CAM Rentals Lease Application If more than one adult will be living in the home, please fill out the “Co-Applicant” section as well. If more than two adults are applying, use additional application forms. Applicant Information Name: Date of birth: SSN: Number of dependents: Phone: Dependents ages: Current address: City: Own or Rent? State: ZIP Code: Monthly payment or rent: How long? Reason for leaving? Landlord Name: Contact Number: Previous address: City: State: ZIP Code: Own or Rent? Monthly payment or rent: How long? Reason for leaving? Landlord Name: Contact Number: Employment Information Current employer: Employer address: Start Date? Phone: E-mail: City: State: Position: Hourly or Salary? Fax: ZIP Code: Net monthly income: Previous employer: Employer address: Start Date? Phone: E-mail: City: State: Position: Hourly or Salary? Fax: ZIP Code: Net monthly income: Nearest Relative NOT Living With You Name of person: Address: City: State: ZIP Code: Phone: Relationship: Other Income – Alimony, Child Support, etc Does NOT Need to be Revealed if you Prefer Other Income Amount per Month: Source: Is ANY income you presently receive likely to be reduced in the next 2 years? SSN: If Yes, explain: Phone: Prior History Have you ever filed for Bankruptcy? Are you registered as a Sex Offender? Have you ever been convicted or pleaded guilty or no contest to a felony? How long? Have you ever been convicted, pleaded guilty or no contest to possessing, dealing, or manufacturing illegal drugs? Have you ever been evicted, whether or not a court proceeding was required to evict you? If you answered Yes to any of the above questions, please provide an explanation, including dates, below: State: ZIP Code: Use this page for an additional adult (Married, Related, or Unrelated) that will be living in the home. If no additional adult, Skip this section and proceed to Authorization and Signature Section Co-Applicant Information Name: Date of birth: SSN: Number of dependents: Phone: Dependents ages: Current address: City: Own or Rent? State: ZIP Code: Monthly payment or rent: How long? Reason for leaving? Landlord Name: Contact Number: Previous address: City: State: Own or Rent? Monthly payment or rent: ZIP Code: How long? Reason for leaving? Landlord Name: Contact Number: Co-Applicant Employment Information Current employer: Employer address: Start Date? Phone: E-mail: City: State: Position: Hourly or Salary? Fax: ZIP Code: Net monthly income: Previous employer: Employer address: Start Date? Phone: E-mail: City: State: Position: Hourly or Salary? Fax: ZIP Code: Net monthly income: Co-Applicant Nearest Relative NOT Living With You Name of person: Address: City: State: ZIP Code: Phone: Relationship: Other Income – Alimony, Child Support, etc Does NOT Need to be Revealed if you Prefer Other Income Amount per Month: Source: Is ANY income you presently receive likely to be reduced in the next 2 years? SSN: If Yes, explain: Phone: Co-Applicant Prior History Have you ever filed for Bankruptcy? Are you registered as a Sex Offender? Have you ever been convicted or pleaded guilty or no contest to a felony? How Havelong? you ever been convicted, pleaded guilty or no contest to possessing, dealing, or manufacturing illegal drugs? Have you ever been evicted, whether or not a court proceeding was required to evict you? If you answered Yes to any of the above questions, please provide an explanation, including dates, below: State: ZIP Code: Authorization and Signature By paying the application fee, and submitting this form, you are authorizing CAM Rentals to request the following reports and checks: *Credit Report *Criminal Background Check *Renters Background Check *Income Verification Applications will not be processed unless payment is received. Please read the following and authorize you have read, understand, and agree to the statements: CAM, LLC, d.b.a. "CAM Rentals”, hereafter "Lessor", with a business address of 1318 25th Ave S. Fargo, ND 58103, offers this online form for ease of application for potential clients, hereafter "Applicant". Applicant understands that this form AND application payment are BOTH required prior to any application being accepted and run for any reports or checks for opportunity for tenancy. Application for tenancy is preliminary only and does not obligate the Lessor to deliver possession or keys to the premises. No contract will be established between the parties until a lease agreement has been signed by all parties. By agreeing to these terms and digitally signing this form, Applicant represents that all statements made by Applicant are true and complete and hereby authorizes CAM Rentals, its management, employees, and agents to contact and obtain information from any individuals or entities that may have information regarding credit history, employment, and past residential arrangements of the Applicant. The undersigned Applicant(s) hereby indemnify and hold management, its employees, and agents and all other individual or entities contacted by Lessor harmless from all cases of action, expenses, losses, damages of any kind arising from or related to information obtained regarding credit history, employment, or prior residential arrangements of the Applicant. Applicant understands that they are responsible for reading and understanding the questions, statements, and terms contained within, and if assistance is necessary to understand this form, Applicant is responsible for seeking such assistance and understands Lessor has no responsibility to provide such assistance. All persons will be treated fairly and equally without regard to race, color, religion, sex, familial status, disability, marital status, status with respect to public assistance, or national origin in compliance with the Fair Housing Act. By signing my name below, I authorize CAM Rentals to request the reports and checks as identified in this form and agree to the terms, conditions, and statements above. I certify the information provided above is true, accurate and complete in its entirety. Signature and Authorization: Signature of applicant: Date: Signature of co-applicant: Date:
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