National Apartment Association Rental – Fill Out and Use This PDF

ABOUT YOU Full name (exactly as on driver's license or govt. ID card)

Your street address (as shown on your driver's license or government ID card):

Marital Status:  single  married  divorced  widowed  separated Are you a U.S. citizen?  Yes  No Do you or any occupant smoke? yes  no Will you or any occupant have an animal?  yes  no

Kind, weight, breed, age:

Current home address (where you now live):

City/State/Zip:

Email address:

Name of apartment where you now live:

Current owner or manager's name:

Their phone:Date moved in:

Why are you leaving your current residence?

Your previous home address:

City/State/Zip:

Apartment name:

Name of above owner or manager:

Their phone:Previous monthly rent: $

Date you moved in:

YOUR WORK Present employer:

Address:

City/State/Zip:

Work phone: ( )

Position:

Your gross monthly income is over: $

Date you began this job:

Supervisor's name and phone:

Previous employer:

Address:

City/State/Zip:

Work phone: ( )

Position:

Gross monthly income was over: $

Dates you began and ended this job:

Previous supervisor's name and phone:

YOUR CREDIT HISTORY Your bank's name, city, state:

List major credit cards:

Other non-work income you want considered. Please explain:

Past credit problems you want to explain. (Use separate page.)

WHY YOU APPLIED HERE Were you referred?  Yes  No.

If yes, by whom:

Name of locator or rental agency:

Name of individual locator or agent:

Name of friend or other person:

Did you find us on your own?  Yes  No If yes, fill in information below:

ÂOn the Internet  Stopped by  Newspaper (name):

ÂRental publication:

ÂOther:

YOUR RENTAL/CRIMINAL HISTORY Check only if applicable. Have you,

your spouse, or any occupant listed in this Application ever: Â been evicted or asked to move out? Â moved out of a dwelling before the end of the lease term without the owner's consent? Â declared bankruptcy? Â been sued for rent? Â been sued for property damage? Â been charged, detained, or arrested for a felony, misdemeanor involving a controlled substance, violence to another person or destruction of property, or a sex crime that was resolved by conviction, probation, deferred adjudication, court-ordered community supervision, or pretrial diversion? Â been charged, detained, or arrested for a felony, misdemeanor involving a controlled substance, violence to another person or destruction of property, or a sex crime that has not been resolved by any method? Please indicate below the year, location and type of each felony, misdemeanor involving a controlled substance, violence to another person or destruction of property, or sex crime other than those resolved by dismissal or acquittal. We may need to discuss more facts before making a decision.

You represent the answer is "no" to any item not checked above.

Supervisor's name and phone:

OTHER OCCUPANTS Names of all persons under 18 and other adults who will occupy the unit without signing the lease. Continue on separate page if more than three.

(including cars, trucks, motorcycles, trailers, etc.). Continue on separate page if more than three.

EMERGENCY Emergency contact person over 18, who will not be living with you: Name:

Address:

City/State/Zip:

Stone Manor Condominiums

to obtain reports from any consumer or criminal record reporting agencies before, during, and after tenancy on matters relating to a lease by the above owner to me and to verify, by all available means, the information in this application, including criminal background information, income history and other information reported by employer(s) to any state employment security agency. Work history information may be used only for this Rental Application. Authority to obtain work history information expires 365 days from the date of this Application.

Applicant's signature

Spouse's signature

Applicant must also sign on the next page of this Application.

• Names of all residents who will sign Lease Contract

;

• Name of Owner/Lessor Stone Manor Condominiums

;

• Property name and type of dwelling (bedrooms and baths)

;

•Complete street address 5001 Stoney Brook Road

•Names of all other occupants not signing Lease Contract (persons under age 18, relatives, friends, etc.)

;

•Beginning date and ending date of Lease Contract

•(Check one):  furnished or  unfurnished;

•Utilities paid by owner (check all that apply): Â electricity, Â gas, Â water,

Âwastewater, XÂ trash, Â cable TV, Â master TV antenna;

•You are (check one): Â required to purchase personal liability insurance or

Ânot required to purchase personal liability insurance;

•Special provisions regarding parking, storage, etc.: (see attached page if necessary):

.

