Rent To Own Application INSTRUCTIONS: 1) Each Adult over 18 must fill out and sign the application. 2) Print and sign the application manually - No electronic signatures. 3) Please write clearly and use a dark black pen No pencils. 4) We need to receive all your documents at one time, and in one file. This is very important we cannot piece your application together. FAX NUMBER: 206-984-2192 EMAIL: accounts@firstyorkllc.com PLEASE INCLUDE THE FOLLOWING DOCUMENTS: 2 years of tax returns for each adult. 4 recent bank statements for each of your accounts. (Full statements with no missing pages) 4 recent pay stubs for each adult. Clear copy of Driver s License or Social Security card. Incomplete applications will not be accepted. Fair Housing: We do business in accordance with the Federal Fair Housing Law. It is illegal to discriminate against any person because of race, color, religion, sex, handicap, familial status, or national origin. We also do not discriminate against any person due to sexual orientation. Completion of this form is not a promise or contract to rent, lease, or sell and shall not guarantee terms or availability of any specific rental housing.
BORROWER SUMMARY I am applying for the property located at: Preferred Move-In Date: Amount Available for Down Payment and Repairs: PERSONAL DATA TENANT NAME 1 Drivers License Number / State _ Residential Phone Number of Dependents Social Security No. Date of Birth Mobile Phone Email Address TENANT NAME 2 Drivers License Number / State _ Residential Phone Number of Dependents Number of Residents Moving In Social Security No. Date of Birth Mobile Phone _ Email Address Married / Unmarried / Separated Additional Residents: (List names of residents not listed above) What kind of animals do you have? (List All) RESIDENCE HISTORY Current Residence: Address City State Zip Own/Rent How Long at Address Current Residence: Landlord Name Landlord Phone Monthly Pmt Amount Page 1 of 4
PRIOR RESIDENCES: Prior Residence 1: Address City State Zip Code Tenancy: Rent / Own Prior Residence 1: Landlord Name Landlord Phone Dates at Address Rent / Pmt Amount Prior Residence 2: Landlord Name Landlord Phone Dates at Address Rent / Pmt Amount OCCUPATION INFORMATION (At least 2 years) TENANT 1 PRESENT OCCUPATION Employer Business Address Business Phone Type of Business Position Held Name, Title of Supervisor Supervisor Phone Dates employed Gross Monthly Income TENANT 2 PRESENT OCCUPATION Employer Business Address Business Phone Type of Business Position Held Name, Title of Supervisor Supervisor Phone Dates employed Gross Monthly Income Page 2 of 4
OTHER INCOME INFORMATION Additional Income (Monthly) Tenant 1 Additional Income (Monthly) Tenant 2 Describe any other forms of income: Tenant 1 & Tenant 2 - Total Gross Income combined (Monthly) Monthly Household Expenses Company/Expense type Amount due monthly Company/Expense type Amount due monthly Company/Expense type Amount due monthly Company/Expense type Amount due monthly Company/Expense type Amount due monthly Company/Expense type Amount due monthly (Attach additional page if you have additional liabilities.) EMERGENCY CONTACTS (cannot be landlord or supervisor) 1. Name: Relationship to you: Cell Phone: 2. Name: Relationship to you: Cell Phone: 3. Name: Relationship to you: Cell Phone:
DECLARATIONS 1. Have you filed a petition for bankruptcy? 2. Have you ever been evicted? 3. Have you ever refused to pay any rent when due? 4. Do you use illegal drugs of any sort? 5. Have you been convicted of a felony? 6. Are you or is anyone in your household listed as a registered sex offender? 7. Are there any outstanding judgments against you? 8. Are you party to a lawsuit? 9. Are you obligated to pay alimony, child support, or similar? 10. Is any part of the down payment borrowed? 11. Are you a US Citizen? 12. Do you intend to occupy the property as your primary residence? Please explain any Yes responses for items 1-10: Please circle how you heard about the property: Craigslist Sign Friend Other MLS/Realtor AGREEMENT & AUTHORIZATION The undersigned understands this application will be evaluated by First York, LLC, its management, agents and/or affiliates for the purposes of renting and/or purchasing valuable real estate. Misleading, incorrect, or false statements will be sufficient reason for immediate eviction and loss of deposit(s). The undersigned further acknowledges and agrees that First York, LLC, its management, agents and/or affiliates may confirm information provided in the application and authorizes them to contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available. Applicant also acknowledges that First York, LLC, it s agents and/or affiliates, or collection agency, may contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available for collection purposes should it become necessary. I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT. Applicant Signature Date Applicant Signature Date Fair Housing: We do business in accordance with the Federal Fair Housing Law. It is illegal to discriminate against any person because of race, color, religion, sex, handicap, familial status, or national origin. We also do not discriminate against any person due to sexual orientation. Completion of this form is not a promise or contract to rent, lease, or sell and shall not guarantee terms or availability of any specific rental housing. Page 4 of 4