Common use of RENTAL HISTORY Clause in Contracts

RENTAL HISTORY. Head of Household: Present Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent ( ) $ Name of Present Landlord/Mortgage Co . City State Zip Day Phone Night Phone ( ) ( ) Previous Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent ( ) $ Name of Previous Landlord/Mortgage Co. City State Zip Day Phone Night Phone ( ) ( ) Co-Applicant: Present Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent ( ) $ Name of Present Landlord/Mortgage Co . City State Zip Day Phone Night Phone ( ) ( ) Previous Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent ( ) $ Name of Previous Landlord/Mortgage Co. City State Zip Day Phone Night Phone ( ) ( ) IMPORTANT INFORMATION Current Home Phone Cell Phone Current E-mail Address: Other E-mail Address: ( ) ( ) AUTO #1 (Year, Make, Model, Color) License Plate State AUTO #2 (Year, Make, Model, Color) License Plate State Name of APPLICANT'S nearest Relative Home Phone Cell Phone Relationship ( ) ( ) Emergency Contact Home Phone Cell Phone Relationship ( ) ( ) RECURRING INCOME (Head of Household) Current Employer Position How Long Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) Average Hours Worked Per Week Do you earn tips? Do you have more than one job? $ per Hour / Week / Month YES NO YES NO 2nd Job Position How Long Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) Average Hours Worked Per Week Do you earn tips? $ per Hour / Week / Month YES NO RECURRING INCOME (Co-Applicant) Current Employer Position How Long Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) Average Hours Worked Per Week Do you earn tips? Do you have more than one job? $ per Hour / Week / Month YES NO YES NO 2nd Job Position How Long Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) Average Hours Worked Per Week Do you earn tips? $ per Hour / Week / Month YES NO Have you or any other person planning to reside in our community, ever been arrested, accused, charged, indicted or convicted of any felony or misdemeanor, or any other criminal offense? Yes No (Circle one) If Yes, Please Explain: Has an eviction action ever been filed against you? Yes No (Circle one) If Yes, Please Explain: Have you lived in California, Wyoming, Delaware, South Dakota, Massachusetts in the last 10 years? Yes No (Circle one) If Yes, Please Explain: Do you have any other names or aliases you have gone by ? Yes No (Circle one) If Yes, Please Explain: Have you previously lived at an Evergreene Management Group (EMG) community? Yes No (Circle one) If Yes, Please Explain: Do you Owe EMG or any other Management group money? Yes No (Circle one) If Yes, Please Explain: Do you have any pet(s)? Yes No (Circle one) If Yes, Please Explain: Will this be your only place of residence? Yes No (Circle one) If Yes, Please Explain: Have you ever filed for bankruptcy? Yes No (Circle one) If Yes, Please give dates & which states: How did you hear about us? (Please be Specific) Are you an Artist? Yes No (Circle one) (Please be Specific) I hereby apply to lease the above described premises on substantially the terms set forth herein. As an inducement to Evergreene Management Group (EMG), Agent for the owner of the property, to accept this application, I warrant that all statements contained herein are true and complete, and that falsification of information will result in immediate eviction and prosecution and that each occupant/tenant/resident is residing in the United States legally. I have been advised and understand that residency at this property entails certain income restrictions and that residency is subject to qualification. I agree that in addition to execution of a Lease Agreement that I will execute a tenant certification attesting to the information contained herein which certification will be made under the penalty of perjury. The security deposit is refundable during the application process if the application is not approved by EMG or if cancelled by the applicant within 24 hrs of application submittal. I hereby deposit $ as an xxxxxxx deposit to be refunded to me in full within ten (10) business days if the application is not approved or accepted. I hereby waive any claim to damages by reason of non-acceptance. Upon acceptance of this application, this deposit shall be applied to the move-in costs. When so approved and accepted, I agree to execute a lease agreement before possession is delivered and to pay the balance of the security and other move-in costs. ONCE APPROVED, IF I FAIL TO TAKE POSSESSION OF THE APARTMENT, THE DEPOSIT WILL BE FORFEITED. By execution of this application, I hereby authorize EMG Management to make such investigations into my credit, criminal, and rental history as they may deem appropriate. I understand that such investigations typically include (but are not limited to) verification of employment and salary, any and all household income, child support, rental history, criminal and consumer credit reports. Applicant Signature Date Applicant Signature Date EQUAL HOUSING OPPORTUNITY

RENTAL HISTORY. Head of Household: Present Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent Own ( ) Rent Phone ( ) Monthly Payment $ Name of Present Landlord/Mortgage Co . Co. City State Zip Day Phone ( ) Night Phone ( ) ( ) Previous Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent Own ( ) Rent Phone ( ) Monthly Payment $ Name of Previous Landlord/Mortgage Co. City State Zip Day Phone ( ) Night Phone ( ) ( ) Co-Applicant: Present Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent Own ( ) Rent Phone ( ) Monthly Payment $ Name of Present Landlord/Mortgage Co . Co. City State Zip Day Phone ( ) Night Phone ( ) ( ) Previous Address City State Zip How Long? ( ) Own Phone Monthly Payment from to ( ) Rent Own ( ) Rent Phone ( ) Monthly Payment $ Name of Previous Landlord/Mortgage Co. City State Zip Day Phone ( ) Night Phone ( ) ( ) IMPORTANT INFORMATION Current Home Phone ( ) Cell Phone ( ) Current E-mail Address: Other E-mail Address: ( ) ( ) AUTO #1 (Year, Make, Model, Color) License Plate State AUTO #2 (Year, Make, Model, Color) License Plate State Name of APPLICANT'S nearest Relative Home Phone ( ) Cell Phone Relationship ( ) ( ) Relationship Emergency Contact Home Phone ( ) Cell Phone Relationship ( ) ( ) Relationship RECURRING INCOME (Head of Household) Current Employer Position How Long from to Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) $ per Hour / Week / Month Average Hours Worked Per Week Do you earn tips? YES NO Do you have more than one job? $ per Hour / Week / Month YES NO YES NO 2nd Job Position How Long from to Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) $ per Hour / Week / Month Average Hours Worked Per Week Do you earn tips? $ per Hour / Week / Month YES NO RECURRING INCOME (Co-Applicant) Current Employer Position How Long from to Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) $ per Hour / Week / Month Average Hours Worked Per Week Do you earn tips? YES NO Do you have more than one job? $ per Hour / Week / Month YES NO YES NO 2nd Job Position How Long from to Supervisor Name from to Telephone Number Fax Number Address Current Wages (Circle one) $ per Hour / Week / Month Average Hours Worked Per Week Do you earn tips? $ per Hour / Week / Month YES NO Have you or any other person planning to reside in our community, ever been arrested, accused, charged, indicted or convicted of any felony or misdemeanor, or any other criminal offense? Yes No (Circle one) If Yes, Please Explain: Has an eviction action ever been filed against you? Yes No (Circle one) If Yes, Please Explain: Have you lived in California, Wyoming, Delaware, South Dakota, Massachusetts in the last 10 years? Yes No (Circle one) If Yes, Please Explain: Do you have any other names or aliases you have gone by ? If Yes, Please Explain: Yes No (Circle one) If Yes, Please Explain: Yes No (Circle one) Have you previously lived at an Evergreene Management Group (EMG) community? Yes No (Circle one) If Yes, Please Explain: Do you Owe EMG or any other Management group money? If Yes, Please Explain: Yes No (Circle one) If Yes, Please Explain: Do you have any pet(s)? Yes No (Circle one) If Yes, Please Explain: Will this be your only place of residence? Yes No (Circle one) If YesNo, Please Explain: Have you ever filed for bankruptcy? Yes No (Circle one) If Yes, Please give dates & which states: How did you hear about us? (Please be Specific) Are you an Artist? Yes No (Circle one) (Please be Specific) I hereby apply to lease the above described premises on substantially the terms set forth herein. As an inducement to Evergreene Management Group (EMG), Agent for the owner of the property, to accept this application, I warrant that all statements contained herein are true and complete, and that falsification of information will result in immediate eviction and prosecution and that each occupant/tenant/resident is residing in the United States legally. I have been advised and understand that residency at this property entails certain income restrictions and that residency is subject to qualification. I agree that in addition to execution of a Lease Agreement that I will execute a tenant certification attesting to the information contained herein which certification will be made under the penalty of perjury. The security deposit is and lease initiation fee are refundable during the application process if the application is not approved by EMG or if cancelled by the applicant within 24 hrs of application submittal. I hereby deposit $ as an xxxxxxx deposit to be refunded to me in full within ten (10) business days if the application is not approved or accepted. I hereby waive any claim to damages by reason of non-acceptance. Upon acceptance of this application, this deposit shall be applied to the move-in costs. When so approved and accepted, I agree to execute a lease agreement before possession is delivered and to pay the balance of the security and other move-in costs. ONCE APPROVED, IF I FAIL TO TAKE POSSESSION OF THE APARTMENT, THE DEPOSIT WILL BE FORFEITED. By execution of this application, I hereby authorize EMG Management to make such investigations into my credit, criminal, and rental history as they may deem appropriate. I understand that such investigations typically include (but are not limited to) verification of employment and salary, any and all household income, child support, rental history, criminal and consumer credit reports. Applicant Signature Date Applicant Signature Date EQUAL HOUSING OPPORTUNITYManagement Representative Date