Leasing Application

Leasing Application
Basic Lease Information
Move in Date*

MonthDayYear
Lease Term*
Loft Type*

Accept Terms and Conditions
Terms & Conditions:

The Application Fee in the amount of three hundred dollars ($300.00) is a non-refundable application fee for processing this Application and will not be refunded to you. Upon receipt of this Application and the Application Fee, we will set aside and reserve the Apartment for you.

By submitting this Application, you agree to enter into a lease ("Lease") for the Apartment under the terms specified in this Application. We may require you to sign the Lease concurrently with your submission of this Application. However, if we put you on a waiting list for an Apartment, you will not be obligated to sign a Lease until we advise you (in writing, in person or by telephone) that an Apartment is available, and you accept the Apartment. You will have 24 hours after you are notified by us to accept or reject the Apartment, which you may do in writing, in person or by telephone. If you accept the Apartment, you will have 24 hours to pay all associated fees and you must sign a lease within five (5) days or your rights to lease the Apartment will terminate. If you do not timely notify us of your acceptance of the Apartment, we will thereafter have no obligation to lease the Apartment to you.

If, for any reason, we decline this Application, then we will refund two hundred twenty five dollars ($225.00) of the Application Fee to you. If we approve this Application, we will ask that you execute the Lease (if you have not already done so). If, however, you decide prior to executing the Lease that, notwithstanding this Application, and our approval, you no longer wish to proceed with the Lease, you must so notify us in writing (the "Termination Notice"). To be effective, the Termination Notice must be delivered by you during regular business hours to one of our representatives at the leasing office where the Apartment is located. Concurrently with your delivery of the Termination Notice to us, in consideration for our having held the Apartment off the market and reserved the Apartment for you, you agree to pay to us a “Reservation Fee” in an amount equal to the product of (i) the number of days from the date of this Application until we received the Termination Notice; multiplied by (ii) the base rent that would have been payable by you under the Lease for the Apartment (calculated on a per diem basis). After our receipt of the Termination Notice, we will refund two hundred twenty five dollars ($225.00) of the Application Fee to you in accordance with our customary practice.

In all events, if you have not executed and returned the Lease to us within five (5) days after this Application is signed by you, we will assume that you are not interested in proceeding, the Apartment will no longer be reserved for you, and we will refund two hundred twenty five dollars ($225.00) of the Application Fee to you.

By accepting the Application Fee from you, we are not obligated to approve this Application or rent the Apartment to you. Our approval of this Application is contingent upon our receipt of a satisfactory report of your rental history, credit history and other information that we deem necessary.

By signing this Application, you certify that all persons over eighteen years of age who will be occupying the Apartment have completed and provided to us a separate Application for Residency, and that each such occupant of the Apartment will sign the Lease at the time required by us.

You authorize Paulus Development Company, LLC (the “Company”), the authorized managing agent of The Dietz, through our designated agent or employees, to order a “consumer report” (a background report) or “investigative consumer report" on you in connection with your tenant application to the maximum extent permitted by applicable law. You also agree that a copy of this form is valid like the signed original. You understand the Company may order a background report under my legal name and any other names I may have used. You also authorize the following agencies and entities to disclose to ADP Screening and Selection Services and its agents (or any background check company used by the Company) all information about or concerning me, as allowed by law, including but not limited to: my past or present Landlords; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. The information that can be disclosed to ADP Screening and Selection Services and its agents (or any background check company used by the Company) includes, but is not limited to, information concerning my renting history, credit history, motor vehicle history, criminal history, military service and professional credentials.

The background check company, ADP Screening and Selection Services or a similar background check company, will prepare the background report for the Company. The address and contact information of the background check company is available upon request by the Company.

The background report may contain information concerning your character, general reputation, personal characteristics, mode of living, criminal history, and credit standing. An “investigative consumer report” is a background report that includes information from personal interviews. Information may be obtained from private and public sources and for investigative consumer reports from personal interviews as noted above. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the Company.

The Fair Credit Reporting Act gives you specific rights in dealing with consumer reporting agencies.

By signing this Application, you certify that all information contained in this Application is true, correct and complete.
Check the Box to Proceed*

I Understand and Accept the Terms and Conditions

APPLICANT INFORMATION
As the first person to complete this application, you will be considered the primary applicant, and you will be asked to provide information about additional occupants.

