RENTAL/CREDIT APPLICATION

LOCATION  
DAMAGE DEPOSIT  

APPLICANT NAME(S):
SSN/TIN:
 
PHONE (CELL & LANDLINE):  
OCCUPATION/TYPE OF BUSINESS:  
EMPLOYER/PHONE, CONTACT:
(OR SELF EMPLOYED)
 

CURRENT HOME ADDRESS,
CITY, STATE, ZIP:
 
LANDLORD / PHONE:
(OR OWNED)
 
RENT (W/UTILITIES):
(OR MORTGAGE W/UTILITIES
& ANNUAL PROPERTY TAXES)
 

BUSINESS RENTAL HISTORY LAST 3 YEARS
BUSINESS ADDRESS,
CITY, STATE, ZIP:
 
BUSINESS LANDLORD / PHONE:  
BUSINESS RENT (W/UTILITIES):  
HOW LONG THERE:  
BUSINESS ADDRESS,
CITY, STATE, ZIP:
 
BUSINESS LANDLORD / PHONE:  
BUSINESS RENT (W/UTILITIES):  
HOW LONG THERE:  
COMPLETE ALL THE FOLLOWING THAT APPLY.

ENCLOSE A COPY OF FORM W2 (OR PAYSTUB) CLEARLY SHOWING INCOME. A RECENT BANK STATEMENT SHOWING BALANCES HELD IN YOUR NAME IS REQUIRED. BUSINESS APPLICANTS MUST PROVIDE LAST TWO YEARS FORM 1040 OR 1120. NEW BUSINESS MUST ALSO PROVIDE A FULL BUSINESS PLAN.

ENCLOSE THE DAMAGE DEPOSIT LISTED ABOVE. THE DEPOSIT YOU HAVE SUBMITTED WILL BE HELD AS THE LEASE DAMAGE AND SECURITY DEPOSIT. THIS DEPOSIT IS CONSIDERED EARNEST MONEY AND WILL NOT BE REFUNDED SHOULD YOU DECIDE NOT TO OCCUPY THE RENTAL SPACE. THE DAMAGE DEPOSIT AND ANY PREPAID RENT WILL BE RETURNED IN FULL SHOULD LANDLORD REJECT THE APPLICANT'S LEASE. LANDLORD IS OPERATING A PROFESSIONAL ESTABLISHMENT AND LANDLORD RETAINS THE RIGHT TO REJECT THIS LEASE APPLICATION FOR ANY REASON.

WATER FILLED FURNITURE IS EXPRESSLY PROHIBITED IN ALL SPACES. PETS ARE NOT ALLOWED. SMOKING IS EXPRESSLY PROHIBITED IN ALL SPACES AS WELL.

THE APPLICANT HEREBY CERTIFIES THAT HE/SHE IS OF LEGAL AGE AND THAT ALL STATEMENTS MADE ABOVE ARE TRUE AND NO MISREPRESENTATION HAS BEEN MADE. LANDLORD RESERVES THE RIGHT TO CANCEL ANY LEASE ENTERED INTO IF ANY UNTRUE STATEMENTS OR MISREPRESENTATIONS ARE DISCOVERED AT ANY TIME. FOR CORPORATIONS, APPLICANT MUST PROVE THAT HE/SHE IS AUTHORIZED TO SIGN CONTRACTS ON BEHALF OF THE CORPORATION.

FURTHERMORE, APPLICANT AGREES TO ALLOW LANDLORD TO CHECK APPLICANTS CREDIT WORTHINESS BY ALL WAYS CONSIDERED REASONABLE.

APPLICANT SIGNATURE: DRIVER'S LICENSE #: DATE: