GLENWOOD PROPERTY MANAGEMENT, INC.
7578 Broken Top Ave NE, Keizer, OR 97303
(503) 851-1957 FAX 503-584-1382
* RENTAL APPLICATION - FAX TO 503-584-1382
Date :______Property:______Unit#______
Name :______Date/Birth______Driv.Lic.#______
Name :______Date/Birth______Driv.Lic#______
Other(s):______Age(s)______
CurrentAddress :______HowLong?______
City/State/Zip______
Phone# :______Apt/Mgr /Phone:______
Reason for leaving______
Former Address:______How Long?______
Apt/Mgr :______Phone#______
CURRENT & PAST EMPLOYMENT:
Applicant's Job:______Company/Address______Phone#______Spouse/other:______Company/Address:______Phone#______
Previous Job:______Phone#______
Have you ever been evicted from a rental residence? Yes ______No ______
CURRENT MONTHLY INCOME:
Applicant's Monthly/weekly Pay: $______
Spouse or Other Pay: $______
Other Income/Source: $______
Total monthly Income: $______
CRIMINAL RECORD: (List any conviction other than traffic offenses)
______
CHARACTER REFERENCES:
Name :______Phone#______
Name :______Phone#____________
PERSONAL EFFECTS, ETC:
List all Pets (no dogs allowed), specialty furniture/waterbeds, etc: ______
I hereby certify all prospective occupants are listed and all the above information is correct and complete. I authorize you to make any and all inquiries necessary to evaluate my/our tenancy, credit, character, employment and criminal records. If tenancy is approved, application and/or credit check fee is payable with first months rent. If I do not rent after application is approved I agree to pay $_35_. If application is denied for any reason after receipt of said fees then a refund of any application, but not credit check fees, will be made. All parties hereto agree to submit all claim(s) to binding arbitration in matters pertaining to the renting of subject property, including any and all claim(s) of discrimination by either owner(s) or manager(s) in the event premises are rented to another party. As multiple applications are continually taken from prospective tenants no guarantee of rental or available vacancy is implied in the taking of application and/or credit-check fees, etc. The undersigned applicant(s) agree that damages for any such claim(s) in a court of law or finding by arbitrator(s) shall not exceed $500.and that any attorney's fees shall be paid by the respective parties.
Application fee: ______Applicant ______
Credit Check Fee: ______Applicant ______