Nearest Re
lative(s) Not Residing With You:
Name Address Relationship
1. ____
________________________________________ _________________________________________ ______________________________
_
2.
____
_____
___________________________________ _________________________________________ _______________________________
3.
_________
___________________________________ _________________________________________ _______________________________
Emergency Contact:
Name_______
__________________ Address_______________________________ Phone__________________ Relationship______________________
Automobiles and Other Vehicles:
Year________ Make__________________ Model__________________ Color_____________________ Tag No.________________ State____________
Year________ Make__________________ Model__________________ Color_____________________ Tag No.________________ State____________
Year________ Make__________________ Model__________________ Color_____________________ Tag No.________________ State____________
Drivers License No. (Applicant)_____________________________________________ (Spouse)_____________________________________________
Will you have a bicycle parked in our garage? ________ Please describe_________________________________________________________________
Pet: Will there be an animal or pet in the apartment? If so, what type and size?
___________________________________________________________________________________________________________________________
Advertising:
How did you select us? (check one) Newspaper_________________________ Friend________________________ Drive By_______________________
Referral from Resident_____________________________ Telephone Book_________________________ Locating Service________________________
T.V.___________________________ Radio_____________________________ Other (explain)______________________________________________
Rent of Desired Apartment $____________________________________________________________________________________________________
Date of Occupancy____________________________________________________________________________________________________________
Receipt of Application Deposit in the Amount Of $____________________________________ Date___________________________________________
CORRECT INFORMATION
Applicant represents that all of the above statements are true and complete, and hereby authorizes verification of above information, references, and
credit records. In compliance with the Fair Credit Reporting Act, we are informing you that an investigator consumer and rental report including
information as to your character, general reputation, personal characteristics and mode of living may be made. Applicant acknowledges that false
information herein may constitute grounds for rejection of this Application, termination of right of occupancy, and/or forfeiture of deposits and may
constitute a criminal offense under the laws of this state.
AUTHORIZATION AND RELEASE OF INFORMATION
Applicant ____________________________________ hereby authorizes the management, ownership or agents of Crescent Centre to obtain any and
all records necessary to act on this application including but not limited to information from prior landlords, financial information and any background or
criminal history information.
APPLICATION DEPOSIT AGREEMENT
Each applicant for whom a credit check is run is required to pay the sum of $_
_______,
in consideration for Owner taking the dwelling unit off the
market while considering approval of this application. Of this amount $__________ is a non-refundable fee for processing the application and
$_______________ is a non-refundable administration fee. The remainder $___________ is an application deposit in connection with this
application. If the Applicant is approved by Owner and the contemplated lease is entered into, the application deposit shall be credited to the
required security deposit. If the Applicant notifies the Owner that Applicant wishes to withdraw this Application for Rental prior to approval, or if
Applicant is approved but fails to promptly enter into the contemplated lease, then the entire sum of $______________ shall be liquidated damage for
taking the dwelling unit off the market. If the application is not approved, the non-refundable administration fee and the application deposit will be
refunded. Keys will be furnished only after contemplated lease and other rental documents have been properly executed by all parties, and only after
applicable rentals and security deposits have been paid. This application is preliminary only and does not obligate Owner of Owner’s Agent to execute
a lease or deliver possession of the proposed premises.
I have read and agree to the provisions as stated.
Date:_________________________________________ Signature:___________________________________________________________________
Signature:___________________________________________________________________
*FOR OFFICE USE ONLY*
Appl
ication has been ______________ approved______________ disapproved. Applicant was notified on approval/disapproval on _____/_____/______
Approval/disapproval notification was made by_____________ verbal contact with applicant, _______________message left with secretary/answering
service/work or _____________ written communication. Leasing Consultant__________________________________ Apt. #_____________________
Move In Date____________________________ Rent Amount $___________________ Parking $_________________ Lease Term_________________
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