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					                       MOORMAN PROPERTIES
                                    Rental Application Form
                          2123 4 t h North, Suite B , Seattle, WA 98109
                                   moormanproperties@msn.com
                           Phone: 206 -378-5899 Fax: 206-378-5896
                                            www.seattleapts. net

              Address of Property                           Apt. Number                   City, State, Zip

  Monthly Rental Amount             Rental Term (Number of Months)               Requested Move-In Date

   Rental Deposit                Non-Refundable Sum                  Date Deposit/Non-Refundable Tendered
Utilities Paid by Landlord:
APPLICATION MUST BE FILLED OUT COMPLETELY INCLUDING ALL PHONE NUMBERS

          Applicant’s Name (please print)                 Middle Name                   Date of Birth

        Co-Applicant’s Name (please print)                Middle Name                    Date of Birth

    Home Phone                Work Phone         ST     ID/Driver’s License #         Social Security #
PLEASE GIVE RESIDENCE HISTORY FOR THE PAST 6 YEARS BEGINNING WITH THE PRESENT:
 Address           City State Zip  Landlord's Name Landlord's Phone From/To Rent Amount




Employer's Name        Superviser's Name      Phone #      Monthly Gross Working Hours         Worked From/To

                                                                            am/pm -    am/pm

                                                                            am/pm -    am/pm

                                                                            am/pm -    am/pm

                                                                            am/pm -    am/pm
PLEASE GIVE EMPLOYMENT HISTORY FOR PAST 3 YEARS BEGINNING WITH PRESENT:
 PLEASE LIST OTHER INCOME, SUBSTANTIAL SAVINGS ACCOUNTS, OR OTHER ASSETS:


            ABSOLUTELY NO SMOKERS AND NO PETS ALLOWED
Before you apply: please initial you are a non-smoker and do not have pets. Permanent monthly rent increase
and/or deposit forfeit will apply if these rules are violated.
LIST BELOW ALL DEBTS, INCLUDING AUTO, SCHOOL, CREDIT CARD, FINANCE COMPANY OR BANK LOANS:
Creditor Name                                                                  Monthly Payment Present Balance




   PLEASE LIST BELOW ALL PERSONS WHO WILL OCCUPY THE PREMISES:
Name                                     Age     Relationship




      PLEASE LIST BELOW ALL VEHICLES TO BE PARKED AT THE PREMISES:
        Make         Model        Year          Color      License Number




IN CASE OF EMERGENCY, WHO SHOULD WE CONTACT?

NAME                              ADDRESS                                  PHONE NUMBER                 RELATIONSHIP
        I/we, the undersigned, represent that all statements above are true, correct and complete. I/we further
acknowledge that any false information or information withheld which may be material may be grounds for rejection of
this application. I/we agree that the Landlord or Landlord’s agent may research our credit worthiness, our tenant history
or any other type of information that would reflect upon our desirability as a tenant, by any means in existence. I/we have
read and understand the agreement and affix my/our signature(s) hereon.
        I/we understand that I/we acquire no rights in the apartment until I/we sign an agreement in the form submitted to
me and have paid a deposit of $            and have paid a non-refundable sum of $                   on Apartment Number
        . The deposit is to be held in accordance with the rental agreement and to be applied to the deposit schedules
contained in the rental agreement.
        In consideration of the landlord holding this apartment for me/us, I/we hereby waive all rights to the return of this
deposit and non-refundable sum; and said deposit and non-refundable sum shall be retained as liquidated damages in the
event that I/we do not choose to enter into the agreement applied for herein. In the event said application for tenancy is
not accepted by Landlord, the deposit shall be returned to the applicant, allowing sufficient time for the bank clearance of
checks.
        I/we understand that a credit/reference check fee of $              per person will be charged.
Dated this               day of                   , 20            .

        Applicant’s Signature                                                      Co-Applicant’s Signature
Print Name                                                        Print Name

      ** PLEASE PROVIDE A COPY OF YOUR STATE ID/DRIVER’S LICENSE **
             ABSOLUTELY NO SMOKERS AND NO PETS ALLOWED
Before you apply: please initial you are a non-smoker and do not have pets. Permanent monthly rent increase
and/or deposit forfeit will apply if these rules are violated.

				
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