Fillable Printable North Dakota Tenant Rental Application

North Dakota Tenant Rental Application

NORTH

DAKOTA

APARTMENT

ASSOCIATION

Rental

Application

ease

when

comp

eting

is a

c a

tion

(5)

EOUALHOUSI'-IG

OPPO

RTUNITY

The

undersi

gned

eby

mak

app

cations

rent

property

___

____

_ _

___

cated

---

-----

------·North

Dako

ta.

LANDLORD/MANAGER

I will

requesting a credit report.

D Yes

D No Fee: each applicant

Do you currently have a freeze on your credit? D Yes D No

*If

yes. see below

I will

requesting a criminal background check. D

Yes

Fee:

each applicant

I will be requesting a renters background check. D Yes

D No

Fee: each

applicant

5. I will be requesting

income verification . D Yes D No Fee: each appli

TOTAL

FEES

: $

*If you

h~·Je

a credit freeze, you must first

tify Experian at 1-888-397-3742 to temporarily remove the freeze PRIOR

processing the application.

APPLICANT:

As part of the application process, I authorize the prospective landlord/manager

request the reports a

check as identified

and understand that t

above fees are non-refundable and

<;lo

not obligate the landlord to deliver possession or keys to the

premises.

I understand t

criter

necessary to rent fr

the above landlord and have been provided with a copy

the terms.

No contract

will be established between the parties

a lease agreement has been signed by all

rties.

Applic

nt's

signature/date:

Co-Applicant

Aeelicant:

Co-

Aeelicant

DYes

DNo

DYes

D No

1. Have you ever

bankruptcy?

2.DYes

DNo

DYes

D No 2.

Have you ever been convicted of

plead guilty

contest to a felony?

3.DYes

DNo

DYes

D No 3.

the last ten years, have you been arrested, convicted of

plead guilty or no

contest to a charge of possessing, dea ling

nufacturing illegal drugs?

4.DYes

DNo

DYes

o 4. Have you ever been e

cted, whether or not a court proceeding was necessary to

evict you?

5.DYes

DNo

DYes

DNo

Are you currently registered, or have you ever been required to register

a sex

offender?

DYes

DNo

DYes

DNo

6. Do you have or plan on allowing pets in the apartment unit?

any questions were answered Yes, please explain:

______

_ _

___

____________

(

Property

Manag

ment

Company's

Name)

committed

to th

e letter

and

rit

of the Fair

usi

Act

which,

among

other

things

prohibits

discri

mination

against

per

ons

with

disabilities. In

accordance

with

our

statutory

responsi-

and

manag

eme

icies.

will

make

reasonable

accommodation

upon

writt

en re

quest,

our

es,

policies,

pract

servi

ces,

when

such

commo

dat

may

ssary

afford

persons

with

isab

itie

equ

opportunity

use

and

the

housing

commu

tie

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 T

re:

___

____

Social Security Number:

------------

Drivers License Number: -

--------

Previous Street Address:

----

-------

--------

Years There:

-------

City:

-----,

----

State:

____

Zip:

____

_ Telephon

e:-

---

----

- -

Reason

r Leaving:

---------

Rent

r month:$

Landlord & Telep

hone:--

----

Present Employer

_______________

Years There

: _

______

Telephone

_,_:--------

Position

Title: Name

Supervisor: _

______

_________

Employer's Address: _

_ _

___

_______________

____

Previous Em

oyer :

___________

_____________

Years There :

____

Previous Employer's Address: _

____

______

____

___

Present

Net Income/Month: $

____

Number of Hours worked:

_ _

___

./Week _

___

./ Month

Number of occupants that

ll be occupying the unit:

________

____

______

NOTE: Alimony, child support, or separate maintenance income need not

revealed

you do not wi

to have it considered

as a basis for paying this obligation.

r income: $ per . Sources of other income:

-:-;-

--::::--

-:-;--:-:-:-

:---:---

---:-:--

Is any income listed in this section

kely to be reduced in the next two years? D Yes D No If Yes, please expl

Name

nearest relative not living wi

you: _

______

_____

Telep

_ _

_____

Relationship:

_ _

____

.Ad

dress:

______

___

_____

______

_ _

NOAA R ental

cation Revised 1112007

TION

B •

INFORMATION

REGARDING

JOINT

APPLICA

(SPOUSE

AND/OR

RENT/GUARDIAN

ONL

Y )

Full Name:

---,,--

-.-

---

--:-::

::--,.,----

....,...,,...,-::-:---- Birthdate:

(last)

(First) (Middle)

Present Street Address

--------

----

---------------

City:

_________

State:

_ Zip:

______

Telephone:

---

------

Reason for Leaving: Rent per month:$ Years There: _

_______

_ _

Soci

Security Number:

ivers License Number:

--------

Previous Street Address:

___

_ _

______

_ _ _ _ _ _ _ Years There :

______

City:

____

State:

_ Zip: Telephone:

----

------

Reason for Leaving: Rent per month:$

Landlord &

Telephone:-

----

---

Present Empl

oyer"""

___

____

______

_ Years

There"'":

___

____

Tele

one.

"'":----

Position

or Title: Name

SupeNi

___

_ _

____

______

Employer's Address:

_ _ _

______

________

_ _ _

____

Previous Employer:

_____

_..;.

_______

___

Years There:.

___

Previous E

loyer's Address:

___

________

_____

_ _

_ _ _

____

_ _ _

Present Net Income/Month: $

___

_ Number

rs worked: - -

' Week

____

Month

Number

occupants that will be occupying the unit:

_____

NOTE

: Alimony, child support, or separate

intenance income need not be revealed

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

this section likely to

reduced

the next two years? 0 Yes 0 No If Yes, please explain:

Name of nearest relative not living with you:

____

______

_ _ _ _ Telephone:

__________

Relationshi

_ _

____

_ .Address:

___

____

_____

_ _

Presen

Land

ord

Pre

iou

Land

lord

Automobile Make, Model & Year:

cense#:

________

State:

Are

you

the co-maker and/or guarantor

any loan or contract? 0 Yes 0 No If Yes, to whom

_________

Are there any unsatisfied judgments

liens against you? 0 Yes 0 No

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 criter

which was established per

the addendum provided.

The undersigned represents that

all

the above statements are true and complete and hereby authorizes management, its

employees and agents to contact and obtain

formation from any individua ls

entities that may have information regarding

credit history, emp loyment and past residential arrangements

the undersigned . The undersigned hereby indemn ify a

hold

management, its employees and agents and

all other individual

entities contracted

management harmless from all causes

of action, expenses, losses, damages

any ki

arisi

from

related to infor

tion obtained regarding credit history, em-

ployment or pri

residential arrangements

the undersigned.

All persons will be treated

fai

y and equally without regard to race, color, religion, sex, familial statu

handicap, marital status,

status with respect

public assistance or national origin in compliance with the Fair Housi

Act.

ppli

ca nt:

________

___

Date:

____

Co-Ap

pli

: _

____

______

_______

Date: _

______

___

NOAA

Application

Revised

11n00