Professional Documents
Culture Documents
ALL UNITS
SUBJECT TO
AVAILABILITY
RENTAL APPLICATION
PROPERTY NAME / NUMBER
UNIT NUMBER
_______________________________________________________________________________________________________________________________________________________________________________________________________
_________________________________________
ADDRESS
_____________________________________
MM / DD / YYYY
12-325
___________________________________________________________________________________________________________________________________________________________________
40.00
UNIT RENT $__________________________________________ NON-REFUNDABLE SCREENING CHARGE $__________________________________________
______________________________________________________________
(503) 665-2008
__________________________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________
________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________
MM / DD / YYYY
__________________________________________________________
MM / DD / YYYY
______________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________
STATE
APPLICANT
STATE
______________________
ZIP
STATE
______________________________________________
________________________________________________
___________________________________
MM / DD / YYYY
STATE
______________________________________________
ZIP
ARE YOUSELF-EMPLOYED?
____________________________________________________
c YES
c NO
STREET ADDRESS
TO
___________________________________
MM / DD / YYYY
__________________________________________________________________
___________________________________________________________________________________________________________________
PHONE (__________________)_________________________________________
STATE
______________________________________________
ZIP
__________________________________________________________________
$____________________________
/ SOURCE
__________________________________________________________
____________________________________________________
_____________________________________________________________________________________________________
$____________________________
PHONE (__________________)_________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________
POSITION
__________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________
CITY
FROM
______________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________
POSITION
ZIP
________________________________________________________________________________________________________________________________________________________________________________
OTHER STATES AND COUNTIES YOU HAVE LIVED IN DURING THE PAST 5 YEARS
CITY
MM / DD / YYYY
__________________________________________________________________________________________________________
STREET ADDRESS
____________________________________________________
________________________________________________________________________________________________________________________________________________________________________________
CURRENT EMPLOYER
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________
________________________________________________
__________________________________________________________________________________________________________
ZIP
_________________________________________________________________________________________________________
______________________
STATE
______________________________________________
_____________________________________________________________________________________________________________________________________________________
ZIP
__________________________________________________________________
HOW LONG?
Form M002 OR Copyright 2015 Multifamily NW. NOT TO BE REPRODUCED WITHOUT WRITTEN PERMISSION. Revised 12/2/2015.
__________________________________________________________
________________________________________
Utility/Conservice
________________________________________
________________________________________
________________________________________
400.00
$___________________________
1,600
$___________________________
$___________________________
_________________________________________
300.00
$___________________________
35.00
$___________________________
_________________________________________
$___________________________
25.00
$___________________________
$___________________________
Additonal Dep.
Additional Dep.
300.00
_________________________________________ $___________________________
_________________________________________
_________________________________________
ON SITE
RESIDENT
c
X IF CHECKED, RENTERS INSURANCE WILL BE REQUIRED.
INSURANCE
1,600.00
MAXIMUM POTENTIAL RENT $___________________________
DEPOSITS
RENT
$___________________________
$___________________________
IF
__________________________________________________________________________
_____________________________________________________________________________
100,000.00
MINIMUM INSURANCE AMOUNT: $__________________________________
PAGE 1
DATE OF BIRTH
MAKE
MODEL
COLOR
STATE
_____________________________
__________________________________
__________________________________
__________________
____________
_____________________________
____________________________________________________________
_____________________________
__________________________________
__________________________________
__________________
____________
_____________________________
____________________________________________________________
_____________________________
__________________________________
__________________________________
__________________
____________
_____________________________
____________________________________________________________
_____________________________
__________________________________
__________________________________
__________________
____________
_____________________________
____________________________________________________________
_____________________________
__________________________________
__________________________________
__________________
____________
_____________________________
MM / DD / YYYY
MM / DD / YYYY
MM / DD / YYYY
MM / DD / YYYY
c
X IF CHECKED, PETS ARE ALLOWED SUBJECT TO APPROVAL BY MANAGEMENT. HOW MANY PETS WILL BE RESIDING IN THIS UNIT?
