"Rental Application Form - North Dakota Apartment Association" - North Dakota

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NORTH DAKOTA APARTMENT ASSOCIATION
Rental Application
P
l
ease
print
when
compl
eting
thi
s
a
pplic
a
tion
.
(5)
EOUALHOUSI'-IG
OPPORTUNITY
The undersigned hereby
makes
applications
to
rent property from
_ _
__ _ _
__
_ _ _
__
_
_
__ _
___
Located in
-
- -
-- - - -
-------·North
Dakota.
LANDLORD/MANAGER
1. I will be requesting a credit report.
~
D
Yes
D
No
Fee:
each applicant
2.
Do you currently have a freeze on your
credit?
D
Yes
D
No
*If
yes. see
below
3.
I will be requesting a criminal
background
check.
D
Yes D
No
Fee:
each
applicant
4.
I will be requesting a
renters
background check.
D
Yes
D
No
Fee:
each applicant
5.
I
will
be requesting an income
verification.
D
Yes D
No
Fee:
each
applicant
TOTAL
FEES:
$
*If you
h~·Je
a credit
freeze,
you
must
first notify
Experian
at 1-888-397-3742
to
temporarily remove the freeze PRIOR
to processing
the
application.
APPLICANT:
As
part
of
the
application process, I authorize
the
prospective
landlord/manager
to
request
the
reports
and
check as
identified
and understand that the
above
fees are non-refundable and <;lo
not
obligate the landlord
to
deliver
possession or
keys to the
premises.
I understand
the
criteria
necessary
to
rent
from the
above
landlord
and have been provided
with
a copy
of the
terms.
No
contract will
be
established between the
parties
until
a lease
agreement has been signed
by
all parties.
Applicant's
signature/date:
Co-Applicant:
Aeelicant:
Co-Aeelicant
1.DYes DNo
DYes
D
No
1.
Have
you
ever
filed bankruptcy?
2.DYes
DNo
DYes
D
No
2. Have you ever been convicted
of
or plead guilty or no contest to a
felony?
3.DYes
DNo
DYes
D
No
3.
In the
last
ten years,
have
you been
arrested,
convicted
of
or plead guilty
or
no
contest
to a charge of possessing, dealing or manufacturing illegal drugs?
4.DYes
DNo
DYes
DNo
4. Have you ever been
evicted,
whether
or not a court
proceeding
was necessary to
evict
you?
5.DYes
DNo
DYes
DNo
5.
Are
you currently
registered,
or
have you ever
been required to
register as a sex
offender?
6.DYes DNo
DYes DNo
6.
Do
you
have or plan on allowing
pets
in the apartment unit?
If
any
questions
were
answered Yes, please
explain:
_______
_
_ _
______________ _ _
(Property Management Company's
Name)
is committed
to
the
letter
and
spirit of the Fair
Housing
Act,
which, among other
things,
prohibits
discrimination against persons with
disabilities.
In accordance with
our
statutory
responsi-
bilities and management policies. we will make reasonable
accommodations
upon written request, in our rules, policies,
practices,
or
services,
when such
accommodations
may be
necessary
to
afford
persons with
disabilities
an
equal
opportunity to use
and
enjoy their
housing
commu-
nities.
SECTION A- INFORMATION REGARDING APPLICANT
Full
Name:
-
--
--
-- - - - - - : : , - - - -
-- - - - - - - , . ,
-.,...,---- -
Birthdate:
(Last)
(First)
(Middle)
Present Street
Address:
- - -
--
- -
--
-
-
- - - - - - - -
--
-- - - - - - -
-- - - - -
City:
_
_ _ _ _
__
_ _
State:
_
_ _
Zip: _
__
__
_
Telephone:
- - -
-- - - - - -
--
Reason
for Leaving
:
-
- -
-- - -
--
-
-
Rent
per
month:$
_ _ _ _ _ Years
There:
_
__ _
__ _ _ _
_
Social Security
Number:
- - - - - - - - - - - -
Drivers License
Number:
-
-
--
- - - - - - - -
Previous Street
Address:
-
-- - -
--
- - - - - -
--
-- - - - - - - -
Years
There:
- - - - - - -
City: -
------,-
- - - -
State: ____
Zip:
_ _ _
__
__ Telephone:-- -
--
-
-- - -
--
-
Reason
for
Leaving:
-
-- - - - - - - - -
Rent per
month:$
_ _
Landlord
&
Telephone:---
-- - -
--
Present
Employer,_
:
_______________
Years
There,_
:
_
_ _ _ _ _ _
Telephone_,_:--------
Position or Title:
Name
of Supervisor:
_
_______________
_
Employer's
Address:
_
_
__
_
__
_
_ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
__
__ _ _
__ _
_
Previous
Employer:
_ _ _ _ _ _ _ _ _ _
__
_ _ _ _ _ _ _ _ _ _ _ _ _ Years
There:
_ _ _
__ _
_
Previous
Employer's Address:
_
_ _ _
__
_
__ _ _ _ _
__
__
__
__ _ _
__ _
__
__ _ _ _
Present
Net
Income/Month:
$ _ _ _
__ _
_
Number of
Hours
worked:
_
_
___ ./Week
_
_
____
.
