RENTAL APPLICATION

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Rent Info

Landlord:

David Westley



This Application is made to rent:

Single family home



The rent shall be $0 per month, payable in advance.


The following deposits are required:
The deposit will be returned to the Applicant if the Premises are not rented to the Applicant.
The total amount of $0 shall be due upon signature of the lease.
An application deposit of $50 is due with this application.
The Applicant understands and agrees that if this Application is accepted and the Applicant fails to execute a lease before the beginning date specified above , or to pay the required deposits and the first month's rent, the application deposit will be forfeited as liquidated damages
It is alsounderstood that if the Appication is not accepted, or if the Premises are not ready for occupancy by the Applicant on the beginning date specified above, the deposit shall be returned to the Applicant, upon the Applicant request.
Applicant on the beginning date specified above, the deposit shall be returned to the Applicant, upon the Applicant's request.
The Applicants understands that the Landlord may perform a credit check to verify the Application's credit references and credit history in connection with the processing of this Rental Application.

Personal

APPLICANT INFORMATION


Male Female     

Yes No


Yes No
Yes No


Yes No
Yes No
Yes No


IT IS AGAINST THE LAW TO DISCRIMINATE AGAINST PROSPECTIVE TENANTS ON THE BASIS OF RAC,RELIGION, NATIONAL ORIGIN, AGE, DISABILITY OR FAMILY STATUS. LOCAL OR STATE LAWS MAY INCLUDE ADDITIONAL CLASSES WHICH ARE PROTECTED FROM DISCRIMINATION IN HOUSES.
The information provided by the prospective tenant(s) may be used by David Westley will disclosed to the Applicant in writing the nature and scope of any investigation David Westley has requested, and will, if the Applicant is refused, state in writing the reason for said refusal.

Earnings

TENANT OCCUPATION INFORMATION

I represent that the information provided in this Application is true and correct to the best of my Knowledge. David Westley is authorized to verify the references and employment information given in this Application and to request a credit check. I acknowlwdge receipt of a copy of this application.

References

NEAREST RELATIVE NOT LIVING WITH YOU:

others

I have completed the above information in connection with a rental application. The addressee of this letter is authorized to verify this information and supply the above name landlord with the information requested in the following items. Your response is solely a matter of courtesy for which no responsibility is attached to your institution or any of your officers.