Please note that each adult above the age of 18 years old that will be living in the home must fill out an application and agrees to pay a non refundable application fee of $40 to cover the costs of credit and background checks.

AUTHORIZATION AND RELEASE OF INFORMATION

I apply to lease the above described premises and here by waive any claim for damages by reason of

non acceptance by the owner or agent. I acknowledge that any application/report fees paid are non

refundable. I understand that providing false or misleading information on this application

constitutes grounds for eviction from any subsequently leased property. The information provided on

this application, to the best of my knowledge, is true and correct.

I agree to permit an investigation of my credit, banking, tenant, and employment history for the

purposes of renting with this owner/man ager. I recognize that an investigative

consumer report may be prepared whereby information is obtained through credit reports, criminal

background checks and personal interviews. This inquiry includes information as to my character,

general reputation, personal characteristics and mode of living. I understand that the agent for this

property may share this information with the owner of the property for the purpose of determining

my eligibility.

Upon approval and acceptance, I agree to pay the security deposit and to execute a lease before

possession is given. I acknowledge that the security deposit must be in the form of a money order or

cashier's check, separate from any rent or fees, and that the amount required may be increased if the

applicant has no rental/credit history or if information on the application otherwise warrants non

acceptance. I understand that rent is to be payable on the 1st day of each month and that cash is not

an accepted form of rent payment.