RENTAL APPLICATION

Equal Housing Opportunity

PLEASE TELL US ABOUT YOURSELF

Co-Applicant

List all persons to occupy property:

Closest relative, not living with you:

List all pets: Type/and Size:

Residential History: (LAST 3 YEARS)

Current Address:

Previous Address

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past 7 years? YesNo

Have you ever been evicted from a rental residence? YesNo

Have you had two or more late rental payments in the past year? YesNo

Have you ever willfully or intentionally refused to pay rent when due? YesNo

Have you ever been Convicted Of Criminal Assault Or Any Criminal Act? YesNo

PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION

Applicant Employment Status Full TimePart TimeStudentUnemployed

If active duty Military

Co-Applicant Employment Status Full TimePart TimeStudentUnemployed

If active duty Military

PLEASE LIST YOUR REFERENCES AND MONTHLY BILLS

Bank Accounts

List All Monthly Bills (cell, car and insurance…)

Personal Reference or Emergency Contact:

Vehicle Information

ADDITIONAL INFORMATION

I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rent is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.

I hereby deposit $ as earnest money to be refunded to me if this application is not accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit. When so approved and accepted, I agree to execute a lease for months before possession is given and to pay the balance of the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason of non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

The above information, to the best of my knowledge, is true and correct.

AUTHORIZATION

Release of Information: I authorize an investigation of my credit, tenant history, criminal background, banking and employment by Clear Creek Rentals LTD for the purposes of renting a house, apartment, or condominium from this owner/manager

Agree with authorization.

By agreeing with the authorization you authorize Clear Creek Rentals LTD to investigate your credit, tenant history, criminal background, banking and employment for the purposes of renting a house or manufactured home. This can include but not limited to investigation and credit report in connection with your application. This will also authorize your landlords and employers past and present to release pertinent residential and employment history information to Clear Creek Rentals LTD.