Residential Rental Application



I here by apply to lease the above rentaI unit. I agree to enter into an Occupancy Agreement upon approval of my application on the Landlord’s forms, and to abide by all conditions of such Agreement. I agree to pay the sum of $25.00 as a non-refundable application fee. I authorize the Landlord and/or his agents to obtain a credit report and to conduct an investigation into my character, reputation, personal characteristics, and mode of living now or at any point in the future in support of my application or enforcing any term(s) of the subsequent Occupancy Agreement.


at the time of submitting my application, and agree that this sum will be forfeit to the Landlord as liquidated damages if I opt not to enter into the required Occupancy Agreement for any reason following approval of this application. Should my application not be approved, the Landlord agrees to refund the security deposit amount only.


The term of the required Agreement shall begin and end on a calendar month basis. All  rental payments are due and payable in advance on the first day of each month.

I certify that all the information above is true and correct, and agree that any falsification of, or incorrect information provided as part of my application shall be grounds for immediate eviction.

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