APPLICATION FEE $100 (REFUNDABLE FEE)
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Name
Date of birth
Pet(s)?
Additional Occupant(s)?
Have you ever been evicted or a defendant in an eviction action?
Have you ever filed, or are you in the process of filing bankruptcy?
Do you have any outstanding balances with past landlords?
Have you ever been convicted of a crime?
CONSENT & ACKNOWLEDGMENT
I hereby certify that I am at least 18 years of age and that all information given on this application is true and correct. I authorize the 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, bank representatives, and personal references. I agree to furnish additional credit and/or personal references upon request. I understand incomplete or incorrect information provided in this application may cause a delay in processing which may result in denial of tenancy. This investigation is for resident screening purposes only and is strictly confidential. I hereby hold the Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information. In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting agencies: • Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111 • Trans Union, Regional Disclosure Center, 1561 Orange Thorpe Ave., Fullerton, CA, 92631, (714) 738-3800 • Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 3973742 These consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general reputation, personal characteristics, and mode of living. In connection with my application for housing, I authorize owner/agent to obtain a consumer report from the consumer reporting agencies listed above. APPLICATION FEE $100 (REFUNDABLE FEE)

$100 REFUNDABLE FEE

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