/
Month
Number
of occupants
that
will
be occupying the unit:
_ _ _ _ _ _ _
__
__
__ _ _ _ _ _
_
NOTE:
Alimony,
child
support,
or
separate maintenance
income
need
not
be revealed
if you
do not wish to have it
considered
as a basis for
paying this
obligation.
Other
income:
$
per
.
Sources of
other
income:
-:-;---::::---:-;--:-:-:-:---:----
---:-:--
Is any income
listed in this
section
likely
to be reduced
in the next two years?
D
Yes
D
No
If
Yes,
please
explain:
Name
of
nearest relative
not living with
you: _
_
________
_____ Telephone:
_
_
__
_
_____
_
Relationship:
_
__
_
_
__ _ _
__
__
.Address:
_ _ _ _ _
__ _
__ _ _ _
__
_ _ _ _ _
__ _
NOAA R
ental
App lication
Revised
1112007
NORTH DAKOTA APARTMENT ASSOCIATION
Rental Application
P
l
ease
print
when
compl
eting
thi
s
a
pplic
a
tion
.
(5)
EOUALHOUSI'-IG
OPPORTUNITY
The undersigned hereby
makes
applications
to
rent property from
_ _
__ _ _
__
_ _ _
__
_
_
__ _
___
Located in
-
- -
-- - - -
-------·North
Dakota.
LANDLORD/MANAGER
1. I will be requesting a credit report.
~
D
Yes
D
No
Fee:
each applicant
2.
Do you currently have a freeze on your
credit?
D
Yes
D
No
*If
yes. see
below
3.
I will be requesting a criminal
background
check.
D
Yes D
No
Fee:
each
applicant
4.
I will be requesting a
renters
background check.
D
Yes
D
No
Fee:
each applicant
5.
I
will
be requesting an income
verification.
D
Yes D
No
Fee:
each
applicant
TOTAL
FEES:
$
*If you
h~·Je
a credit
freeze,
you
must
first notify
Experian
at 1-888-397-3742
to
temporarily remove the freeze PRIOR
to processing
the
application.
APPLICANT:
As
part
of
the
application process, I authorize
the
prospective
landlord/manager
to
request
the
reports
and
check as
identified
and understand that the
above
fees are non-refundable and <;lo
not
obligate the landlord
to
deliver
possession or
keys to the
premises.
I understand
the
criteria
necessary
to
rent
from the
above
landlord
and have been provided
with
a copy
of the
terms.
No
contract will
be
established between the
parties
until
a lease
agreement has been signed
by
all parties.
Applicant's
signature/date:
Co-Applicant:
Aeelicant:
Co-Aeelicant
1.DYes DNo
DYes
D
No
1.
Have
you
ever
filed bankruptcy?
2.DYes
DNo
DYes
D
No
2. Have you ever been convicted
of
or plead guilty or no contest to a
felony?
3.DYes
DNo
DYes
D
No
3.
In the
last
ten years,
have
you been
arrested,
convicted
of
or plead guilty
or
no
contest
to a charge of possessing, dealing or manufacturing illegal drugs?
4.DYes
DNo
DYes
DNo
4. Have you ever been
evicted,
whether
or not a court
proceeding
was necessary to
evict
you?
5.DYes
DNo
DYes
DNo
5.
Are
you currently
registered,
or
have you ever
been required to
register as a sex
offender?
6.DYes DNo
DYes DNo
6.
Do
you
have or plan on allowing
pets
in the apartment unit?
