A non-refundable fee of $30.00 is charged on all rental applicants for the purpose of verifying the information
included in this application. I understand this fee will under no circumstances be returned to me. Keys will be
furnished only after contemplated lease and other rental documents have been thoroughly executed by all parties
and only after applicable rentals and deposits have been paid. This application is preliminary only and does not
obligate the owner, or his agent, to execute a lease or deliver possession of the proposed premises. I hereby
authorize owner, and his agent, to make inquiries that they deem proper and necessary regarding my qualifications
as a tenant. I also authorize my employer, landlords and creditors to furnish owner or his agent such information
as requested by them. I have reviewed, I agree, and understand this agreement.
Correct Information
Applicant represents that all the statements on this application are true and complete and hereby authorizes
verification of the information, references and credit records. Applicant acknowledges that false information
herein may constitute a criminal offense under laws of this state.
Disclosure of Brokerage Relationship
Landlord and Applicant/Tenant confirm that in connection with the transaction contemplated by this application,
the Listing Broker, the Leasing Broker and Salesperson have acted on behalf of Landlord as Landlord’s
representatives.
Equal Housing
The property will be shown and made available to all persons without regard to race, color, creed, religion,
national origin, sex, familial status, handicap, or elderliness in compliance with all applicable federal, state and
local fair housing laws and regulations.
