RENTAL APPLICATION
Equal Housing Opportunity |
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| The undersigned hereby makes an
application to rent the following property: |
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| Anticipated move date of
at a monthly rent of $
and
security deposit of
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| $
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PLEASE TELL US ABOUT YOURSELF |
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| Full Name
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Social Security #
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| Date of Birth
* Driver's
License
Home
Phone
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| Email Address
(optional) Cell
Phone
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| Co-Applicant Name
Social
Security#
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| Co-Applicant Date of Birth
Phone #
Driver's
Licence
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| List all persons to occupy property: |
| Name |
Age |
Relationship |
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| Name, address and phone number of closest relative, not living with
you. Name
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| Address
Phone
Number
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| List all pets/Type/and Size:
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PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) |
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| Current Address
Apt#
City
State
Zip
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| Month/Year Move-in
Move-out
Reason
for Leaving
Rent
$
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| Owner/Agent
Phone
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| Previous Address
Number
of Months
Rent
$
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| Owner/Agent
Phone
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PLEASE DESCRIBE YOUR CREDIT HISTORY |
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| Have you declared bankruptcy in the
past 7 years? * |
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| Have you ever been evicted from a
rental residence? * |
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| Have you had two or more late rental
payments in the past year? * |
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| Have you ever willfully or
intentionally refused to pay rent when due? * |
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| Have you ever been Convicted Of
Criminal Assault Or Any Criminal Act? * |
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PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION |
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| Applicant Employment Status * |
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| Present Employer
Phone
#
Address
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| Supervisor Name
Dates
Employed
Employed
As
Salary
(Monthly)$
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| If active duty Military |
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| Unit#
Phone #
Rank
Length of
Service
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| Battalion Phone #
First
Sergeants Name
Phone
#
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| Co-Applicant Employment Status |
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| Present Employer
Phone
#
Address
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| Supervisor Name
Date
Employed
Employed
As
Salary
(Monthly)$
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| If active duty Military |
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| Unit#
Phone
#
Rank
Length of
Service
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| Battalion Phone #
First
Sergeants Name
Phone
#
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PLEASE LIST YOUR REFERENCES AND MONTHLY BILLS |
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| Banking Accounts |
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| Name
Type
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| Name
Type
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| List All Monthly Bills (cell, car and insurance…) |
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| Monthly Bills |
Amount Paid |
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$
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$
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$
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$
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| Personal Reference or Emergency Contact: |
| Name
Address
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| Phone #
Cell
Phone #
Relationship
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| Vehicle Information |
| Make/Model
Year
License Plate# /
State
/
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| Make/Model
Year
License Plate# /
State
/
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ADDITIONAL INFORMATION |
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| Where may we reach you to discuss this application? |
| Day Phone #: |
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Night Phone #: |
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I hereby apply to lease the above described premises for the term and upon the
set conditions above set forth and agree that the rent is to be payable the
first day of each month in advance. As an inducement to the owner of the
property and to the agent to accept this application. I warrant that all
statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit
will be retained to offset the agent's cost, time, and effort in processing my
application.
I hereby deposit $
as
earnest money to be refunded to me if this application is not accepted in 3
business banking days. Upon acceptance, this deposit shall be retained as part
of the security deposit. When so approved and accepted, I agree to execute a
lease for
months before
possession is given and to pay the balance of the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or
agent, the deposit will be refunded, the application hereby waiving any claim
for damages by reason of non-acceptance which the owner or agent may reject. I
recognize that as a part of your procedure for processing my application, an
investigative consumer report may be prepared whereby information is obtained
through personal interviews with others with whom I may be acquainted. This
inquiry includes information as to my character, general reputation, personal
characteristics and mode of living.
The above information, to the best of my knowledge, is true and correct.
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| Please sign: X |
*
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Signature Applicant |
Signature Co-Applicant |
Date |
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AUTHORIZATION |
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Release of Information: I authorize an investigation of my
credit, tenant history, criminal background, banking and employment by Clear
Creek Rentals LTD for the purposes of renting a house, apartment,
or condominium from this owner/manager
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*
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| Applicant Name (please print) |
Co-Applicant Name (please print) |
| X
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*
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X
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| Signature |
Date |
Signature |
Date |
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By agreeing with the authorization you authorize Clear Creek Rentals LTD to
investigate your credit, tenant history, criminal background, banking and
employment for the purposes of renting a house or manufactured home. This can
include but not limited to investigation and credit report in connection with
your application. This will also authorize your landlords and employers past
and present to release pertinent residential and employment history information
to Clear Creek Rentals LTD.
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