Primewest Management



Rental Application



Personal References

Credit Information-Please list all your financial obligations below.

General Information, check all answers that apply:

Do you smoke?

Do you have any pets?

Have you ever filed for bankruptcy?

Do you have any musical instruments?

Do you have, or do you intend to use, any water-filled furniture in the apartment?

Have you ever been convicted of selling, possessing, distributing or manufacturing illegal drugs, or convicted of any other crime?

Have you ever been evicted for non-payment of rent or any other reason?

I understand there is an application fee for the cost of processing this application, to obtain dredit history and other background information.

Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlors and employers, and personal references. Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agreest to furnish additional credit and/or personal refereneces upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denail of tenancy. Applicant hereby waives any claim and releases from liability any person or obtaining said verification or additional information.