Worth Clark Realty

136 S Main St
2nd Floor
St. Charles, MO 63301 

ID# 129335298

* Required Fields

Tenant Application Form


Leasing Office Hours

9am - 5pm, Mon - Fri

Worth Clark Realty's Rental Application

Thank you for your interest in our property! Please read and complete all information sections provided. If you have any questions, please feel free to contact us by phone or email. You will be contacted by the leasing office on the status of your application within the next business day.  

The application fee is $40 per adult and non-refundable. Please read through the RENTAL GUIDELINES prior to completing this application, as any application fees paid will not be refunded if you submit an application for review and the Rental Guidelines are not met.  You are applying for the rent amount currently advertised, and should not apply based on an assumption that the rent amount is negotiable or will be any amount other than the currently advertised rent amount. If you have multiple pets, or a type/breed that may be questionable, please confirm the pet(s) are allowed prior to completing and submitting this application.  Your application fee will not be refunded, if any pet is deemed to be not allowed.

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


Prior Residence(s)



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.


No Pets provided.


No Vehicles provided.



Other Information


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 and agree that any application fees are non-refundable. I acknowledge that I have received Worth Clark, Inc.'s Missouri Broker Disclosure Form.

I understand that this application is preliminary only and does not bind me to execute a Lease or to deliver possession of the premises to me. However, I do understand that if any amount toward the security deposit is paid upon receiving application approval it shall be considered a holding fee until a Lease is signed, and shall only be designated as a security deposit when both I and the landlord sign the lease. This holding fee will not be refunded if I fail to sign a lease, or otherwise fulfill any other obligations necessary to start a Lease and landlord may, in its discretion, deduct any amount it spent in preparing the premises for me from this holding fee, even if Landlord decides to refund the balance or is required to do so by governing law. 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 submitting my information online via this online application I agree to these terms and conditions; and 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 authorize Worth Clark, Inc. to provide these reports and information with the Landlord and any agent of the Landlord to assist with the decision in leasing the desired property to me. I understand that rental insurance shall be required to occupy any property leased and/or managed by Worth Clark, Inc., and therefore authorize Worth Clark, Inc. to share my name, phone number, and email address to an insurance company for the sole purpose of providing a quote for rental insurance on the property I desire to lease. 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.


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