PO Box 141875 Type of Report MOVE IN DATE _____/_____/____

Spokane, WA 99214 FULL RENT $ _____________________

Phone (800) 729-7776 STREAMLINE APARTMENT #________________
(509) 928-0229 SHORT
Fax (800) 290-7031 CO-SIGNER
(509) 928-7903 CRIMINAL ONLY Visual proof of Drivers License or
Email [email protected] OTHER ______________ State I.D. YES NO

MANAGEMENT COMPANY RENTAL/UNIT ADDRESS REQUESTING AGENT TELEPHONE # FAX #

APPLICANT IS: APPLYING ALONE HAS CO-APPLICANTS (Include the name of the co-applicants and their relationship to you)
_____________________________________________________________________________________

**INCOMPLETE APPLICATION CAUSES A DELAY IN PROCESSING**

APPLICANT INFORMATION
APPLICANT’S LAST NAME FIRST NAME MIDDLE/SUFFIX SOC SEC# DRIVERS LICENSE # STATE DOB

APPLICANT’S HOME PHONE CELL PHONE OTHER NAMES USED

CURRENT RESIDENCE
(1) Applicant’s Present Address Apt.# City State Zip Move-In Date Email Monthly Payment
$
Present Landlord/Complex Mortgage Co. Apartment Community Other City State Zip Landlord Phone Landlord Fax
( ) ( )
PREVIOUS RESIDENCE HISTORY
(2) Applicant’s Previous Address Apt.# City State Move-In Date Move-Out Date Monthly Payment
Zip
$
Previous Landlord/Complex Mortgage Co. Apartment Community Other City State Zip Landlord Phone Landlord Fax
( ) ( )
(3) Applicant’s Previous Address Apt.# City State Move-In Date Move-Out Date Monthly Payment
Zip
$
Previous Landlord/Complex Mortgage Co. Apartment Community Other City State Zip Landlord Phone Landlord Fax
( ) ( )
EMPLOYMENT HISTORY
(1) Applicant’s Present Employer City State Zip Position Phone Gross MONTHLY salary Employment Dates
( ) $
(2) Applicant’s Previous Employer City State Zip Position Phone Gross MONTHLY salary Employment Dates
( ) $

ADDITIONAL INCOME
Additional income such as child support, alimony or separate maintenance need not be disclosed unless such additional income is to be included for qualification hereunder.
Amount of $____________________Frequency_____________________ Source___________________________________________________________________
IMPORTANT INFORMATION
Name of Emergency Contact Relationship Address City State Zip Phone
( )
Have you ever been convicted of any crime? (Do not list any offense Have you ever been evicted from any residence? If yes, list when, address
for which you have successfully completed a deferred sentence.) and reason. NO YES Date:_______________________________
NO YES Offense/Charge: ___________________________ Address:________________________________________________________
Level of Offense: Felony Misdemeanor Violation Reason:_________________________________________________________
Court/Location: ______________________ Case #: ______________

I understand I acquire no rights in an apartment until I sign this agreement and submit a holding fee in the amount of $_________. If my residency is approved and I
sign an apartment rental agreement, this fee shall be credited to my first month’s rent and/or security deposit. If my residency is approved but I do not sign an
apartment rental agreement, then this fee shall be forfeited to the landlord as liquidated damages for holding an apartment at __________________________________.
If my residency is not approved then this fee shall be returned to me.

NON-REFUNDABLE APPLICATION FEE EARNED ON RECEIPT. $______________________ PAYABLE TO AIRFACTZ.

In accordance with State and Federal laws you are hereby notified that an investigation may be made by AIRFACTZ of the information together with information as to your character,
general reputation, personal characteristics, and mode of living. You have the right to dispute the accuracy of information provided by AIRFACTZ or by the entities you have disclosed
above, and, upon written request, the right to a complete and accurate disclosure of the nature and scope of the investigation and/or a written summary of your rights under the Fair
Credit Reporting Act. Please direct all inquiries to AIRFACTZ, P.O. Box 141875 Spokane, WA 99214-0344. The venue for any legal action or proceedings related to this
transaction, or breach of contract, or default, whether a lawsuit is filed or not, shall be properly laid in Spokane County, Washington. I certify that to the best of my knowledge all
statements made herein are true and correct. I authorize AIRFACTZ to obtain such credit reports, character reports, verification of criminal history, and verification of rental and
employment history and provide an investigative report to the undersigned landlord. I further understand that false, fraudulent or misleading information disclosed above may be
grounds for denial of tenancy or subsequent eviction. I am aware that an incomplete application causes a delay in processing and may result in
denial of residency.

Signed_____________________________________________________________
Applicant Date

The undersigned agent for the above-referenced landlord certifies that the information sought herein or in any consumer report
prepared by AIRFACTZ is for the purpose of evaluating the applicant’s residency and no other purpose.

Signed_________________________________________________

It is the Policy of the owners and managers of __________________________ not to discriminate against anyone in any respect in the rental of apartment because of race, nationality, religion, sex,
disability or family status / having children under the age of 18.