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Rental Contract
The undersigned hereby makes application to rent unit number____ located at______________________ Beginning on _______________________, at a monthly rental of $______________. PLEASE TELL US ABOUT YOURSELF FULL NAME______________________________________Phone (____)________________ Date of Birth_________________________Social Security No.________________________ Name of Co-Applicant_________________________________________________________ Number of Dependents (excluding Co-Applicant)________________ Other Occupants_____________________________________________________________ Pets (Number and Kind)_______________________________________________________ RESIDENCE HISTORY FOR THE PAST 3 YEARS (Beginning With Most Current) CURRENT ADDRESS___________________________________________ Month &Year Moved ln_______Reason for Leaving______________________________ Owner or Agent________________________________________Phone(___)___________ PREVIOUS ADDRESS (If within 3 years)_______________________________________ Month &Year Moved In____Moved Out____Reason for Leaving___________________ Owner or Agent________________________________________Phone(____)__________ PREVIOUS ADDRESS (If within 3 years)_______________________________________ Month &Year Moved In____Moved Out____Reason for Leaving___________________ Owner or Agent________________________________________Phone(____)__________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ PLEASE GIVE YOUR EMPLOYEE INFORMATION YOUR STATUS: [ ] Full-Time [ ] Part-Time [ ] Student [ ] Retired [ ] Unemployed EMPLOYER _____________________________________________________________ Date(s) Employed____________Employed as_______________________________________ Supervisor______________________________ Supervisor's Phone(____)_______________ Address_______________________________________________________________________ Salary $___________per______If employed by above less than 6 months, give name and address of Previous Employer or school_______________________________________ If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, etc.) who we could contact for confirmation. You do NOT have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application. Amount $_____________Source________________________________________________ HAVE YOU EVER: Filed for bankruptcy? [ ] No [ ]Yes Been evicted from tenancy? [ ] No [ ] Yes Willfully or intentionally refused to pay rent when due? [ ] No [ ] Yes Personal References: 1.___________________________________________________Phone (____)__________ 2.___________________________________________________Phone (____)__________ 3.___________________________________________________Phone (____)__________ 4.___________________________________________________Phone (____)__________ If management has any questions about this application, please give PHONE NUMBERS where you can be located: DAY PHONE(S)__________________________________ NIGHT PHONE(S)________________________________ ___________________________________________________________________________ ___________________________________________________________________________ I hereby apply to lease the above described premises for the term and upon
the conditions above set forth and agree that the rental is to be payable the
1st 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, $100.00 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 within __________ business banking days. Upon
acceptance of this application, this deposit shall be retained as part of the
security deposit. When so approved and accepted I agree to execute a lease for a
minumum of six months before possession is given and to pay the balance of the
security deposit before taking possession, after being notified of acceptance,
or the deposit will be forfeited as liquidated damages in payment for the
agent's time and effort in processing my inquiry and application, including
making necessary investigation of my credit, character, and reputation. If this
application is not approved and accepted by the owner or agent, the deposit will
be refunded, the applicant hereby waiving any claim for damages by reason of
nonacceptance which the owner or his agent may reject without stating any reason
for so doing. The above information, to the best of my knowledge, is true and correct. Signature of Applicant_____________________________Date Signed_______________  Home & Property Management L.L.C. Weston Potter 1655 Riverton Rd. #6 P.O. Box 786, Blackfoot, ID 83221 wjpotter2@msn.com SITE NAVIGATION Home / Email / About Us / Contact / Links Cyberpathway Web Design. |