Rental ApplicationThomas C Veatch, Owner/Landlord |
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Applicant Personal Information First Name___________ Middle__________ Last____________ SSN____ - __ -_____ Birth Date_______ Present Address _________________________ City _______________ State___ Zip ________________ DL#/State Issued ___________________ Tel # ( )______-_______ Email ______________________ Landlord Name ____________________ Landlord Phone( )____-________ Date moved in _______ Marital Status (circle one) Single Married Separated Divorced Current rent amount _________ Are you paying alimony? __ No __ Yes, $_______ paying child support? __No __Yes , $_______ Dependent Name_____________ Birth Date _____Dependent Name______________ Birth Date ____ Dependent Name_____________ Birth Date _____Dependent Name______________ Birth Date ____
Past Resident History (We need the past 3 years. If more space is needed, use the back.)
Employment Information (If you are not currently employed, list most recent employer.
Other Information
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I am the applicant in the attached Rental Application. I hereby
warrant the accuracy of all information contained on this rental
application including that relating to the other intended occupants of
the subject property. I understand and agree that if subsequently a
determination is made that I provided false or inaccurate information
on the rental application it is a breach of the terms of any rental
agreement signed based on that information and Owner and/or his/her
agent may take legal action to terminate said Agreement. Credit Check AuthorizationI acknowledge that, in compliance with the Fair Credit Reporting Act, State and Federal laws, applicant and his/her household members are hereby informed that an investigation involving the statements made on this application for tenancy is being initiated by Thomas C Veatch, Landlord, and MyRental.com, a service of Core Logic, 3001 Hackleberry Road, Irving, TX 75063. I certify that to the best of my knowledge all statements are true and complete. I further authorize to obtain CONSUMER CREDIT REPORTS, EMPLOYMENT REFERENCES (including verifying salary), and CHARACTER REFERENCES, GENERAL REPUTATION, MODE OF LIVING and RENTAL REFERENCES as needed to verify all information put forth on this application and otherwise available regarding all applicants identified on this application (for juvenile occupants, the undersigned parent/guardian authorizes the above-information to be obtained on their behalf).
Rights; PermissionI further acknowledge: If my application is denied after a consumer report is obtained, I have the right to obtain a free copy of the consumer report and to dispute the accuracy of information in the report.
In addition, I confirm receipt of the Tenant Selection Policy (per WA
State Fair Tenant Screening Act, 2012) from this landlord BEFORE
submitting this completed rental application and that I have read and
do understand my rights as described therein. I give permission for
Owner and prospective co-tenants to receive and view the MyRental.com
report(s). Eviction History RestrictionsI acknowledge that Landlord is prohibited from taking an adverse action against a tenant based on eviction history occurring during or within six months after the end of the civil emergency proclaimed by Mayor Durkan on March 3, 2020, and that the Seattle Office for Civil Rights is the department that will enforce any violations of this ordinance.Criminal History RestrictionsI acknowledge that Landlord is prohibited from requiring disclosure, asking about, rejecting an applicant, or taking an adverse action based on any arrest record, conviction record, or criminal history, except for "registry information" as described in subsections 14.09.025.A.3, 14.09.025.A.4, and 14.09.025.A.5, and subject to the exclusions and legal requirements in Section 14.09.115. Said registry information is defined as information solely obtained from a county, statewide, or national sex offender registry that can include information such as the person’s physical description, address, and conviction description and dates. Sex offender registry information may be used as a screening criteria; applicants are hereby informed that they may provide any supplemental information related to their rehabilitation, good conduct, and facts or explanations about their registry information.ConditionsI further affirm and acknowledge that: I cannot move in until the application is approved, and the lease (original or as modified) is approved and signed by all parties thereto, and the Security Deposit and first and last month's rent are paid in full. All rent is due and payable on the 1st day of the month in advance. I/we hereby apply to lease the above described premises on the terms above specified. In the event no verifiable rental history is available, I will increase my deposit to an amount equal to two months rent. I also understand that if I am an undergraduate student I may be required to have a parent co-signature on the lease. If the Owner accepts this application, I understand that I/we are obligated to sign a lease for said premises within seven (7) working days. If I/we fail to sign the lease, all monies paid are to be retained by the Owner as liquidated damages and there shall be no further liability on the part of the Owner or his agent in respect to said proposed lease for this application.
Applicant's Signature ________________________________________________ Date ______________
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