Prices and special offers valid for new residents only. Pricing and availability subject to change at any time. Prices and specials are not guaranteed until you have paid the application fees.
Full Legal Name*

First NameMiddle NameLast NameSuffix
Birth Date*

MonthDayYear
Marital Status*
E-mail*
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
# of Occupants*
# of Children*
Children Age Range

FromTo
Anticipated Move-In Date*

MonthDayYear

PET INFORMATION
By submitting my application I understand that I must seek written approval from the landlord prior to obtaining and allowing a pet to reside in my apartment. I understand that breed restricted dogs include Rottweilers, Pitbulls, Doberman Pinschers and German Shepards. Should I receive approval to allow a pet to reside in my apartment I will follow the rules and regulations established by the landlord.
Any Pets?*

YesNo
# of Pets*
Type of Pet

DogCat
Weight*
Age*
Breed*
Name
Color
Gender
Spayed/ Neutered?*

YesNo

RENTAL HISTORY
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Present Landlord Name*
Phone Number*

Area CodePhone Number
How Long Have you Lived There?*
Reason for Leaving?*
Previous Address (if less than 2 years ago)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Landlord Name
Phone Number

Area CodePhone Number
How Long Did you Live There?
Reason for Leaving?

EMPLOYMENT INFORMATION
Present Employer*
Position Title*
Start Date*

MonthDayYear
Gross Monthly Income*
Present Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number*

Area CodePhone Number

Previous Employer (if less than 2 years)
Previous Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number

Closed 2nd Employer

Screening Information
Credit is evaluated using a scoring method that weighs the indicators of future rent payment performance. Based on the credit score, we may choose to accept or reject an on-line application or potentially we may seek additional requirements in order to approve the lease.

Credit Report: In evaluating the on–line application, a consumer reporting agency will provide information regarding credit history. If an applicant does not meet the required credit criteria, the applicant will be provided the name, address and telephone number of the credit reporting agency that provided the credit report.
Birth Date*

MonthDayYear
Social Security #
Have you ever been evicted?*

YesNo
Have you ever been convicted of a felony?*

YesNo
If yes, please explain
License #
License State
Do you have any criminal charges pending, awaiting disposition or looming in any way?*

YesNo
If yes, please explain
Please Verify*

I have read the Terms and Conditions, and I authorize the use of the information and contacts provided in this application to complete a credit, reference, and/or background check.
DIETZ Lantern Factory Terms and Conditions
Please Verify*

By submitting this application, I verify that the statements provided in this application are true and correct and I agree to be screened after payment of application fees.

EMERGENCY CONTACT
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship
Emergency Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Need to Add A Roommate?
Full Legal Name

First NameMiddle NameLast NameSuffix
Birth Date

MonthDayYear
E-mail
License #
Social Security #
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Have you been convicted?

YesNo
If yes, please explain
RENTAL HISTORY
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Address (if less than 2 years ago)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Present Landlord Name
Phone Number

Area CodePhone Number
Previous Landlord Name
Phone Number

Area CodePhone Number
How Long There?
Reason for Leaving?
How Long There?
Reason for Leaving?
EMPLOYMENT HISTORY
Present Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Present Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number

Roommate: Previous Employer (if less than 2 years)
Previous Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number

Closed 2nd Employer

Closed Additional Roommate

ELECTRONIC SIGNATURE
I hereby apply for rental of premises as noted in property applying for. If my application is accepted, I agree to enter into a lease as agreed between the parties. My rental of said premises is to be limited to use and occupancy by description above. I authorize you to contact any references that I have listed. I authorize a credit check to be performed through a credit bureau.
Signature*

Clear

Roommate Signature
I hereby apply for rental of premises as noted in property applying for. If my application is accepted, I agree to enter into a lease as agreed between the parties. My rental of said premises is to be limited to use and occupancy by description above. I authorize you to contact any references that I have listed. I authorize a credit check to be performed through a credit bureau.
Signature

Clear

Closed Roommate Signature
Enter the message as it's shown*
**PLEASE NOTE: There is a $300 application fee required in order to run your application.

If this payment is not received, we will NOT run your application.**
Should be Empty:

Leasing Application

Basic Lease Information

Accept Terms and Conditions

APPLICANT INFORMATION

PET INFORMATION

RENTAL HISTORY

EMPLOYMENT INFORMATION

Screening Information

EMERGENCY CONTACT

RENTAL HISTORY

EMPLOYMENT HISTORY

ELECTRONIC SIGNATURE