JUNIPER VILLAGE 800 Juniper Ave, #5 Ellensburg, WA 98926 phone: (509) 962-2726 fax: call first e-mail: juniper@junipervillage.com ____________________________________________________________ INSTRUCTIONS: 1. Copy this entire application (select "Select All" from the "Edit" menu, and then select "Copy" from the "Edit" menu). 2. Start a new e-mail message addressed to "juniper@junipervillage.com". In the body of the message, paste this application ("Paste" from the "Edit" menu). 3. Fill out the application and send the e-mail message. _____________________________________________________________ APPLICATION FOR LEASE/RENTAL OF APARTMENT A false or willfully omitted statement herein will be grounds for cancellation of your lease or rental agreement at the option of your landlord. 1. A two-bedroom apartment shall be occupied by no more than two persons. 2. Lease or Rental Agreement must be signed by both individuals of all parties, including spouses. 3. This application shall survive the signing of the lease/rental agreement and shall become a part hereof. 4. NO PETS ARE PERMITTED. Please print or type (to be completed by each adult occupant) _____________________________________________________________ Property Location: 800 Juniper Ave, Ellensburg, WA 98926 Date occupancy desired: Unit desired: Name: (Last) (First) (Middle Initial) Home Phone: Birth Date: Social Security No.: Spouse's SS#: Applicant Driver's License: Occupants other than applicant (Name, Age, Relationship): 1. Auto No. 1: Year Make Color License # State Auto No. 2: Year Make Color License # State RESIDENCE HISTORY 1. Present Home Address Rent/Mortgage ($) From (Date) Present Landlord/Mortgage Co. Landlord's Phone Why Leaving 2. Previous Home Address Rent/Mortgage ($) From (Date) Previous Landlord/Mortgage Co. Landlord's Phone Why Left CREDIT REFERENCES 1. Creditor Account # Balance Owing Monthly Payment 2. Creditor Account # Balance Owing Monthly Payment 3. Creditor Account # Balance Owing Monthly Payment [YES/NO] Might you have a handicap, either physical or mental, that would allow us to move you to the top of our waiting list? [YES] I will not keep or harbor pets of any kind on the premises without the permission of the landlord. _____________________________________________________________ Applicant agrees to pay $30 for the credit investigation, which is non-refundable. Applicant hereby grants permission to landlord to obtain a credit report from a credit bureau. Credit references will be verified by landlord, and a consumer credit report will be obtained. Applicant knows landlord cannot divulge any information on credit reporting to applicant. I declare the foregoing to be true under penalty of perjury. I declare that landlord may terminate any agreement entered into in reliance on any misstatement made above. Please note that this application does not guarantee you an apartment, but puts you on a waiting list for the next available unit. Applicant(s): 1. Date: 2. Date: Note: If you are faxing or e-mailing this application, you may provide your signature(s) later. Submittal of this application via fax or e-mail, with or without a signature, constitutes consent to all terms and conditions of this application _____________________________________________________________ I (we) apply to lease or rent the above described premises in accordance with the following understanding: 1. It is understood that the applicant(s) cannot take possession of the premises until the application is investigated and accepted by the Landlord, the first month's rent and security deposit are paid, and the agreement is finally signed by the parties. In case the application is not acceptable, the payment(s) made will be refunded. It is understood and agreed that a non-refundable credit check fee will accompany this application. 2. If lease/rental agreement is submitted, it is to be signed by the applicant(s) when presented to them, otherwise the apartment will be offered for rent to others and the payment(s) made forfeited to Landlord as liquidation damages. 3. The Landlord will not be bound by agreements or promises made by representatives who show apartments, unless written on this form. 4. The Landlord assumes no responsibility to the applicant(s) for delay in giving possession due to failure of present occupant to vacate at termination of lease, etc., except that the applicant(s) will be credited upon the rent next to accrue, with an allowance equal to the pro rata amount of the rent, multiplied by the actual number of days for which possession cannot be given, and the applicant agrees to accept the lease subject to such contingency and condition. 5. Tenant agrees to pay one month's rent in advance of move-in. All leases and rental agreements will begin on the first day of the month. A move-in on any other date will be prorated on the first day of the month following the original occupancy date. The prorated amount shall be for the actual number of days the unit was utilized based upon the beginning date of the lease or rental agreement. The prorated amount will be calculated by dividing the rental amount by 30 days to obtain the daily rate. The daily rate multiplied by the actual number of days the unit is utilized equals the prorated amount. The prorated rent is due on the first day of the month following the original occupancy date. 6. $30 non-refundable credit check fee must be received by Landlord before application will be processed. 7. The undersigned/applicant(s) hereby acknowledge and agree that Landlord may make inquiry of the Individuals noted hereon. I (WE) HAVE READ, FULLY UNDERSTAND AND APPROVE OF BOTH PAGES OF THIS APPLICATION. Tenants: Primary Tenant: X Other Tenant: X Note: If you are faxing or e-mailing this application, you may provide your signature(s) later. Submittal of this application via fax or e-mail, with or without a signature, constitutes consent to all terms and conditions of this application.