RENTAL APPLICATION

Equal Housing Opportunity

The undersigned hereby makes an application to rent the following property:

_____________________________________________________________________________.
12317 Berwick Avenue, Baton Rouge, LA 70815

Anticipated move date of ___________________at

07/15/2023 a monthly rent of $_______________
1850 and
security deposit of $_______________.
1850

PLEASE TELL US ABOUT YOURSELF

Full Name__________________________________________________
Phone Number ( ) ________________________
Date of Birth_________________________________
Social Security #__________________________________________
Email Address:__________________________________________
Other Phone ( ) ___________________

Co-Applicant Name_________________________________________
NONE

Names of Dependents_________________________
Co-Applicant Date of Birth______________________
Social Security #__________________________________________
Dependents Date of Birth_________________________________________________________
List All Pets___________________________________________________________________
NO PETS ALLOWED. NO SMOKING ALLOWED.

PLEASE GIVE RESIDENTIAL HISTORY (LAST 2 YEARS)

Current Address_______________________________Apt#________
City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for
Leaving____________________________Rent $__________
Owner/Agent__________________________________________________
Phone ( ) ____________________________
Previous Address (last 2
years)_________________________________________________________
Rent $____________
Owner/Agent__________________________________________________
Phone ( ) ____________________________

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7)
Yes___________ No____________
years?
Have you ever been evicted from a rental residence? Yes___________ No____________
Have you had two or more late rental payments in the
Yes___________ No____________
past year?
Have you ever willfully or intentionally refused to pay
Yes___________ No____________
rent when due?
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status: _____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________
________________________
Dates employed_______________________________
Employed as______________________________________________
Supervisor Name______________________________________________
Phone ( )______________________________
Salary $_________________per________________. (If employed by above less than 12
months, give name & phone of previous employer or
school:________________________________________________________________________
________.)
If you have other sources of income that you would like us to consider, please list income,
source, and person (banker, employer, etc.) who we may contact for confirmation. You do not
have to reveal alimony, child support, or spouse's annual income unless you want us to consider
it in this application.

Amount $___________________ Source/Contact

Name__________________________________________________________
********Submit 2 most recent paycheck stubs with application*****

PLEASE LIST YOUR REFERENCES

Personal Reference or Emergency Contact:
Name _______________________
Address _____________________________________________________________________
Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate
State_________________

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this
application?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Where may we reach you to discuss this application?

Day Phone # ( ) _____________________ Night Phone # ( )____________________
I hereby apply to lease the above described premises for the term and upon the set conditions
above set forth and agree that the rental is to be payable the first day of each month in advance.
As an inducement to the owner of the property and to the agent to accept this application. I
warrant that all statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset
the agent's cost, time, and effort in processing my application.

I hereby pay $________

20/AD as an application fee. This money will be paid as a fee to investigate
credit and process this application. This fee is non-refundable whether this application is
accepted or declined.

I hereby deposit $___________

JUSTO as earnest money to be refunded to me if this application is not
accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of
the security deposit. When so approved and accepted, I agree to execute a lease for 2YR
___________
months before possession is given and to pay the balance of the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or agent, the deposit
will be refunded, the application hereby waiving any claim for damages by reason of non-
acceptance which the owner or agent may reject. I recognize that as a part of your procedure for
processing my application, an investigative consumer report may be prepared whereby
information is obtained through personal interviews with others with whom I may be acquainted.
This inquiry includes information as to my character, general reputation, personal characteristics
and mode of living.

The above information, to the best of my knowledge, is true and correct.

Please sign: X__________________________________

__________________________________ _______________
Print Name of Applicant Date

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the
purposes of renting a house, apartment, or condominium from this owner/manager.

_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Deposit of $___________ Received by __________________________Date_______________

dotloop signature verification: dtlp.us/T8Us-6yQo-Xlfd

Customer Information Form

What Customers Need to Know When Working With Real Estate Brokers or Licensees

This document describes the various types of agency relationships that can exist in real
estate transactions.

AGENCY means a relationship in which a real estate broker or licensee represents a client
by the client’s consent, whether expressed or implied, in an immovable property transac-
tion. An agency relationship is formed when a real estate licensee works for you in your
best interest and represents you. Agency relationships can be formed with buyers/sellers
and lessors/lessees.

DESIGNATED AGENCY means the agency relationship that shall be presumed to exist
when a licensee engaged in any real estate transaction, except as otherwise provided in LA
R.S. 9:3891, is working with a client, unless there is a written agreement providing for a
different relationship.

· The law presumes that the real estate licensee you work with is your designated agent,
unless you have a written agreement otherwise.
· No other licensees in the office work for you, unless disclosed and approved by you.
· You should confine your discussions of buying/selling to your designated agent or
agents only.

DUAL AGENCY means an agency relationship in which a licensee is working with both
buyer and seller or both landlord and tenant in the same transaction. Such a relationship
shall not constitute dual agency if the licensee is the seller of property that he/she owns or
if the property is owned by a real estate business of which the licensee is the sole proprie-
tor and agent. A dual agency relationship shall not be construed to exist in a circumstance
in which the licensee is working with both landlord and tenant as to a lease that does not
exceed a term of three years and the licensee is the landlord. Dual agency is allowed only
when informed consent is presumed to have been given by any client who signed the dual
agency disclosure form prescribed by the Louisiana Real Estate Commission. Specific du-
ties owed to both buyer/seller and lessor/lessee are:

· To treat all clients honestly.

