Rental Application

Applicant Information

First Name
Middle Name
Last Name
xxx
xx
xxxx
Month
Day
Year
xxx-xxx-xxxx
xxx-xxx-xxxx
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Employment

xxx-xxx-xxxx
Month
Year
Month
Year
$ .00
Add Employment   Optional
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Rental History

Month
Year
Month
Year
$ .00
xxx-xxx-xxxx
Add Rental History   Optional
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References

xxx-xxx-xxxx
Add References   Optional
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Custom

Month
Day
Year
$ .00
Add Custom   Optional
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Terms and Conditions

By checking the "I Agree" box below and submitting this application, you (the Applicant) are agreeing to the following:

1. The Landlord may use this Application and the information in it to establish whether the Applicant meets the Landlord's selection criteria including credit, criminal, eviction, and employment backgrounds.
2. The Applicant authorizes the Landlord to verify via email or direct contact any references given in this Application.
3. The Applicant declares the information submitted in this Application to be true and correct to the best of his/her knowledge and understands that any misinformation provided herein may be cause for termination of any rental agreements made between the Applicant and the Landlord.
4. This Application is not a rental agreement and the Applicant does not have any rights to the rental property until a lease or other rental agreement is executed.
5. Applicant agrees to pay City & Suburban Homes Co., Inc. a $50.00 fee to process the application. A copy of the credit report will be made available to the Applicant upon request.