Member Info: ACCT# __________ Contact Person___________ End User Name_____________________________ Email / Fax_________________________________ Phone_____________________________________ Type of Report: Applicant Co-Applicant Express □ □ Fastback □ □ Criminal Search □ □ Other: ______________ □ □

Rental Application

Address of unit being applied for: ____________________________________________________________________________

Applicant Name _________________________________ SSN____________________ DOB___/___/______ First Middle Initial Last

Driver’s License #________________________________ Other Names Used__________________________ Phone__________________________________________ Email_____________________________________

Co-Applicant Name ______________________________ SSN____________________ DOB___/___/______ First Middle Initial Last

Driver’s License #________________________________ Other Names Used__________________________ Phone__________________________________________ Email_____________________________________ Address ____________________________ Unit#_______ City________________________ State_______ Zip___________ Apt. Complex Name________________________________ Landlord/Mortgage Co.______________________________________ Monthly Rent/Payment $___________ Dates: ___/_____ To___/_____ Fax/Email__________________________________ Day Phone(s)______________________________________ Night Phone(s)_____________________________________________ Previous Address _________________________________ City________________________ State_______ Zip___________ Apt. Complex Name________________________________ Landlord/Mortgage Co.______________________________________ Monthly Rent/Payment $___________ Dates: ___/_____ To___/_____ Fax/Email__________________________________ Day Phone(s)_____________________________________ Night Phone(s)_____________________________________________

Name of Employer_____________________________ Job Title__________________ Monthly Gross $_______________ How Long?_________ Full Time? Yes__ No__ Supervisor________________ Phone_______________________ Employers’ Address ____________________________ City_____________________ State_______ Zip___________ Co-App Employer_____________________________ Job Title__________________ Monthly Gross $_______________ How Long?_________ Full Time? Yes__ No__ Supervisor________________ Phone_______________________ Employers’ Address ____________________________ City_____________________ State_______ Zip___________

Vehicle(s) Make/Model______________________________ License#(s)_________________________________ State__________ Other Vehicles _____________________________________ Pet(s) Weight & Breed_______________________________________ EMERGENCY CONTACT___________________________ Relationship__________________ Phone_______________________ Other Persons to occupy unit (incl. date of birth) _______________________________________________________________________ Reason for Moving____________________________________________________________________________________________ Has either applicant ever been convicted of a criminal offense? Yes (Please explain) _______________________________ No___

Has either applicant ever been convicted of or plead guilty or “no contest” to a misdemeanor or felony involving sexual misconduct (whether or not resulting in a conviction)? Yes__ No__ | Has either applicant ever been evicted? Yes__ No__ CORRECT INFORMATION – Applicant(s) represents that all of the above statements are true and complete. Applicant(s) acknowledges that giving false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and/or forfeiture of deposits and may constitute a criminal offense under the laws of this State. Applicant(s) understands they acquire no rights in the rental unit until a Holding/Security Deposit is paid when requested by the Landlord/Manager. NOTICE TO APPLICANT(S) – You are being charged a NON-REFUNDABLE FEE for screening your application. Screening may include calling your employer(s), references, current and former Landlords, financial institutions, a credit report, checking Public Records, and verifying information on the application. If you are denied tenancy based on information reported you have the right to dispute it by contacting Rental Research Inc. By signing this application you authorize the screening process and acknowledge a copy of this notice.

Signature ____________________________ _______ Co-App Signature _____________________ _______ Date Date

Please charge $_____ for this report to: Card # _______________________________________________ Expiration: ___/_____ 3-Digit Security Code: ________ Name on Card: ________________________________________ Billing Address (incl. city/state/zip): _______________________ _____________________________________________________ Signature: ___________________________________

**If card is declined member’s account will be charged** G:RRI:RRI AP2

PO Box 3691 Federal Way, WA 98063 | www.RentalResearchInc.com | research@researchinc.net

Phone: (253) 838-9545 and 1-800-654-4936 | Fax: (253) 838-9445 and 1-800-304-4010