· To provide factual information about the property.
· To disclose all latent material defects in the property that are known to them.
· To help the buyer compare financing options.
· To provide information about comparable properties that have sold, so that both clients
may make educated buying/selling decisions.
· To disclose financial qualifications to the buyer/lessee to the seller/lessor.
· To explain real estate terms.
· To help buyers/lessees arrange for property inspections
· To explain closing costs and procedures.

CONFIDENTIAL INFORMATION means information obtained by a licensee from a client

during the term of a brokerage agreement that was made confidential by the written re-
quest or written instruction of the client or is information the disclosure of which could ma-
terially harm the position of the client, unless at any time any of the following occur:

· The client permits the disclosure by word or conduct.

· The disclosure is required by law or would reveal serious defect.
· The information became public from a source other than the licensee.

By signing below you acknowledge that you have read and understand this form and that
you are authorized to sign this form in the capacity in which you have signed.

Buyer/Lessee: Seller/Lessor:
NATALIA MENJIVAR
___________________________________________ ____________________________________________

By: ________________________ By: ________________________

Title: ________________________ Title: ________________________
Date: ________________________ Date: ________________________
Licensee: ________________________ Licensee: Kim Trahan
________________________
Date: ________________________ Date: ________________________
KIM TRAHAN
dotloop verified
07/10/23 5:36 PM CDT
BPWZ-WLIC-MIGN-BSCL

AgencyForm Rev. 10/10

 RENTAL APPLICATION
Equal Housing Opportunity

The undersigned hereby makes an application to rent the following property:

_____________________________________________________________________________.
12317 Berwick Avenue, Baton Rouge, LA 70815

Anticipated move date of ___________________at

07/15/2023 a monthly rent of $_______________
1850 and
security deposit of $_______________.
1850

PLEASE TELL US ABOUT YOURSELF

Full Name__________________________________________________
Phone Number ( ) ________________________
Date of Birth_________________________________
Social Security #__________________________________________
Email Address:__________________________________________
Other Phone ( ) ___________________

Co-Applicant Name_________________________________________
Names of Dependents_________________________
Co-Applicant Date of Birth______________________
Social Security #__________________________________________
Dependents Date of Birth_________________________________________________________
List All Pets___________________________________________________________________
NO PETS ALLOWED. NO SMOKING ALLOWED.

PLEASE GIVE RESIDENTIAL HISTORY (LAST 2 YEARS)

Current Address_______________________________Apt#________
City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for
Leaving____________________________Rent $__________
Owner/Agent__________________________________________________
Phone ( ) ____________________________
Previous Address (last 2
years)_________________________________________________________
Rent $____________
Owner/Agent__________________________________________________
Phone ( ) ____________________________

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7)
Yes___________ No____________
years?
Have you ever been evicted from a rental residence? Yes___________ No____________
Have you had two or more late rental payments in the
Yes___________ No____________
past year?
Have you ever willfully or intentionally refused to pay
Yes___________ No____________
rent when due?
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status: _____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________
________________________
Dates employed_______________________________
Employed as______________________________________________
Supervisor Name______________________________________________
Phone ( )______________________________
Salary $_________________per________________. (If employed by above less than 12
months, give name & phone of previous employer or
school:________________________________________________________________________
________.)
If you have other sources of income that you would like us to consider, please list income,
source, and person (banker, employer, etc.) who we may contact for confirmation. You do not
have to reveal alimony, child support, or spouse's annual income unless you want us to consider
it in this application.

Amount $___________________ Source/Contact

Name__________________________________________________________
********Submit 2 most recent paycheck stubs with application*****

PLEASE LIST YOUR REFERENCES

Personal Reference or Emergency Contact:
Name _______________________
Address _____________________________________________________________________
Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate
State_________________

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this
application?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Where may we reach you to discuss this application?

Day Phone # ( ) _____________________ Night Phone # ( )____________________
I hereby apply to lease the above described premises for the term and upon the set conditions
above set forth and agree that the rental is to be payable the first day of each month in advance.
As an inducement to the owner of the property and to the agent to accept this application. I
warrant that all statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset
the agent's cost, time, and effort in processing my application.

I hereby pay $________

20/AD as an application fee. This money will be paid as a fee to investigate
credit and process this application. This fee is non-refundable whether this application is
accepted or declined.

I hereby deposit $___________

JUSTO as earnest money to be refunded to me if this application is not
accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of
the security deposit. When so approved and accepted, I agree to execute a lease for 2YR
___________
months before possession is given and to pay the balance of the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or agent, the deposit
will be refunded, the application hereby waiving any claim for damages by reason of non-
acceptance which the owner or agent may reject. I recognize that as a part of your procedure for
processing my application, an investigative consumer report may be prepared whereby
information is obtained through personal interviews with others with whom I may be acquainted.
This inquiry includes information as to my character, general reputation, personal characteristics
and mode of living.

