Applicant Information

SingleMarriedDivorced

YesNo

YesNo

SalaryHourly

NoYes
NoYes

Co-applicant Information

SingleMarriedDivorced

YesNo

YesNo

SalaryHourly

NoYes
NoYes

Names of other occupants residing with you

Pet Information

Vehicle Information

Emergency Contact

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b I/We acknowledge and agree that if my application is accepted by the Landlord and I/we choose not to take possession of the property for any reason whatsoever my application deposit is NONREFUNDABLE and will be retained by the Landlord.
| If my/our application is denied by the Landlord, the entire application deposit will be refunded. I/We understand and agree that if this offer is accepted, the lease which we sign may in turn be signed by an authorized agent of the landlord. The first rental payment will be due upon lease signing. After lease is signed the application deposit will be held as a security deposit. This will cover the period from the first day of occupancy through the remainder of that month, on a prorated basis. Thereafter, all rental payments will be due and payable in advance on the first day of each month. I/We understand the owner may choose to run a credit check, a criminal check and/or an eviction records check. I/We authorize the verification of the information provided on this form.
b PETS PROHIBITED: NO DOG HAVING A VICIOUS OR AGGRESSIVE TEMPERAMENT, OR OF A BREED KNOWN FOR VICIOUS OR AGGRESSIVE BEHAVIOR, SHALL BE PERMITTED IN THE PREMISES OR ANYWHERE ON OWNER’S PROPERTY. BREEDS KNOW FOR VICIOUS OR AGGRESSIVE BEHAVIOR INCLUDE, BUT ARE NOT LIMITED TO DOBERMAN PINCHERS, ROTTWEILERS, CHOW-CHOWS, MASTIFS, PIT BULLS, BULL TERRIERS, STAFFORDSHIRE BULL TERRIERS, AMERICAN STAFFORDSHIRE TERRIERS & ANY OTHER DOG-WOLF MIX. THE OWNER RESERVES THE RIGHT TO RESTRICT ANY BREED ACCORDING TO THEIR JUDGMENT.
| as to my credit and employment