TYPE
TYPE
_______________________________________________________________
_______________________________________________________________
c WATERBED
BANK(S)
BREED
BREED
_______________________________________________________________
_______________________________________________________________
c AQUARIUM
c YES
c NO
AGE
AGE
_______________________________
_______________________________
_________________________________
WEIGHT __________________________________
WEIGHT __________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
EMERGENCY CONTACT
ADDRESS
_______________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
PHONE (__________________)______________________________________________
______________________________________________________________________________________________________________________
PHONE (__________________)______________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
HAVE YOU EVER BEEN EVICTED, OR ARE YOU CURRENTLY IN THE EVICTION PROCESS? c YES c NO IF YES, DATE
_______________________________
MM / DD / YYYY
HAVE YOU EVER FILED FOR BANKRUPTCY, OR ARE YOU CURRENTLY IN THE BANKRUPTCY PROCESS? c YES c NO IF YES, DATE
_______________________________
MM / DD / YYYY
HAVE YOU EVER HAD A HOME FORECLOSED ON, OR ARE YOU CURRENTLY IN THE FORECLOSURE PROCESS? c YES c NO IF YES, DATE
_____________________
MM / DD / YYYY
HAVE YOU OR ANY OTHER PERSON WHO WILL BE OCCUPYING THE UNIT EVER BEEN CONVICTED OF, OR PLED GUILTY OR NO CONTEST TO, ANY FELONY
OR MISDEMEANOR?
WHAT
c YES
c NO
IF YES, WHO
_______________________________________________
WHERE
_______________________________________________
WHEN
____________________________________
MM / DD / YYYY
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
c YES
c NO
________________________________________________________________________________________________________________________________________________________________________
Owner/Agent has charged a screening charge as set forth above. Owner/Agent may obtain a consumer credit report and/or an Investigative
Consumer Report which may include the checking of the applicants credit, income, employment, rental history, and criminal court records and
may include information as to his/her character, general reputation, personal characteristics, and mode of living. You have the right to request
additional disclosures provided under Section 606 (b) of the Fair Credit Reporting Act, and a written summary of your rights pursuant to Section
609(c). You have the right to dispute the accuracy of the information provided to the Owner/Agent by the screening company or the credit
reporting agency as well as complete and accurate disclosure of the nature and scope of the investigation.
SIGNATURE
SCREENING
COMPANY NAME
ADDRESS
________________________________________________________________________________________________________________________________
Background Investigations
PHONE
____________________________________________________________________
(503) 639-6000
______________________________________________________________________________________________________________________________________________________________________________________________________________________________
applications@biinc.com
EMAIL ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
72hrs hours from the time of notification to either, at Owner/Agents option, execute a
If the application is approved, applicant will have ___________________
rental agreement and make all deposits required thereunder or make a deposit to hold the unit and execute an agreement to execute a rental
agreement which will provide for the forfeiture of the deposit if applicant fails to occupy the unit. If applicant fails to timely take the steps
required above, he/she will be deemed to have refused the unit and the next application for the unit will be processed.
GOOD FAITH ESTIMATE
Approximate number of units currently available, or which will in the foreseeable future be available, of the size and in the area requested
1
by applicant: ___________________
unit(s).
0
Approximate number of applications previously accepted and currently under consideration for those units: ___________________
application(s).
If the blanks above are not filled in, then there is at least one unit available and there are no applications ahead of yours currently under
consideration.
Form M002 OR Copyright 2015 Multifamily NW. NOT TO BE REPRODUCED WITHOUT WRITTEN PERMISSION. Revised 12/2/2015.
MM / DD / YYYY
OTHER
LICENSE PLATE #
____________________________________________________________
VEHICLES
OTHER OCCUPANTS
NAME
I certify that the above information is correct and complete and hereby authorize you to do a credit check and make any inquiries you feel
necessary to evaluate my tenancy and credit standing. I understand that giving incomplete or false information is grounds for rejection of this
application. I understand that if any information supplied on this application is later found to be false, this is grounds for termination of tenancy.
I have received and read the Owner/Agents rental criteria.
X
DATE
APPLICANT ___________________________________________________________________________________________________
_______________________________
MM / DD / YYYY
X
OWNER/AGENT ___________________________________________________________________________________________
DATE RECEIVED
OWNER/AGENT NOTES
_______________________________
MM / DD / YYYY
TIME RECEIVED
__________________________
(INITIALS)
__________________________
________________________________________________________________________________________________________________________________________________________________________________________________________
ON SITE
RESIDENT
RENTAL APPLICATION
PAGE 2