The above information, to the best of my knowledge, is true and correct.

Please sign: X__________________________________

__________________________________ _______________
Print Name of Applicant Date

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the
purposes of renting a house, apartment, or condominium from this owner/manager.

_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Deposit of $___________ Received by __________________________Date_______________

dotloop signature verification: dtlp.us/Zjgl-1fv0-WezJ

Customer Information Form

What Customers Need to Know When Working With Real Estate Brokers or Licensees

This document describes the various types of agency relationships that can exist in real
estate transactions.

AGENCY means a relationship in which a real estate broker or licensee represents a client
by the client’s consent, whether expressed or implied, in an immovable property transac-
tion. An agency relationship is formed when a real estate licensee works for you in your
best interest and represents you. Agency relationships can be formed with buyers/sellers
and lessors/lessees.

DESIGNATED AGENCY means the agency relationship that shall be presumed to exist
when a licensee engaged in any real estate transaction, except as otherwise provided in LA
R.S. 9:3891, is working with a client, unless there is a written agreement providing for a
different relationship.

· The law presumes that the real estate licensee you work with is your designated agent,
unless you have a written agreement otherwise.
· No other licensees in the office work for you, unless disclosed and approved by you.
· You should confine your discussions of buying/selling to your designated agent or
agents only.

DUAL AGENCY means an agency relationship in which a licensee is working with both
buyer and seller or both landlord and tenant in the same transaction. Such a relationship
shall not constitute dual agency if the licensee is the seller of property that he/she owns or
if the property is owned by a real estate business of which the licensee is the sole proprie-
tor and agent. A dual agency relationship shall not be construed to exist in a circumstance
in which the licensee is working with both landlord and tenant as to a lease that does not
exceed a term of three years and the licensee is the landlord. Dual agency is allowed only
when informed consent is presumed to have been given by any client who signed the dual
agency disclosure form prescribed by the Louisiana Real Estate Commission. Specific du-
ties owed to both buyer/seller and lessor/lessee are:

· To treat all clients honestly.

· To provide factual information about the property.
· To disclose all latent material defects in the property that are known to them.
· To help the buyer compare financing options.
· To provide information about comparable properties that have sold, so that both clients
may make educated buying/selling decisions.
· To disclose financial qualifications to the buyer/lessee to the seller/lessor.
· To explain real estate terms.
· To help buyers/lessees arrange for property inspections
· To explain closing costs and procedures.

CONFIDENTIAL INFORMATION means information obtained by a licensee from a client

during the term of a brokerage agreement that was made confidential by the written re-
quest or written instruction of the client or is information the disclosure of which could ma-
terially harm the position of the client, unless at any time any of the following occur:

· The client permits the disclosure by word or conduct.

· The disclosure is required by law or would reveal serious defect.
· The information became public from a source other than the licensee.

By signing below you acknowledge that you have read and understand this form and that
you are authorized to sign this form in the capacity in which you have signed.

Buyer/Lessee: Seller/Lessor:
RICARDO AMAYA
___________________________________________ ____________________________________________

By: ________________________ By: ________________________

Title: ________________________ Title: ________________________
Date: ________________________ Date: ________________________
Licensee: ________________________ Licensee: Kim Trahan
________________________
Date: ________________________ Date: ________________________
KIM TRAHAN
dotloop verified
07/10/23 5:40 PM CDT
PFG7-JOHR-EYR2-FCYQ

AgencyForm Rev. 10/10

 RENTAL APPLICATION
Equal Housing Opportunity

The undersigned hereby makes an application to rent the following property:

_____________________________________________________________________________.
12317 Berwick Avenue, Baton Rouge, LA 70815

Anticipated move date of ___________________at

07/15/2023 a monthly rent of $_______________
1850 and
security deposit of $_______________.
1850

PLEASE TELL US ABOUT YOURSELF

Full Name__________________________________________________
Phone Number ( ) ________________________
Date of Birth_________________________________
Social Security #__________________________________________
Email Address:__________________________________________
Other Phone ( ) ___________________

Co-Applicant Name_________________________________________
Names of Dependents_________________________
Co-Applicant Date of Birth______________________
Social Security #__________________________________________
Dependents Date of Birth_________________________________________________________
List All Pets___________________________________________________________________
NO PETS ALLOWED. NO SMOKING ALLOWED.

PLEASE GIVE RESIDENTIAL HISTORY (LAST 2 YEARS)

Current Address_______________________________Apt#________
City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for
Leaving____________________________Rent $__________
Owner/Agent__________________________________________________
Phone ( ) ____________________________
Previous Address (last 2
years)_________________________________________________________
Rent $____________
Owner/Agent__________________________________________________
Phone ( ) ____________________________

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7)
Yes___________ No____________
years?
Have you ever been evicted from a rental residence? Yes___________ No____________
Have you had two or more late rental payments in the
Yes___________ No____________
past year?
Have you ever willfully or intentionally refused to pay
Yes___________ No____________
rent when due?
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status: _____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________
________________________
Dates employed_______________________________
Employed as______________________________________________
Supervisor Name______________________________________________
Phone ( )______________________________
Salary $_________________per________________. (If employed by above less than 12
months, give name & phone of previous employer or
school:________________________________________________________________________
________.)
If you have other sources of income that you would like us to consider, please list income,
source, and person (banker, employer, etc.) who we may contact for confirmation. You do not
have to reveal alimony, child support, or spouse's annual income unless you want us to consider
it in this application.

