled furniture be on the Property?

YesNo

Does anyone who will occupy the Property smoke?

YesNo

Will Applicant maintain rental insurance?

YesNo

Is Applicant or Applicant's spouse, even if separated, in the military?

YesNo

Has Applicant ever been evicted?

YesNo

Has Applicant ever been asked to move out by a landlord?

YesNo

Has Applicant ever breached a lease or rental agreement?

YesNo

Has Applicant ever filed for bankruptcy?

YesNo

Has Applicant ever lost property in a foreclosure?

YesNo

Has Applicant ever had any credit problems (including any outstanding debt, e.g. student loans or medical bills), slow-pays or deliquencies?

YesNo

Has Applicant ever been convicted of a crime?

YesNo

Is any occupant a registered sex offender?

YesNo

Are there any criminal matters pending against any occupant?

YesNo

Any additional comments?

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 related employment history or verify any other information related to this application with persons knowledge 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 $50 to Creative Restoration LP for processing and reviewing this application.

Acknowledgement & Representation:

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

2. Applicant understands that providing inaccurate 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 statement in this application are true and complex.

Applicant Signature

Signature Date

Date

Do you read this Agreement and agree to the terms and conditions*

YesNo

I, Applicant , have submitted an application to lease a property located at Street Address Address Line 2 City State Zip .

I give my permission:

1. to my current and former employers to release any information about my employment history and income history to the Landlord of this Property;

2. to my current and former landlords to release any information about my rental history to the Landlord of this Property;

3. to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the Landlord of this Property;

4. to the Landlord of this Property to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.

Note: Any broker gathering information about an applicant acts under specific instruction to verify some or all of the information described int his authorization. The broker maintains a privacy policy which is available upon request.

Signature

Date

Residential Lease Application

Proposed Occupants

Employment

Consent to Verification of Other Information

Authorization to Release Information Related to a Residential Lease Applicant