
- trust the wisdom of the grasshopper
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Rental Application
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We require each adult applicant
to print, sign, date, and return the
Employment Verification and
Landlord Verification forms to us, along with the application below.
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We require a copy
of your current driver's license or other government issued photo ID
(attach to this application)
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We require proof of
income via previous two months cancelled checks or pay stubs (attach to
this application). For new jobs, please attach Job Letter/Employment
Contract. Students must submit a Financial Aid Statement (if
applicable). International students without a credit score receiving
financial aid must submit a copy of their I-20 form.
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We require a $35 non-refundable fee
payable to Kenneth Carroll Real Estate in order to process this application. (An additional application and $25 non-refundable fee is required
for
each additional prospective adult tenant).
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If your current and previous
employers charge for employment verification, you are responsible for
providing such verification in writing from your employers, at your
expense.
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SIGN AND DATE
HERE:__________________________________
Applicants Credit Check Consent:
“I hereby authorize the managing agent for the owner
of the property to obtain a consumer report, and other information it
deems necessary, for the purpose of evaluating my application. I
understand that such information may include, but is not limited to,
credit history, civil and criminal information, records of arrest,
rental history, employment/salary details, vehicle records, licensing
records, and/or any other necessary information. I understand that
subsequent consumer reports may be obtained and utilized under this
authorization in connection with an update, renewal, extension or
collection with respect to or in connection with the rental lease of a
residence, for which this application was made. I hereby expressly
release the owner of the property and it's agents, employees,
representatives, affiliates, and any procurer or furnisher of
information, from any liability what-so-ever in the use, procurement, or
furnishing of such information, and understand that my application
information may be provided to various local, state, and/or federal
government agencies including without limitation, various law
enforcement agencies."
I hereby deposit one month's rent as earnest money
(via a check separate from that of the application fee) to be refunded
or returned
to me if this application is not accepted within five business banking
days. Upon acceptance of this application, this deposit shall be
retained as the security deposit. When so approved and accepted I agree
to execute a lease for twelve months or longer (or shorter with the
prior written approval of landlord) before possession is given.
At the signing of the lease, I also agree to pay the first month's rent
and last month's rent as required. If this application is not approved
and accepted by the owner or the agent, the deposit will be refunded,
and the applicant hereby waives any claim for damages for
non-acceptance.
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IMPORTANT: Please initial ALL items below |
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I understand that my
application fee is non-refundable |
| ____ |
I understand that if after
making my application or being accepted I do not take occupancy of
the property, I forfeit my security deposit. |
| ____ |
I understand that the
property will be rented as is. |
| ____ |
I understand and agree
possession of the property will not be prior to the agreed upon
move-in date and without execution of my lease. |
| ____ |
I understand the
information presented to me on the property I'm applying for is
deemed accurate and reliable but not guaranteed or warranted by the
owner of the property, or it's agents, employees, representatives,
or affiliates. |
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Has Applicant Listed Herein Ever: (if any of the
answers below are “yes”, please explain |
a. Been convicted of and/or pled “guilty” or “no
contest” to any felony offense?
________________________________________________________________________ |
b. Been evicted from a rental dwelling, or received a notice to
vacate?
________________________________________________________________________ |
c. Have you ever broken a rental
agreement?
________________________________________________________________________ |
d. Have you ever declared
bankruptcy?
________________________________________________________________________ |
Return by facsimile transmission (FAX) of this application bearing the signature(s) of the
applicant(s) shall constitute a duly executed release by the applicant, for the Agent to
obtain all the above information and use it for the purposes for which the application is
submitted. In addition, I agree to conduct real estate transactions
electronically pursuant to the Pennsylvania Electronic Transactions Act.
I acknowledge Receiving The EPA Documents
"Protect Your Family From Lead in Your Home"
Required for housing built pre-1978,
"A Brief Guide to
Mold, Moisture, and Your Home,"
The State Required Consumer Notice
and For Philadelphia Tenants:
"Partners
For Good Housing" Brochure
Applicant's signature ____________________________
(UNSIGNED OR INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED)
Date__________________________________________
print and fax this application to 610-827-9286
or send it to 1565 Hollow Road - Suite 85 - Birchrunville PA 19421

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