Amount $___________________ Source/Contact

Name__________________________________________________________
********Submit 2 most recent paycheck stubs with application*****

PLEASE LIST YOUR REFERENCES

Personal Reference or Emergency Contact:
Name _______________________
Address _____________________________________________________________________
Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate
State_________________

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this
application?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Where may we reach you to discuss this application?

Day Phone # ( ) _____________________ Night Phone # ( )____________________
I hereby apply to lease the above described premises for the term and upon the set conditions
above set forth and agree that the rental is to be payable the first day of each month in advance.
As an inducement to the owner of the property and to the agent to accept this application. I
warrant that all statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset
the agent's cost, time, and effort in processing my application.

I hereby pay $________

20/AD as an application fee. This money will be paid as a fee to investigate
credit and process this application. This fee is non-refundable whether this application is
accepted or declined.

I hereby deposit $___________

JUSTO as earnest money to be refunded to me if this application is not
accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of
the security deposit. When so approved and accepted, I agree to execute a lease for 2YR
___________
months before possession is given and to pay the balance of the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or agent, the deposit
will be refunded, the application hereby waiving any claim for damages by reason of non-
acceptance which the owner or agent may reject. I recognize that as a part of your procedure for
processing my application, an investigative consumer report may be prepared whereby
information is obtained through personal interviews with others with whom I may be acquainted.
This inquiry includes information as to my character, general reputation, personal characteristics
and mode of living.

The above information, to the best of my knowledge, is true and correct.

Please sign: X__________________________________

__________________________________ _______________
Print Name of Applicant Date

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the
purposes of renting a house, apartment, or condominium from this owner/manager.

_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Deposit of $___________ Received by __________________________Date_______________

dotloop signature verification: dtlp.us/NME5-U92Q-Kvez

Customer Information Form

What Customers Need to Know When Working With Real Estate Brokers or Licensees

This document describes the various types of agency relationships that can exist in real
estate transactions.

AGENCY means a relationship in which a real estate broker or licensee represents a client
by the client’s consent, whether expressed or implied, in an immovable property transac-
tion. An agency relationship is formed when a real estate licensee works for you in your
best interest and represents you. Agency relationships can be formed with buyers/sellers
and lessors/lessees.

DESIGNATED AGENCY means the agency relationship that shall be presumed to exist
when a licensee engaged in any real estate transaction, except as otherwise provided in LA
R.S. 9:3891, is working with a client, unless there is a written agreement providing for a
different relationship.

· The law presumes that the real estate licensee you work with is your designated agent,
unless you have a written agreement otherwise.
· No other licensees in the office work for you, unless disclosed and approved by you.
· You should confine your discussions of buying/selling to your designated agent or
agents only.

DUAL AGENCY means an agency relationship in which a licensee is working with both
buyer and seller or both landlord and tenant in the same transaction. Such a relationship
shall not constitute dual agency if the licensee is the seller of property that he/she owns or
if the property is owned by a real estate business of which the licensee is the sole proprie-
tor and agent. A dual agency relationship shall not be construed to exist in a circumstance
in which the licensee is working with both landlord and tenant as to a lease that does not
exceed a term of three years and the licensee is the landlord. Dual agency is allowed only
when informed consent is presumed to have been given by any client who signed the dual
agency disclosure form prescribed by the Louisiana Real Estate Commission. Specific du-
ties owed to both buyer/seller and lessor/lessee are:

· To treat all clients honestly.

· To provide factual information about the property.
· To disclose all latent material defects in the property that are known to them.
· To help the buyer compare financing options.
· To provide information about comparable properties that have sold, so that both clients
may make educated buying/selling decisions.
· To disclose financial qualifications to the buyer/lessee to the seller/lessor.
· To explain real estate terms.
· To help buyers/lessees arrange for property inspections
· To explain closing costs and procedures.

CONFIDENTIAL INFORMATION means information obtained by a licensee from a client

during the term of a brokerage agreement that was made confidential by the written re-
quest or written instruction of the client or is information the disclosure of which could ma-
terially harm the position of the client, unless at any time any of the following occur:

· The client permits the disclosure by word or conduct.

· The disclosure is required by law or would reveal serious defect.
· The information became public from a source other than the licensee.

By signing below you acknowledge that you have read and understand this form and that
you are authorized to sign this form in the capacity in which you have signed.

