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Tenant Application Form


Jeremy King Rasmussen, Sr. Principal Broker/Manager 541-992-1661


Leasing Office Hours

MOBILE OFFICE AVAILABLE Showings from 9am to 7pm


OREGON COAST PROPERTY MANAGEMENT LLC

The application fee is based on the number of contacts you list on the application. The total application fee will be displayed on the next page.

Personal Info

(mm/dd/yyyy)
   
   

Prior Residence(s)

 

Employment

No Employment provided.
 

Other Applicants and Adult Household Members

No Other Applicants and Adult Household Members provided.
 

Lease Guarantor Applicants

No Lease Guarantor Applicants provided.
 

Background

 

Other Information

Legal

Consent to Verification of Credit and Other Information
I warrant, to the best of my knowledge, all of the information provided in this Application is true, accurate, complete and correct as of the date of this Application. If any information provided by me is determined to be false, such false statement will be grounds for disapproval of my Application or termination of my Lease with Owner. I understand and agree: (i) this is an application to rent only and does not guarantee that I will be offered the Property, and (ii) Landlord or Manager or Agent may accept more than one application for the Property and, using their sole discretion, will select the best qualified applicant. I hereby authorize the Landlord or Manager or Agent to verify the information provided and obtain a credit report on me.

Applicant Signature: __________________________________________ Date: _______________
Receipt for Application Screening Fee
To Be Completed by Landlord, Manager or Agent
Applicant has paid a nonrefundable screening fee of $_____________, applied as follows: $ _______ for
credit reports, $________ for processing and verifying screening information (may include staff time
and related costs), and $______ for other out of pocket expenses.
The Applicant has read the foregoing and acknowledges receipt of a copy:
Applicant Signature: __________________________________________ Date: _______________
The undersigned has received the screening fee indicated above.
Landlord, Manager, or Owner Signature: ___________________________________ Date: __________


Oregon Coast Property Management LLC., does not discriminate against any person because of Race, Color, Religion, Sex, Handicap, Familial Status, Sexual Orientation or National Origin.I have read, agree and affirm that all of my statements and information provided in this application are true and complete. I acknowledge that false, undisclosed, incomplete or misleading information herein may constitute grounds for rejection of this application, termination of right of occupancy of all residents and occupants under a lease and/or forfeiture of deposits and fees, and may constitute a criminal offense under the laws of this state.

I understand that this application is preliminary only and does not bind you to execute a Lease or to deliver possession of the premises to me. I authorize you to contact any references listed above and to obtain consumer reports, which may include credit, rental payment and/or eviction history and criminal background information about me and in order to verify the above information. I understand that as my prospective landlord, any co-applicants, occupants, or guarantors that may be added to this application may need to consent to and successfully pass consumer background screening reports.

By agreeing, I authorize you to obtain subsequent consumer reports, including credit reports, to ensure that I continue to satisfy the terms of my tenancy, for the collection and recovery of any financial obligations relating to my tenancy, or for any other permissible purpose. Further, if I have included information on co-applicants, other adult household members, and/or guarantors on this application, I affirm that those individuals have knowledge of their inclusion on this application and expressly authorize you to obtain subsequent consumer reports, including credit reports. I understand that you may report all positive and negative rental payment history to consumer reporting agencies who track this information for landlords, mortgage companies and other creditors. I and all occupants or guarantors hereby release from all liability or responsibility all persons and corporations requesting or supplying such information.