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    Rental Application

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    arborvitaelane
    Rental Application

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Rental Application

    Uploaded by

    arborvitaelane
    3 views2 pages
    Rental Application

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Rental Application

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views2 pages

    Rental Application

    Uploaded by

    arborvitaelane
    Rental Application

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    Visit www.RentPrep.

    com or call us at 1-888-877-8501

    APPLICATION FOR RENTAL


    Notice: All adult applicants (18 years or older) must complete a separate application for rental.

    APARTMENT RENT START DATE AGENT/REFERRED BY

    APPLICANT INFORMATION
    LAST NAME FIRST NAME M.I. SSN DRIVER'S LICENSE #

    BIRTH DATE HOME PHONE WORK PHONE EMAIL


    ( ) ( )
    CURRENT ADDRESS
    STREET ADDRESS CITY STATE ZIP

    DATE IN DATE OUT LANDLORD NAME LANDLORD PHONE


    ( )
    MONTHLY RENT REASON FOR LEAVING
    $
    PREVIOUS ADDRESS
    STREET ADDRESS CITY STATE ZIP

    DATE IN DATE OUT LANDLORD NAME LANDLORD PHONE


    ( )
    MONTHLY RENT REASON FOR LEAVING
    $
    OTHER OCCUPANTS
    LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR OLDER

    PETS
    PETS? DESCRIBE

    EMPLOYMENT & INCOME INFORMATION


    1. OCCUPATION EMPLOYER/COMPANY MONTHLY SALARY
    $
    SUPERVISOR NAME SUPERVISOR PHONE START DATE END DATE
    ( )
    2. OCCUPATION EMPLOYER/COMPANY MONTHLY SALARY
    $
    SUPERVISOR NAME SUPERVISOR PHONE START DATE END DATE
    ( )
    1. OTHER INCOME DESCRIPTION MONTHLY INCOME
    $
    2. OTHER INCOME DESCRIPTION MONTHLY INCOME
    $
    EMERGENCY CONTACT
    1. NAME ADDRESS PHONE RELATIONSHIP
    ( )
    2. NAME ADDRESS PHONE RELATIONSHIP
    ( )
    PERSONAL REFERENCES
    1. NAME ADDRESS PHONE RELATIONSHIP
    ( )
    2. NAME ADDRESS PHONE RELATIONSHIP
    ( )
    RentPrep Tenant Screening Visit www.RentPrep.com or call us at 1-888-877-8501
    BACKGROUND INFORMATION
    HAVE YOU EVER: Filed for bankruptcy? Willfully or intentionally refused to pay rent when due?

    Been evicted from a tenancy or left owing money? If yes, please provide Property Name, City, State, and Landlord Name.
    Yes No

    VEHICLE INFORMATION
    1. MAKE & MODEL YEAR LICENSE NO. & STATE

    2. MAKE & MODEL YEAR LICENSE NO. & STATE

    OTHER VEHICLES

    OTHER INFORMATION
    HOW DID YOU HEAR ABOUT THIS PROPERTY?

    PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION

    I/we, the undersigned, authorize Fidelis Screening Solutions, LLC, Landlord and its agents to obtain an investigative consumer
    credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record
    search and registered sex offender search. I authorize the release of information from previous or current landlords,
    employers, and bank representatives. This investigation is for resident screening purposes only, and is strictly confidential.
    This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be
    guaranteed. I hereby hold Fidelis Screening Solutions, LLC, Landlord and its agents free and harmless of any liability for any
    damages arising out of any improper use of this information.
    Important information about your rights under the Fair Credit reporting Act:
    • You have a right to request disclosure of the nature and scope of the investigation.
    • You must be told if information in your file has been used against you.
    • You have a right to know what is in your file, and this disclosure may be free.
    • You have the right to ask for a credit score (there may be a fee for this service).
    • You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct
    inaccurate, incomplete, or unverifiable information.
    These reports are being processed by Fidelis Screening Solutions, LLC, 4534 Clinton St. Ste. 2, West Seneca, NY 14224.
    A summary of your rights under the Fair Credit Reporting Act is available by visiting (Para information en espanol, visite o
    escribe): http://www.consumerfinance.gov/learnmore or writing Consumer Financial Protection Bureau, 1700 G Street N.W.,
    Washington, DC 20552

    Applicant agrees to pay a non-refundable application fee of: $___________

    (Signed/Applicant) Date

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