Buyer/Lessee: Seller/Lessor:
EDUARDO MENJIVAR
___________________________________________ ____________________________________________

By: ________________________ By: ________________________

Title: ________________________ Title: ________________________
Date: ________________________ Date: ________________________
Licensee: ________________________ Licensee: Kim Trahan
________________________
Date: ________________________ Date: ________________________
KIM TRAHAN
dotloop verified
07/10/23 5:42 PM CDT
OEPC-OHXM-D5J2-QVOC

AgencyForm Rev. 10/10

 RENTAL APPLICATION
Equal Housing Opportunity

The undersigned hereby makes an application to rent the following property:

_____________________________________________________________________________.
12317 Berwick Avenue, Baton Rouge, LA 70815

Anticipated move date of ___________________at

07/15/2023 a monthly rent of $_______________
1850 and
security deposit of $_______________.
1850

PLEASE TELL US ABOUT YOURSELF

Full Name__________________________________________________
Phone Number ( ) ________________________
Date of Birth_________________________________
Social Security #__________________________________________
Email Address:__________________________________________
Other Phone ( ) ___________________

Co-Applicant Name_________________________________________
Names of Dependents_________________________
Co-Applicant Date of Birth______________________
Social Security #__________________________________________
Dependents Date of Birth_________________________________________________________
List All Pets___________________________________________________________________
NO PETS ALLOWED. NO SMOKING ALLOWED.

PLEASE GIVE RESIDENTIAL HISTORY (LAST 2 YEARS)

Current Address_______________________________Apt#________
City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for
Leaving____________________________Rent $__________
Owner/Agent__________________________________________________
Phone ( ) ____________________________
Previous Address (last 2
years)_________________________________________________________
Rent $____________
Owner/Agent__________________________________________________
Phone ( ) ____________________________

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7)
Yes___________ No____________
years?
Have you ever been evicted from a rental residence? Yes___________ No____________
Have you had two or more late rental payments in the
Yes___________ No____________
past year?
Have you ever willfully or intentionally refused to pay
Yes___________ No____________
rent when due?
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status: _____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________
________________________
Dates employed_______________________________
Employed as______________________________________________
Supervisor Name______________________________________________
Phone ( )______________________________
Salary $_________________per________________. (If employed by above less than 12
months, give name & phone of previous employer or
school:________________________________________________________________________
________.)
If you have other sources of income that you would like us to consider, please list income,
source, and person (banker, employer, etc.) who we may contact for confirmation. You do not
have to reveal alimony, child support, or spouse's annual income unless you want us to consider
it in this application.

Amount $___________________ Source/Contact

Name__________________________________________________________
********Submit 2 most recent paycheck stubs with application*****

PLEASE LIST YOUR REFERENCES

Personal Reference or Emergency Contact:
Name _______________________
Address _____________________________________________________________________
Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate
State_________________

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this
application?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Where may we reach you to discuss this application?

Day Phone # ( ) _____________________ Night Phone # ( )____________________
I hereby apply to lease the above described premises for the term and upon the set conditions
above set forth and agree that the rental is to be payable the first day of each month in advance.
As an inducement to the owner of the property and to the agent to accept this application. I
warrant that all statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset
the agent's cost, time, and effort in processing my application.

I hereby pay $________

20/AD as an application fee. This money will be paid as a fee to investigate
credit and process this application. This fee is non-refundable whether this application is
accepted or declined.

I hereby deposit $___________

1850 as earnest money to be refunded to me if this application is not
accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of
the security deposit. When so approved and accepted, I agree to execute a lease for 2YR
___________
months before possession is given and to pay the balance of the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or agent, the deposit
will be refunded, the application hereby waiving any claim for damages by reason of non-
acceptance which the owner or agent may reject. I recognize that as a part of your procedure for
processing my application, an investigative consumer report may be prepared whereby
information is obtained through personal interviews with others with whom I may be acquainted.
This inquiry includes information as to my character, general reputation, personal characteristics
and mode of living.

The above information, to the best of my knowledge, is true and correct.

Please sign: X__________________________________

__________________________________ _______________
Print Name of Applicant Date

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the
purposes of renting a house, apartment, or condominium from this owner/manager.

_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Deposit of $___________ Received by __________________________Date_______________

dotloop signature verification: dtlp.us/Sbke-lrEx-Fe2O

Customer Information Form

What Customers Need to Know When Working With Real Estate Brokers or Licensees

This document describes the various types of agency relationships that can exist in real
estate transactions.

AGENCY means a relationship in which a real estate broker or licensee represents a client
by the client’s consent, whether expressed or implied, in an immovable property transac-
tion. An agency relationship is formed when a real estate licensee works for you in your
best interest and represents you. Agency relationships can be formed with buyers/sellers
and lessors/lessees.

DESIGNATED AGENCY means the agency relationship that shall be presumed to exist
when a licensee engaged in any real estate transaction, except as otherwise provided in LA
R.S. 9:3891, is working with a client, unless there is a written agreement providing for a
different relationship.

· The law presumes that the real estate licensee you work with is your designated agent,
unless you have a written agreement otherwise.
· No other licensees in the office work for you, unless disclosed and approved by you.
· You should confine your discussions of buying/selling to your designated agent or
agents only.

DUAL AGENCY means an agency relationship in which a licensee is working with both
buyer and seller or both landlord and tenant in the same transaction. Such a relationship
shall not constitute dual agency if the licensee is the seller of property that he/she owns or
if the property is owned by a real estate business of which the licensee is the sole proprie-
tor and agent. A dual agency relationship shall not be construed to exist in a circumstance
in which the licensee is working with both landlord and tenant as to a lease that does not
exceed a term of three years and the licensee is the landlord. Dual agency is allowed only
when informed consent is presumed to have been given by any client who signed the dual
agency disclosure form prescribed by the Louisiana Real Estate Commission. Specific du-
ties owed to both buyer/seller and lessor/lessee are:

· To treat all clients honestly.

