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					                                             APPLICATION TO RENT
                                   TENANT'S PERSONAL AND CREDIT INFORMATION
INSTRUCTIONS: MUST BE FILLED OUT COMPLETELY TO BE PROCESSED. PLEASE ATTACH COPY OF SOCIAL SECURITY CARD, DRIVERS
 LICENSE AND LAST TWO PAY STUBS FOR ALL APPLICANTS. THE APPLICATION MUST BE DELIVERED IN PERSON AND ALL APPLICANTS
                      MUST BE PRESENT TO SIGN. THE LANDLORD MAY BE CONTACTED AT (817) 454-4397



                                                          Personal Information
                                            TENANT                                            CO-TENANT
                              Name
      Maiden name or alias / If
       divorce, previous name
                      Birthdate
              Social security #
              Drivers license #

                Present address

        How long at present address

              Reason for moving

      Current rent or house payment
   Current Landlord name and
                      phone #

               Previous address

     Previous rent or house payment

                                                              TENANT                                      CO-TENANT
                                                              Yes                     No                   Yes                       No
 Have you owned a home in the past?          [ ] How long? _____ How many?______     [ ]   [ ] How long?______ How many?______      [ ]
      Have you ever filed a petition for
                           bankruptcy?       [ ] When? _____________                 [ ]   [ ] When? _____________                  [ ]
 Have you ever been evicted from any
                               tenancy?      [ ] When & why? ___________________     [ ]   [ ] When & why?____________________      [ ]
Have you ever willfully and intentionally
       refused to pay rent when due?         [ ] When & why? ___________________     [ ]   [ ] When & why?____________________      [ ]
                                             [ ] When & what crimes?_____________          [ ] When & what crimes?_____________
  Have ever been convicted of a crime?       ____________________________________    [ ]   ____________________________________     [ ]


  Total number of occupants_________ Number of occupants who smoke _________ Number of vehicles __________
  List any pets ___________________________________________________________________________________
Name of occupant                                     Relationship to tenant / co-tenant                                 Age




Car make                       Year                          Model                    Color                    Lic. Plate #




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                                                        Employment Information
                                  TENANT                                               CO-TENANT
Present occupation

Employer name / Self
employed
Current business
address

Current business phone
Current positon held
How long at employer?
Name and title of
superior
Type of business

Monthly gross income

Prior occupation

Prior employer name

Prior business address

Prior business phone

                                                                 Bank references
   Type (savings,           Bank name &                Account holder &           Balance        Date opened         Bank phone
checking, brokerage,          branch                      Account #
       etc.)




                                              Credit balances & outstanding loans
   Type (credit card,                   Creditor                      Account #             Balance owed          Date opened
      auto, etc)




PLEASE ATTACH ADDITIONAL INFORMATION IF ANY TO A SEPARATE PAGE



ADDRESS OF PREMISES OFFERED FOR RENT 5500 Bainbridge Dr., Arlington TX 76018
                                                                 ST
I UNDERSTAND AND AGREE THAT SECURITY, 1 MONTH’S RENT AND BROKER’S FEES MUST BE POSTED
PRIOR TO THE EXECUTION OF A LEASE AGREEMENT IN CERTIFIED FUNDS, MONEY ORDER OR CASH.
                  RENTAL PRICE: _$950.00_. SECURITY: _[ ] $950 [ ] Other: _________

I UNDERSTAND AND AGREE THAT THE PROPERTY WILL BE LEASED TO THE FIRST PERSON THAT MAKES A
DEPOSIT AND IS APPROVED. I HEREBY DEPOSIT THE SUM OF $_________ WITH THE LANDLORD/AGENT TO
SECURE THE ABOVE PREMISES TO RENT, PENDING EXECUTION OF A LEASE AGREEMENT. I UNDERSTAND
THAT MY DEPOSIT MAY BE APPLIED TOWARD ANY RENT LOSS OR OTHER EXPENSES THE LANDLORD/AGENT
MAY INCUR AS A RESULT OF MY FAILURE TO FULFILL MY PROMISE TO RENT THE ABOVE NAMED PREMISES
BY SIGNING A LEASE AGREEMENT NO LATER THAN ________TO OCCUPY BY ________. LEASE TERM: _______.

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LANDLORD/AGENT AGREES THAT THE DEPOSIT IS REFUNDABLE IF THE ABOVE APPLICANT IS NOT
APPROVED, PROVIDING THAT THIS APPLICATION HAS BEEN FILLED OUT COMPLETELY AND TRUTHFULLY.

I HEREBY AUTHORIZE LANDLORD/AGENT TO VERIFY THE VALIDITY OF ALL THE ABOVE INFORMATION, AND TO
INQUIRE WITH MY EMPLOYERS, FINANCIAL INSTITUTIONS, CONSUMER REPORTING AGENCIES, AND ANY OF
THE CREDIT REPORTING BUREAUS AVAILABLE TO HIM. I AGREE TO SUPPLY ANY ADDITIONAL INFORMATION
NEEDED BY OWNER/AGENT TO PROCESS THIS APPLICATION AND I ACKNOWLEDGE THAT MY DEPOSIT WILL
BE FORFEIT IF I DO NOT COMPLY WITH ANY SUCH REQUEST.

I UNDERSTAND THAT I HAVE THE RIGHT TO REVIEW THE SELECTION CRITERIA USED BY THE LANDLORD
BEFORE PAYING ANY APPLICATION FEES AND THAT I HAVE THE OPTION OF HAVING MY APPLICATION
EVALUATED UNDER LESS STRINGENT CRITERIA IF I CHOOSE TO MAKE A HIGHER SECURITY DEPOSIT. BY
SIGNING THIS APPLICATION I DECLARE THAT I HAD THE OPPORTUNITY TO REVIEW THE LANDLORD’S TENANT
SELECTION CRITERIA. THE TENANT SELECTION CRITERIA MAY INCLUDE FACTORS SUCH AS CRIMINAL
HISTORY, CREDIT HISTORY, CURRENT INCOME, AND RENTAL HISTORY. IF YOU DO NOT MEET THE
SELECTION CRITERIA, OR IF YOU PROVIDE INACCURATE OR INCOMPLETE INFORMATION, YOUR APPLICATION
MAY BE REJECTED AND YOUR APPLICATION FEE WILL NOT BE REFUNDED. I AGREE THAT MY SCREENING FEE
OF $50.00_ per adult applicant_ IS NON-REFUNDABLE.


I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS APPLICATION AGREEMENT. I AGREE THAT LANDLORD
MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENT MADE ABOVE. I
DECLARE, UNDER PENALTY OF PERJURY, ALL OF THE ABOVE INFORMATION TO BE TRUE AND CORRECT, TO
THE BEST OF MY KNOWLEDGE.




  •     APPLICANT_______________________________________________ DATE_________________________




  •     APPLICANT_______________________________________________ DATE_________________________




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