Online Rental Application Form
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Rental You Are Applying For
Full Name
Phone Number
Email
Total Number of Occupants
Current Address
How Long at Present Address
Reason For Moving
Current Rent $
Most Recent Landlord Name
Most Recent Landlord Phone Number
Current Employer
Business Phone
Position Held
How Long With The Company
Name Of Superior
Personal Reference 1 - Name and Phone Number
Personal Reference 2 - Name and Phone Number
Remarks
I HEREBY AUTHORIZE LANDLORD/AGENT TO VERIFY THE VALIDITY OF ALL THE ABOVE INFORMATION, AND TO INQUIRE NOW OR PERIODICALLY WITH MY EMPLOYERS, FINANCIAL INSTITUTIONS, AND ANY OF THE CREDIT REPORTING BUREAUS AVAILABLE TO HIM. I AGREE TO SUPPLY ANY ADDITIONAL INFORMATION NEEDED BY OWNER/AGENT TO PROCESS THIS APPLICATION AND I ACKNOWLEDGE THAT MY DEPOSIT WILL BE FORFEIT IF I DO NOT COMPLY WITH ANY SUCH REQUEST. I AGREE THAT MY SCREENING FEE OF $_0.00  per adult applicant_ IS NON-REFUNDABLE. I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS APPLICATION AGREEMENT. I AGREE THAT LANDLORD MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENT MADE ABOVE. I DECLARE, UNDER PENALTY OF PERJURY, ALL OF THE ABOVE INFORMATION TO BE TRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE.The below signature boxes will serve as my electronic signature.                                                 Signature One *
Signature of Applicant Two
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