· To provide factual information about the property.
· To disclose all latent material defects in the property that are known to them.
· To help the buyer compare financing options.
· To provide information about comparable properties that have sold, so that both clients
may make educated buying/selling decisions.
· To disclose financial qualifications to the buyer/lessee to the seller/lessor.
· To explain real estate terms.
· To help buyers/lessees arrange for property inspections
· To explain closing costs and procedures.

CONFIDENTIAL INFORMATION means information obtained by a licensee from a client

during the term of a brokerage agreement that was made confidential by the written re-
quest or written instruction of the client or is information the disclosure of which could ma-
terially harm the position of the client, unless at any time any of the following occur:

· The client permits the disclosure by word or conduct.

· The disclosure is required by law or would reveal serious defect.
· The information became public from a source other than the licensee.

By signing below you acknowledge that you have read and understand this form and that
you are authorized to sign this form in the capacity in which you have signed.

Buyer/Lessee: Seller/Lessor:
JUSTO MENJIVAR
___________________________________________ ____________________________________________

By: ________________________ By: ________________________

Title: ________________________ Title: ________________________
Date: ________________________ Date: ________________________
Licensee: ________________________ Licensee: Kim Trahan
________________________
Date: ________________________ Date: ________________________
KIM TRAHAN
dotloop verified
07/10/23 5:44 PM CDT
DRYO-FASO-FCVT-RHTK

AgencyForm Rev. 10/10

 RENTAL APPLICATION
Equal Housing Opportunity

The undersigned hereby makes an application to rent the following property:

_____________________________________________________________________________.
12317 Berwick Avenue, Baton Rouge, LA 70815

Anticipated move date of ___________________at

07/15/2023 a monthly rent of $_______________
1850 and
security deposit of $_______________.
1850

PLEASE TELL US ABOUT YOURSELF

Full Name__________________________________________________
Phone Number ( ) ________________________
Date of Birth_________________________________
Social Security #__________________________________________
Email Address:__________________________________________
Other Phone ( ) ___________________

Co-Applicant Name_________________________________________
Names of Dependents_________________________
Co-Applicant Date of Birth______________________
Social Security #__________________________________________
Dependents Date of Birth_________________________________________________________
List All Pets___________________________________________________________________
NO PETS ALLOWED. NO SMOKING ALLOWED.

PLEASE GIVE RESIDENTIAL HISTORY (LAST 2 YEARS)

Current Address_______________________________Apt#________
City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for
Leaving____________________________Rent $__________
Owner/Agent__________________________________________________
Phone ( ) ____________________________
Previous Address (last 2
years)_________________________________________________________
Rent $____________
Owner/Agent__________________________________________________
Phone ( ) ____________________________

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7)
Yes___________ No____________
years?
Have you ever been evicted from a rental residence? Yes___________ No____________
Have you had two or more late rental payments in the
Yes___________ No____________
past year?
Have you ever willfully or intentionally refused to pay
Yes___________ No____________
rent when due?
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status: _____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________
________________________
Dates employed_______________________________
Employed as______________________________________________
Supervisor Name______________________________________________
Phone ( )______________________________
Salary $_________________per________________. (If employed by above less than 12
months, give name & phone of previous employer or
school:________________________________________________________________________
________.)
If you have other sources of income that you would like us to consider, please list income,
source, and person (banker, employer, etc.) who we may contact for confirmation. You do not
have to reveal alimony, child support, or spouse's annual income unless you want us to consider
it in this application.

Amount $___________________ Source/Contact

Name__________________________________________________________
********Submit 2 most recent paycheck stubs with application*****

PLEASE LIST YOUR REFERENCES

Personal Reference or Emergency Contact:
Name _______________________
Address _____________________________________________________________________
Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate
State_________________

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this
application?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Where may we reach you to discuss this application?

Day Phone # ( ) _____________________ Night Phone # ( )____________________
I hereby apply to lease the above described premises for the term and upon the set conditions
above set forth and agree that the rental is to be payable the first day of each month in advance.
As an inducement to the owner of the property and to the agent to accept this application. I
warrant that all statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset
the agent's cost, time, and effort in processing my application.

I hereby pay $________

40/AD as an application fee. This money will be paid as a fee to investigate
credit and process this application. This fee is non-refundable whether this application is
accepted or declined.

I hereby deposit $___________

1850 as earnest money to be refunded to me if this application is not
accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of
the security deposit. When so approved and accepted, I agree to execute a lease for 2YR
___________
months before possession is given and to pay the balance of the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or agent, the deposit
will be refunded, the application hereby waiving any claim for damages by reason of non-
acceptance which the owner or agent may reject. I recognize that as a part of your procedure for
processing my application, an investigative consumer report may be prepared whereby
information is obtained through personal interviews with others with whom I may be acquainted.
This inquiry includes information as to my character, general reputation, personal characteristics
and mode of living.

The above information, to the best of my knowledge, is true and correct.

