I certify that I am moving from the above current address on good terms and have satisfied all of my lease requirements with my
current landlord. I agree upon request to furnish a current credit report on myself and on any other persons named in the lease or that
may be allowed to occupy the apt with me.
I agree upon request to furnish a current certification of clear criminal record at my own expense. I further authorize my
employer to give out information required for this lease in regards to income, position, and time on the job. I understand that any lease eventually granted may be voided at landlordís option if false statements or inaccuracies have been
made on this application.
In the event the application is approved and applicant fails or refuses to enter into the contemplated lease, owner shall retain the said deposit as
liquidated damages to cover the cost of taking and processing this application and removing the premises from the market and holding same for applicant.
In the event this application is disapproved,or for any other reason for which owner is responsible the Lease Agreement is not consummated, this deposit will be returned to applicant.If
a deposit is accepted it is with the understanding that should this application be denied for reasons of credit history, rental history,
applicantís misstatement, or change of mind, that the deposit is
By clicking "Submit" below I agree that I am signing
this application with the same effect as if I had done so in person,
and agree to all electronic signature regulations.