This is a secure form containing 8 sections, the first of which is below.
I warrant that the information supplies is true and correct, and that I am at least 18 years of age.
I hereby authorize Rieley Properties, LLC (“Lessor”), 309 College Street, Burlington, VT 05401, (802)-861-7778, and its designated agents and representatives to conduct a comprehensive background check that includes one or all of the following: Consumer and/or business credit report, past employment and tenancy, criminal, drug and driving records. I understand that one or more of the above-referenced checks may require additional written authorizations and consents, and I hereby agree to provide all such further written authorizations and consents.
I am aware that the background reports I consent to have prepared may include information obtained from a variety of sources, including but not limited to government agencies, national credit reporting agencies, and other sources. I am aware that if I choose, I may obtain a complete disclosure of the nature and scope of any report prepared about me if I make a written request to Lessor, within a reasonable time after I execute this authorization.
I also authorize and request every person, firm, company, corporation, governmental agency, court, law enforcement office, and any other entity having control or possession of any information pertaining to me or my background to furnish same to Lessor.
By this authorization, I hereby forever release, discharge, exonerate, hold harmless and indemnify Lessor and their affiliates, employees, representatives, agents, and subcontractors, and any other person, entity, organization or institution furnishing information to them, from any and all liabilities of every nature and kind, including but not limited to claims for libel, slander, invasion of privacy, related tort claims, misuse of the information obtained, and any other claim or cause of action arising out of the furnishing, inspection or copying of any documents, files, records and other information, or the investigation made by or on behalf of Lessor, unless such release is determined to violate the public policy of the state or federal district in which this contract is executed, and in that event this release will be permitted to the maximum extent allowed by the governing law. I understand that a photocopy, facsimile, or scanned copy of this signed document shall be considered as valid as an original.
I have been informed that my credit will be used to evaluate my qualifications as a potential tenant. Any information derived from credit reports or other sources will be kept confidential and not revealed to any outside party. I hereby acknowledge that false information given in this Rental Application may constitute grounds for rejection of this application and termination of your lease.
I hereby acknowledge that incomplete Rental Applications will be rejected.
I authorize listed references, including employers and financial institutions, to release information to Lessor (Landlord).
I, the undersigned Applicant(s), have read and agree to all provisions of this Rental Application.