Please sign: X__________________________________

__________________________________ _______________
Print Name of Applicant Date

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the
purposes of renting a house, apartment, or condominium from this owner/manager.

_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Deposit of $___________ Received by __________________________Date_______________

dotloop signature verification: dtlp.us/bflo-TW1b-07ID

Customer Information Form

What Customers Need to Know When Working With Real Estate Brokers or Licensees

This document describes the various types of agency relationships that can exist in real
estate transactions.

AGENCY means a relationship in which a real estate broker or licensee represents a client
by the client’s consent, whether expressed or implied, in an immovable property transac-
tion. An agency relationship is formed when a real estate licensee works for you in your
best interest and represents you. Agency relationships can be formed with buyers/sellers
and lessors/lessees.

DESIGNATED AGENCY means the agency relationship that shall be presumed to exist
when a licensee engaged in any real estate transaction, except as otherwise provided in LA
R.S. 9:3891, is working with a client, unless there is a written agreement providing for a
different relationship.

· The law presumes that the real estate licensee you work with is your designated agent,
unless you have a written agreement otherwise.
· No other licensees in the office work for you, unless disclosed and approved by you.
· You should confine your discussions of buying/selling to your designated agent or
agents only.

DUAL AGENCY means an agency relationship in which a licensee is working with both
buyer and seller or both landlord and tenant in the same transaction. Such a relationship
shall not constitute dual agency if the licensee is the seller of property that he/she owns or
if the property is owned by a real estate business of which the licensee is the sole proprie-
tor and agent. A dual agency relationship shall not be construed to exist in a circumstance
in which the licensee is working with both landlord and tenant as to a lease that does not
exceed a term of three years and the licensee is the landlord. Dual agency is allowed only
when informed consent is presumed to have been given by any client who signed the dual
agency disclosure form prescribed by the Louisiana Real Estate Commission. Specific du-
ties owed to both buyer/seller and lessor/lessee are:

· To treat all clients honestly.

· To provide factual information about the property.
· To disclose all latent material defects in the property that are known to them.
· To help the buyer compare financing options.
· To provide information about comparable properties that have sold, so that both clients
may make educated buying/selling decisions.
· To disclose financial qualifications to the buyer/lessee to the seller/lessor.
· To explain real estate terms.
· To help buyers/lessees arrange for property inspections
· To explain closing costs and procedures.

CONFIDENTIAL INFORMATION means information obtained by a licensee from a client

during the term of a brokerage agreement that was made confidential by the written re-
quest or written instruction of the client or is information the disclosure of which could ma-
terially harm the position of the client, unless at any time any of the following occur:

· The client permits the disclosure by word or conduct.

· The disclosure is required by law or would reveal serious defect.
· The information became public from a source other than the licensee.

By signing below you acknowledge that you have read and understand this form and that
you are authorized to sign this form in the capacity in which you have signed.

Buyer/Lessee: Seller/Lessor:
___________________________________________ ____________________________________________

By: ________________________ By: ________________________

Title: ________________________ Title: ________________________
Date: ________________________ Date: ________________________
Licensee: ________________________ Licensee: ________________________
Date: ________________________ Date: ________________________
KIM TRAHAN
dotloop verified
07/10/23 5:47 PM CDT
BU70-YXSG-9WLG-MHSG

AgencyForm Rev. 10/10

 RENTAL APPLICATION
Equal Housing Opportunity

The undersigned hereby makes an application to rent the following property:

_____________________________________________________________________________.
12317 Berwick Avenue, Baton Rouge, LA 70815

Anticipated move date of ___________________at

07/15/2023 a monthly rent of $_______________
1850 and
security deposit of $_______________.
1850

PLEASE TELL US ABOUT YOURSELF

Full Name__________________________________________________
Phone Number ( ) ________________________
Date of Birth_________________________________
Social Security #__________________________________________
Email Address:__________________________________________
Other Phone ( ) ___________________

Co-Applicant Name_________________________________________
Names of Dependents_________________________
Co-Applicant Date of Birth______________________
Social Security #__________________________________________
Dependents Date of Birth_________________________________________________________
List All Pets___________________________________________________________________
NO PETS ALLOWED. NO SMOKING ALLOWED.

PLEASE GIVE RESIDENTIAL HISTORY (LAST 2 YEARS)

Current Address_______________________________Apt#________
City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for
Leaving____________________________Rent $__________
Owner/Agent__________________________________________________
Phone ( ) ____________________________
Previous Address (last 2
years)_________________________________________________________
Rent $____________
Owner/Agent__________________________________________________
Phone ( ) ____________________________

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7)
Yes___________ No____________
years?
Have you ever been evicted from a rental residence? Yes___________ No____________
Have you had two or more late rental payments in the
Yes___________ No____________
past year?
Have you ever willfully or intentionally refused to pay
Yes___________ No____________
rent when due?
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status: _____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________
________________________
Dates employed_______________________________
Employed as______________________________________________
Supervisor Name______________________________________________
Phone ( )______________________________
Salary $_________________per________________. (If employed by above less than 12
months, give name & phone of previous employer or
school:________________________________________________________________________
________.)
If you have other sources of income that you would like us to consider, please list income,
source, and person (banker, employer, etc.) who we may contact for confirmation. You do not
have to reveal alimony, child support, or spouse's annual income unless you want us to consider
it in this application.