If
any
questions
were
answered Yes, please
explain:
_______
_
_ _
______________ _ _
(Property Management Company's
Name)
is committed
to
the
letter
and
spirit of the Fair
Housing
Act,
which, among other
things,
prohibits
discrimination against persons with
disabilities.
In accordance with
our
statutory
responsi-
bilities and management policies. we will make reasonable
accommodations
upon written request, in our rules, policies,
practices,
or
services,
when such
accommodations
may be
necessary
to
afford
persons with
disabilities
an
equal
opportunity to use
and
enjoy their
housing
commu-
nities.
SECTION A- INFORMATION REGARDING APPLICANT
Full
Name:
-
--
--
-- - - - - - : : , - - - -
-- - - - - - - , . ,
-.,...,---- -
Birthdate:
(Last)
(First)
(Middle)
Present Street
Address:
- - -
--
- -
--
-
-
- - - - - - - -
--
-- - - - - - -
-- - - - -
City:
_
_ _ _ _
__
_ _
State:
_
_ _
Zip: _
__
__
_
Telephone:
- - -
-- - - - - -
--
Reason
for Leaving
:
-
- -
-- - -
--
-
-
Rent
per
month:$
_ _ _ _ _ Years
There:
_
__ _
__ _ _ _
_
Social Security
Number:
- - - - - - - - - - - -
Drivers License
Number:
-
-
--
- - - - - - - -
Previous Street
Address:
-
-- - -
--
- - - - - -
--
-- - - - - - - -
Years
There:
- - - - - - -
City: -
------,-
- - - -
State: ____
Zip:
_ _ _
__
__ Telephone:-- -
--
-
-- - -
--
-
Reason
for
Leaving:
-
-- - - - - - - - -
Rent per
month:$
_ _
Landlord
&
Telephone:---
-- - -
--
Present
Employer,_
:
_______________
Years
There,_
:
_
_ _ _ _ _ _
Telephone_,_:--------
Position or Title:
Name
of Supervisor:
_
_______________
_
Employer's
Address:
_
_
__
_
__
_
_ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
__
__ _ _
__ _
_
Previous
Employer:
_ _ _ _ _ _ _ _ _ _
__
_ _ _ _ _ _ _ _ _ _ _ _ _ Years
There:
_ _ _
__ _
_
Previous
Employer's Address:
_
_ _ _
__
_
__ _ _ _ _
__
__
__
__ _ _
__ _
__
__ _ _ _
Present
Net
Income/Month:
$ _ _ _
__ _
_
Number of
Hours
worked:
_
_
___ ./Week
_
_
____
.
/
Month
Number
of occupants
that
will
be occupying the unit:
_ _ _ _ _ _ _
__
__
__ _ _ _ _ _
_
NOTE:
Alimony,
child
support,
or
separate maintenance
income
need
not
be revealed
if you
do not wish to have it
considered
as a basis for
paying this
obligation.
Other
income:
$
per
.
Sources of
other
income:
-:-;---::::---:-;--:-:-:-:---:----
---:-:--
Is any income
listed in this
section
likely
to be reduced
in the next two years?
D
Yes
D
No
If
Yes,
please
explain:
Name
of
nearest relative
not living with
you: _
_
________
_____ Telephone:
_
_
__
_
_____
_
Relationship:
_
__
_
_
__ _ _
__
__
.Address:
_ _ _ _ _
__ _
__ _ _ _
__
_ _ _ _ _
__ _
NOAA R
ental
App lication
Revised
1112007
SECTION B
INFORMATION REGARDING JOINT
APPLICAN
T
(SPOUSE AND/OR
PA
RENT/GUARDIAN
ONLY
)
Full
Name:
---,,---.--
--
- -
---:-::::--,.,-----
-
--
-
-....,...,,...,-::-:----
Birthdate:
(last)
(First)
(Middle)
Present Street
Address:
-- - - - - - -
--
-
--
-
--
-
--
-- - - - - - - - - - - - - - -
City:
_ _ _ _ _ _ _ _ _
State:
_
__
Zip:
_ _ _ _ _ _
Telephone:
-
-- -
--
- - - - - -
Reason
for
Leaving:
Rent
per
month:$
Years
There:
_
_ _ _ _ _ _
__ _
Social
Security
Number:
Drivers License
Number: -
-- - -
-- - -
--
Previous Street
Address:
_
__
_ _
__
__
_
_ _ _ _ _
__
_
_
_
_
_
_
Years
There:
_ _ _ _ _ _ _
City:
_
__ _ _
__
_ _
State:
_
__
Zip:
Telephone:
-
-- - -
-- - - - - -
Reason
for
Leaving:
Rent per
month:$
_ _
Landlord
&
Telephone:--
-
--
-- - -
Present
Employer"""
:
_ _
__ _ _
__ _ _ _ _
__
Years There"'":
_ _
_____
Telephone.
