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Unless this application is initialed on each page it will not be processed. (If more than two persons are applying, use additional applications.)  \nPROPERTY ADDRESS   CITY, STATE, ZIP    \nMOVE-IN DATE    \n(NON-REFUNDABLE) APPLICATION FEE $   RENT $   SECURITY DEPOSIT $   PET DEPOSIT $   (NON-REFUNDABLE) PROCESSING FEE $   KEY DEPOSIT $   CLEANING FEE $   OTHER $    \nEVIDENCE BY: CASH   CHECK   CASHIER'S CHECK   MONEY ORDER    \nXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX APPLICANT:    \nHOME PHONE \\#   OTHER PHONE   EMAIL   SSN\\#   DL\\#   STATE   BIRTH DATE   CURRENT ADDRESS:   CITY, STATE, ZIP    \nLANDLORD NAME / MORTGAGE HOLDER:   PAYMENT:   PHONE \\#   HOW LONG?   (PLEASE CHECK ONE)  OWNED OR  RENT REASON FOR LEAVING   PRIOR STREET ADDRESS:   CITY, STATE, ZIP   LANDLORD NAME / MORTGAGE HOLDER:   PHONE \\#   HOW LONG?   (PLEASE CHECK ONE)  OWNED OR  RENT REASON FOR LEAVING   CURRENT EMPLOYER:   HOW LONG?   EMPLOYED AS   ADDRESS:   CITY, STATE, ZIP   PHONE \\#   FAX\\#   Rental Application Rev. 11/09 Page 1 of 4 Applicants Initials: [  ] [  ]  \nBlack & Cherry Real Estate 2850 W Horizon Ridge Pkwy \\#200 Henderson, NV 89052  \nPhone: (702)795-4663 Fax: (702)795-4664 Ashley De Busk WEBSITE  \nProduced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 [www.zipLogix.com](www.zipLogix.com)  \nSALARY: $   PER/MO SUPERVISOR:   OTHER INCOME: SOURCE   AMOUNT: $   PRIOR EMPLOYER (IF LESS THAN 3 YEARS):   PHONE \\#   HOW LONG?   EMPLOYED AS   SALARY: $   PER/MO SUPERVISOR:   CREDIT REFERENCES: BANK   ACCT.\\#   ADDRESS    \nXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX CO-APPLICANT:    \nSSN \\#   DL\\#   STATE   BIRTH DATE   PHONE \\#   EMAIL   CURRENT ADDRESS:   CITY, STATE, ZIP   LANDLORD NAME / MORTGAGE HOLDER:   PAYMENT:   PHONE \\#   HOW LONG?   (PLEASE CHECK ONE)  OWNED OR  RENT PRIOR STREET ADDRESS:    CITY, STATE, ZIP   LANDLORD NAME / MORTGAGE HOLDER:   PHONE \\#   HOW LONG?   (PLEASE CHECK ONE)  OWNED OR  RENT REASON FOR LEAVING   CURRENT EMPLOYER:   HOW LONG?   EMPLOYED AS   ADDRESS:   CITY, STATE, ZIP   PHONE \\#   FAX\\#   SALARY: $   PER/MO SUPERVISOR:   OTHER INCOME: SOURCE    \nAMOUNT: $    \nPRIOR EMPLOYER (IF LESS THAN 3 YEARS):   PHONE \\#   HOW LONG?   EMPLOYED AS   SALARY: $   PER/MO SUPERVISOR:    \nRental Application Rev. 11/09 Page 2 of 4 Applicants Initials: [  ] [  ]  \nProduced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 [www.zipLogix.com](www.zipLogix.com)  WEBSITE  \nADDRESS    \nXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX  \nAUTOMOBILES:  \nMAKE   MODEL   LIC\\#   STATE   YR   COLOR    \nMAKE   MODEL   LIC\\#   STATE   YR   COLOR    \nMAKE   MODEL   LIC\\#   STATE   YR   COLOR    \nXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX  \nIN ADDITION TO APPLICANT(S), OTHER PERSONS TO BE AT PREMISES:  \nNAME RELATIONSHIP AGE OCCUPATION  \n\n|  |\n| --- |\n|  |\n|  |\n\nPETS? (Y/N)   HOW MANY? Cats   Dogs   Other    \n\n| Name | Cat or Dog? | Breed | Weight | Spayed or Neutered? |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\nIf Other, please explain:    \nHAS ANY APPLICANT EVER FILED BANKRUPTCY?   GIVE DETAILS    \nHAS ANY APPLICANT EVER BEEN EVICTED?   EXPLAIN    \nHAS ANY APPLICANT EVER WILLFULLY REFUSED TO PAY RENT WHEN DUE?   EXPLAIN    \nHAS ANY APPLICANT OR OCCUPANT EVER BEEN CONVICTED OF A GROSS MISDEMEANOR OR FELONY?  \nYES  OR NO  IF YES PLEASE EXPLAIN    \nRental Application Rev. 11/09 Page 3 of 4 Applicants Initials: [  ] [  ]  \nProduced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 [www.zipLogix.com](www.zipLogix.com)  WEBSITE  \nHOW LONG DOES APPLICANT PLAN TO LIVE HERE?   DOES APPLICANT PLAN TO USE LIQUID FILLED FURNITURE?   TYPE   DOES ANYONE IN THE HOUSEHOLD SMOKE? Y/N     \nAPPLICANT INCASE OF EMERGENCY, PERSON TO NOTIFY:    RELATIONSHIP:  PH","cbCaiudKUa1lJV6w","https://ap.wps.com/l/cbCaiudKUa1lJV6w","pdf",177771,"English","# Rental Application Requirements\n## Fees, Deposits, and Evidence\n## Applicant and Co-Applicant Information\n## Disclosures and Authorizations","[{\"question\":\"When is the rental application considered complete?\",\"answer\":\"The application is not complete until page 4 is signed. If it is not initialed on each page, it will not be processed.\"},{\"question\":\"What fees or deposits are referenced in the form?\",\"answer\":\"The form includes a non-refundable application fee, a non-refundable processing fee, a security deposit, pet deposit if applicable, and a key deposit and cleaning fee, plus a holding deposit described in the disclosures.\"},{\"question\":\"What background checks and verifications does the applicant authorize?\",\"answer\":\"The applicant authorizes an employment check, criminal records check, credit check, verification of references, and verification of current and previous landlords.\"}]","Rental Application - Form - Complete All Pages - Signature Required | PDF",1789833282]