Amount $___________________ Source/Contact

Name__________________________________________________________
********Submit 2 most recent paycheck stubs with application*****

PLEASE LIST YOUR REFERENCES

Personal Reference or Emergency Contact:
Name _______________________
Address _____________________________________________________________________
Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate
State_________________

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this
application?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Where may we reach you to discuss this application?

Day Phone # ( ) _____________________ Night Phone # ( )____________________
I hereby apply to lease the above described premises for the term and upon the set conditions
above set forth and agree that the rental is to be payable the first day of each month in advance.
As an inducement to the owner of the property and to the agent to accept this application. I
warrant that all statements above set forth are true; however, should any statement made above
be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset
the agent's cost, time, and effort in processing my application.

I hereby pay $________

40/AD as an application fee. This money will be paid as a fee to investigate
credit and process this application. This fee is non-refundable whether this application is
accepted or declined.

I hereby deposit $___________

1850 as earnest money to be refunded to me if this application is not
accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of
the security deposit. When so approved and accepted, I agree to execute a lease for 2YR
___________
months before possession is given and to pay the balance of the security deposit prior to the
move in date. If the application is not approved or accepted by the owner or agent, the deposit
will be refunded, the application hereby waiving any claim for damages by reason of non-
acceptance which the owner or agent may reject. I recognize that as a part of your procedure for
processing my application, an investigative consumer report may be prepared whereby
information is obtained through personal interviews with others with whom I may be acquainted.
This inquiry includes information as to my character, general reputation, personal characteristics
and mode of living.

The above information, to the best of my knowledge, is true and correct.

Please sign: X__________________________________

__________________________________ _______________
Print Name of Applicant Date

AUTHORIZATION
Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the
purposes of renting a house, apartment, or condominium from this owner/manager.

_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Deposit of $___________ Received by __________________________Date_______________

dotloop signature verification: dtlp.us/6YNh-1KZC-phUF

Customer Information Form

What Customers Need to Know When Working With Real Estate Brokers or Licensees

This document describes the various types of agency relationships that can exist in real
estate transactions.

AGENCY means a relationship in which a real estate broker or licensee represents a client
by the client’s consent, whether expressed or implied, in an immovable property transac-
tion. An agency relationship is formed when a real estate licensee works for you in your
best interest and represents you. Agency relationships can be formed with buyers/sellers
and lessors/lessees.

DESIGNATED AGENCY means the agency relationship that shall be presumed to exist
when a licensee engaged in any real estate transaction, except as otherwise provided in LA
R.S. 9:3891, is working with a client, unless there is a written agreement providing for a
different relationship.

· The law presumes that the real estate licensee you work with is your designated agent,
unless you have a written agreement otherwise.
· No other licensees in the office work for you, unless disclosed and approved by you.
· You should confine your discussions of buying/selling to your designated agent or
agents only.

DUAL AGENCY means an agency relationship in which a licensee is working with both
buyer and seller or both landlord and tenant in the same transaction. Such a relationship
shall not constitute dual agency if the licensee is the seller of property that he/she owns or
if the property is owned by a real estate business of which the licensee is the sole proprie-
tor and agent. A dual agency relationship shall not be construed to exist in a circumstance
in which the licensee is working with both landlord and tenant as to a lease that does not
exceed a term of three years and the licensee is the landlord. Dual agency is allowed only
when informed consent is presumed to have been given by any client who signed the dual
agency disclosure form prescribed by the Louisiana Real Estate Commission. Specific du-
ties owed to both buyer/seller and lessor/lessee are:

· To treat all clients honestly.

· To provide factual information about the property.
· To disclose all latent material defects in the property that are known to them.
· To help the buyer compare financing options.
· To provide information about comparable properties that have sold, so that both clients
may make educated buying/selling decisions.
· To disclose financial qualifications to the buyer/lessee to the seller/lessor.
· To explain real estate terms.
· To help buyers/lessees arrange for property inspections
· To explain closing costs and procedures.

CONFIDENTIAL INFORMATION means information obtained by a licensee from a client

during the term of a brokerage agreement that was made confidential by the written re-
quest or written instruction of the client or is information the disclosure of which could ma-
terially harm the position of the client, unless at any time any of the following occur:

· The client permits the disclosure by word or conduct.

· The disclosure is required by law or would reveal serious defect.
· The information became public from a source other than the licensee.

By signing below you acknowledge that you have read and understand this form and that
you are authorized to sign this form in the capacity in which you have signed.

Buyer/Lessee: Seller/Lessor:
JACQUELINE AMAYA
___________________________________________ ____________________________________________

By: ________________________ By: ________________________

Title: ________________________ Title: ________________________
Date: ________________________ Date: ________________________
Licensee: ________________________ Licensee: Kim Trahan
________________________
Date: ________________________ Date: ________________________
KIM TRAHAN
dotloop verified
07/10/23 5:49 PM CDT
H1NO-DPJL-WNB2-VBNT

AgencyForm Rev. 10/10