Social Security Number
Date of Birth
Driver License Number
Length of Employment
Landlord/Rental Company Phone
Landlord/Rental Company Fax
I certify all of the above information is true and complete. I acknowledge that false information herein may constitute grounds for rejection for this application, termination of right of occupancy and non-return of fees and deposits. I hereby authorize Owner to use reasonable and necessary means, including any customer reporting agency, current and previous employer, current and former landlord, law enforcement agency, any check authorization agency, and state employment security agency, to release all information any of them may have about me. I hereby release all of these parties, including but not limited to the Owner and any agency designated by Owner, from any liability in connection with release of such information. I hereby authorize Owner to obtain and hereby instruct any consumer reporting agency designated by Owner to furnish a consumer report under The Fair Credit Reporting Act to Owner to use such consumer report in attempting to collect any amounts due and owing under the Housing Contract or the Guaranty of Resident Obligations or for any other permissible purpose. I hereby pay to Owner a Non-Refundable Application Fee for processing this Application. I acknowledge the Non-Refundable Application Fee shall not be refunded for any reason. If I cannot prove income and/or do not meet the qualifying credit history, I will obtain a Guarantor who will sign a Guaranty of Resident Obligations. All applicants under the age of 18 years old and full-time students are required to have their parent/guardian agree to the Housing Application, Housing Contract and guarantee their housing.
I have read, understand, and agree to all provisions of this application and authorize a credit and/or background check.
Applicant, type your name here: