Application To Rent

Application To Rent

Each Individual Occupant Who is Responsible for Rent Payment
MUST Complete A Separate Application Form

Landlord/Agent received a payment of $

which will be used to verify Applicant's credit history and other background information.

The amount charged is itemized as follows:

1. Actual cost of credit report, including any eviction search, and/or other verifying reports:

2. Landlord/Agent cost to process and screen applicant's supplied information:

The undersigned makes application to rent housing accommodations designated as:

The rental for which is

and upon approval of this application agrees to sign a rental or lease agreement and to pay all sums due, including required deposits, before occupancy.

Signature of Applicant

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