1.Lease Contract Information. The Lease Contract contemplated by the parties is attached or, if no Lease Contract is attached, the Lease Contract will be the current Lease Contract noted above. Special information and conditions must be explicitly noted on an attached Lease Contract or in the Contemplated Lease Contract Information above.

2.Application Fee (nonrefundable). You have delivered to our represen- tative an application fee in the amount indicated below, and this payment partially defrays the cost of administrative paperwork. It's nonrefundable.

3.Application Deposit (may or may not be refundable). In addition to any application fee, you have delivered to our representative an application deposit in the amount indicated below. The application deposit is not a security deposit. However, it will be credited toward the required security deposit when the Lease Contract has been signed by all parties; OR it will be refunded under paragraph 10 if you are not approved; OR it will be retained by us as liquidated damages if you fail to sign or attempt to withdraw under paragraph 6 or 7.

4.Approval When Lease Contract Is Signed in Advance. If you and all co-applicants have already signed the Lease Contract when we approve the Application, our representative will notify you (or one of you if there are co-applicants) of our approval, sign the Lease Contract, and then credit the application deposit of all applicants toward the required security deposit.

5.Approval When Lease Contract Isn't Yet Signed. If you and all co- applicants have not signed the Lease Contract when we approve the Application, our representative will notify you (or one of you if there are co-applicants) of the approval, sign the Lease Contract when you and all co-applicants have signed, and then credit the application deposit of all applicants toward the required security deposit.

6.If You Fail to Sign Lease Contract After Approval. Unless we authorize otherwise in writing, you and all co-applicants must sign the Lease Contract within 3 days after we give you our approval in person or by telephone or within 5 days after we mail you our approval. If you or any co-applicant fails to sign as required, we may keep the application deposit as liquidated damages, and terminate all further obligations under this Agreement.

7.If You Withdraw Before Approval. You and any co-applicant may not withdraw your application or the application deposit. If you or any co- applicant withdraws an Application or notifies us that you've changed your mind about renting the dwelling unit, we'll be entitled to retain all application deposits as liquidated damages, and the parties will then have no further obligation to each other.

8.Completed Application. An Application will not be considered "com- pleted" and will not be processed until all of the following have been

provided to us (unless checked): Â a separate Application has been fully filled out and signed by you and each co-applicant; Â an application fee has been paid to us; Â an application deposit has been paid to us. If no

item is checked, all are necessary for the Application to be considered completed.

9.Nonapproval. We will notify you whether you've been approved within 10 days after the date we receive a completed Application. Your Application will be considered "disapproved" if we fail to notify you of your approval within 10 days after we have received a completed Application. Notification may be in person or by mail or telephone unless you have requested that notification be by mail. You must not assume approval until you receive actual notice of approval. The 10-day time period may be changed only by separate written agreement.

10.Refund after Nonapproval. If you or any co-applicant is disapproved or deemed disapproved under paragraph 9, we'll refund all application deposits within 30 days of such disapproval. Refund checks may be made payable to all co-applicants and mailed to one applicant.

11.Extension of Deadlines. If the deadline for signing, approving, or re- funding under paragraphs 6, 9, or 10 falls on a Saturday, Sunday, or a state or federal holiday, the deadline will be extended to the end of the next day.

12. Notice to or from Co-applicants. Any notice we give you or your co- applicant is considered notice to all co-applicants; and any notice from you or your co-applicant is considered notice from all co-applicants.

13.Keys or Access Devices. We'll furnish keys and/or access devices only

14.Receipt. Application fee (nonrefundable): $

Application deposit (may or may not be refundable): $

Other move-in fees (may or may not be refundable): $

Total of above application fee and application deposit: $

Total amount of money we've received to this date: $

15.Signature. Our representative's signature is consent only to this Application Agreement. It does not bind us to accept applicant or to sign the proposed Lease Contract.