Premises Information
Personal Information
Current Residence
Previous Residence
Proposed Occupants (list all in addition to yourself)
Automobile Information
Present Occupation or Source of Income
Previous Occupation or Source of Income
Bank Information
Credit Information
Personal References
Emergency Contact Information
Additional Information
Please Read Carefully Before Submitting
Applicant understands and agrees: (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; and (ii) Landlord or Manager or Agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant.
Applicant represents the above information to be true and complete, and hereby authorizes Landlord or Manager or Agent to: (i) verify the information provided; and (ii) obtain credit report on applicant.
If application is not fully completed, or received without screening fee: (i) the application will not be processed, and (ii) the application and any screening fee will be returned.
Screening Fee
Applicant has paid a nonrefundable screening fee of $35.00, applied as follows: $13.25 for credit report prepared by CBCInnovis. $21.75 for processing.