RESIDENTIAL RENTAL APPLICATION

For inquiries about the rental property, please contact Barbara Cepinko at:
Email Address: babs@trainweb.com

RENTAL PROPERTY

Rental Property Address: 5405 NE 70th Circle, Vancouver, WA 98661
Date of Availability: Immediately
Type of Lease Term: Fixed term
Minimum Term of Lease: 1 year
Monthly Rent Payment: $850.00
Initial Security Deposit: $500.00

APPLICANT'S PERSONAL INFORMATION

Name: ____________________________________________________________________
Email Address: ____________________________________________________
Home Phone: (_________) ______________ Alternative Phone: (_________) ______________
Date of Birth: _________________________Social Security Number: _______________
DESIRED MOVE-IN DATE: _________________

RENTAL HISTORY

1. Current Residence
   
   Current Address: _________________________________________________________________________
   How long have you been residing at this address? _________________________________
   Monthly Rent: _______________
   Landlord's Name: ___________________________________________
   Landlord's Contact Number: __________________________________
   Reason(s) for leaving this property:
   123456789A123456789B123456789C123456789D123456789E123456789F123456789G12
   __________________________________________________________________________
   
2. Previous Residence (If applicable)
   
   Previous Address:
   _________________________________________________________________________
   How long did you stay at this address? __________________________________________
   Monthly Rent: _____________________
   Landlord's Name: __________________________________________
   Landlord's Contact Number: __________________________________
   Reason(s) for leaving this property:
   __________________________________________________________________________

Have you ever been evicted from a rental residence?                                        Yes           No
Have you missed two or more rental payments in the past 12 months?             Yes           No
Have you ever refused to pay rent when due?                                                    Yes           No
If you have answered YES to any of the above, please state your reasons and/or circumstances:
__________________________________________________________________________

EMPLOYMENT DETAILS

1. Current Employment 

Employment Status:  [  ] Full-Time  [  ] Part-time  [  ] Student  [  ] Unemployed  [  ] Retired
Current Employer: _________________________________________________________
Supervisor's Name: _______________________________
Phone: ________________
Job Title: _______________________________________
Date Hired: ____________________
Monthly Income:$ _________

Other Sources of Income:
__________________________________________________________________________

2. Previous Employment 

Previous Employer (if any): ________________________________________________
Supervisor's Name: _______________________________
Phone: ________________
Job Title: _______________________________________
Period of Employment: __________________________

PROOF OF INCOME

The applicant is required to attach proof of their income to this rental application form. Acceptable documentation includes pay stubs, employer’s letter/certificate, bank statements or copies of the previous year’s tax return.

CREDIT HISTORY AND BACKGROUND CHECK AUTHORIZATION

                   Have you declared bankruptcy in the past seven (7) years?                  Yes         No
                   Do you consent to a credit check?                                                         Yes         No
                   Is there anything that we may find in our credit check that you want to comment on?

__________________________________________________________________________

CRIMINAL BACKGROUND CHECK AUTHORIZATION

                   Do you consent to a criminal check?                                                    Yes          No
                   Is there anything that we may find in our criminal check that you want to comment on?

__________________________________________________________________________

ADDITIONAL INFORMATION

1. PETS 

The Landlord allows pets in the rental property, with the following restrictions:

1. only 1 small pet weighing not more than 20 pounds is allowed in the rental property

Do you own a pet?                                                                                 Yes      No
If YES, please describe the pet:
__________________________________________________________________________

2. SMOKING 

The Landlord allows smoking on the property but only outside the house. 

3. WATERBEDS 

The Landlord allows the use of waterbeds on the premises, subject to certain restrictions.

4. PARKING 

There is plenty of free street parking available..
Will you bring a vehicle?                                                                Yes      No

I declare that the information I have provided is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies.

The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of application.