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Basic Rental Application Form
Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by
any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and
released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON
THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the
lease or Rental Agreement between parties.
APPLICATION FEE
– Applicant has submitted the sum of $_____________ which is a non-refundable payment for a credit check
and processing charge, receipt of which is acknowledged by Management. Such sum is not a rental payment or deposit amount.
In the event this application is approved or disapproved, this sum will be retained by management to cover the cost of processing
application as furnished by applicant. This Application must be signed before it can be processed by Management.
________________________________________________ _______________________________________________
Applicant’s Signature Date
ACKNOWLEDGEMENT
Application Verification Person Contacted Remarks
Present Landlord
Previous Landlord
Applicant’s Employment
Bank
Reference (1)
Reference (2)
Reference (3)
Other
Driver’s License/ID Credit Bureau
Verification completed by _____________________________
Date______________________________________________
Remarks___________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________ THIS APPLICATION
__________________________________________________ Is Approved Is Not Approved
FOR OFFICE USE ONLY – DO NOT WRITE BELOW
Page 3
Monies Received
Date Description Amount
Application Fee
Security Deposit
FOR OFFICE USE ONLY – DO NOT WRITE BELOW
AUTHORIZATION TO RELEASE INFORMATION
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