" ' " : - - -
--
--
Position
or
Title:
Name
of
SupeNisor: _ _
__
_
_ _ _
__ _ _ _ _ _
_
Employer's
Address:
_
__
_
__
_
_
_ _ _ _ _
__
_ _ _ _ _ _ _
__
_
_
_ _ _
__
__ _ _
Previous
Employer:
_
__
_ _ _ _
__
_ _ _ _ _ _..;. _ _ _ _ _ _
__ _ _
Years
There
:
.
_ _
__
_ _
_
Previous Employer's
Address: _ _
__
_ _ _
__ _ _
__ _ _ _
__
_
_
__
_
_
_
__ _ _
__
_ _
Present Net Income/Month: $
_
__
_ _
__
Number of
Hours worked
:
-
-
-
--'
'
Week
_
__ _ _ _
,/
Month
Number of occupants that will be occupying
the unit:
_ _ _ _
__ _
_
NOTE:
Alimony,
child
support, or separate maintenance income need
not be revealed if
you do
not
wish
to have
it considered
as a basis
for
paying this
obligation.
Other
income:
$
per
.
Sources of other
income:
-:-:---=:--:-:---:-::-:-:--
- - , . - -
-..,.-,--
Is any
income
listed
in this section likely to be reduced in the next two years? 0
Yes
0
No
If
Yes,
please
explain:
Name of
nearest
relative not living with you:
_ _ _
__ _
__ _
__
_
_
_
Telephone: _ _ _ _ _ _ _ _ _ _
_
Relationship: _
_
_
__
_
_ _ _
__
__
.Address:
_ _
__ _ _
__
_ _ _
__
__ _ _ _
__
__
_
Present
Landlord
1.
Previous
Landlord
2.
3.
4.
5.
Automobile
Make,
Model
&
Year:
License#:
_ _ _ _ _ _ _ _
State:
_ _ _
Are you
the
co-maker and/or guarantor
of any
loan
or
contract?
0
Yes 0 No
If
Yes, to whom _ _ _ _ _ _ _ _ _ _
Are there any unsatisfied
j
udgments or
liens against
you? 0 Yes
0
No
If Yes,
to
whom.
_ _
__
_
__ _
__ _
_
Other
obligations- (i.e
.
liability
to pay alimony,
child support,
separate maintenance) Use
separate
sheet
if
necessary:
ACKNOWLEGEMENT AND AGREEMENT
For
purposes of renting,
the
undersigned acknowledges that they were informed
of
the
rental
criteria
which
was established
per
the
addendum
provided.
The
undersigned
represents that
all
of the above statements are
true
and complete and
hereby
authorizes management, its
employees and agents
to contact
and
obtain
information from any individuals or
entities that may have information
regarding
credit
history,
employment and
past
residential
arrangements
of the
undersigned.
The
undersigned
hereby
indemnify
and hold
management,
its employees and agents and all other individual or entities contracted
by
management harmless
from
all
causes
of action, expenses,
losses,
damages of
any kind arising
from or
related
to information obtained
regarding
credit
history,
em-
ployment
or
prior
residential
arrangements of the undersigned.
All
persons
will
be treated
fairly
and equally without regard to race,
color,
religion,
sex,
familial
status, handicap,
marital
status,
status
with
respect
to public assistance or
national
origin in compliance with
the
Fair
Housing
Act.
Applicant:
_
__
_ _ _ _ _ _ _
__
__ _
__
__
_ _ _ _
Date:
_
__
_ _ _
__
__ _
_
Co-A
pplicant: _
_ _ _
__ _
__ _
__ _ _ _ _ _
__ _ _
Date:
_
_ _ _ _ _
__
__ _ _
_
NOAA
Rental
Application Revised
11n001
Page of 2