Applegate Lease Application Form

Online Application Form

PROPERTY APPLYING FOR:	Name	Cell Phone	Email Address
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APPLICATION FOR RESIDENCY
Applicants are required to produce PHOTO IDENTIFICATION, to SIGN and FULLY COMPLETE the application, SUBMIT PROOF OF INCOME and PAY the required application fee ($35.00 per person, unless married). The application fee may be paid in the form of personal check, money order, cashier’s check or can be paid online with your completed application. Incomplete applications cannot be processed and therefore are rejected until fully completed. Any false or incorrect information submitted on the application will result in rejection of the application. Any negative or unverifiable reference or information obtained on an application will result in rejection of your application. If any said false or incorrect information is realized after you have entered into a lease agreement, Landlord can terminate said lease agreement. We must be able to verify the following information, if needed, for your application to be considered:
- Proof/verifiable income, credit report, criminal history, rental history of past landlords (or payment of mortgage).
- Section 8 or other housing assistance program. Tenants must provide current Section 8 voucher, RTA form or any other form that needs to be filled out for the assistance program at the time of application.
1. Please be sure to fill in ALL blanks, completely and neatly.
2. Answer all “Yes or No” questions.
3. Be sure to include the name and date of birth of all the people, under the age of 18, who will be living with you. All occupants over the age of 18 must complete their own application, unless they are married. If married, we can accept one application per couple; the other spouse must be listed on the application as an occupant.
PLEASE READ THIS CAREFULLY AND SIGN THIS APPLICATION:
The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall sign a written lease or rental agreement.

If I have paid the prepaid rent for a rental property, I understand that it will be applied to my first month’s rent if the Landlord enters into a lease or rental agreement with me. If this application is approved and I fail to enter into a lease or rental agreement, the prepaid rent and any subsequent payments may be retained to compensate the Landlord’s costs and damages, subject to the Landlord’s duty to mitigate. If I remove the lease agreement from Applegate’s office or received the lease agreement in the mail and do not return the executed lease to Applegate’s office, I will be in agreement with the terms that we discussed on the lease agreement and I will be held responsible for the terms originally agreed upon.

I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency.

I acknowledge that I have been provided with the MN Agency Disclosure. (Attached, only applicable to MN properties).

If applying for any property, I understand that once Applegate, Inc. notifies me that my application is approved I must place prepaid rent and enter into a lease agreement within 24 hours or my acceptance may no longer be valid. I understand that if I receive Section 8 or any other housing program assistance that requires a property inspection, I have 2 weeks from the date of approval to get an inspection date scheduled or my acceptance may no longer be valid.

For WI property applications, multiple applications may be processed for one property and they are leased on a first come, first serve basis. If my application has been processed but the unit is leased to another party, I understand that the application fee is non-refundable.

I understand that if two (2) or more applications are received for a single property or unit, regardless of whether or not it’s a WI or MN property, that showings will be cancelled until all applications are processed. I understand that if I turn in my application and it is processed before I have had a chance to see the property or unit that approval of my application does mean that the property will be held until I am able to see it. The 24-hour acceptance once notified of approval will still stand. I further understand that I will NOT have the opportunity to see it once showings are cancelled unless all applications are processed, and the unit is not leased by myself or another party. If I lease a property (sign the lease agreement and put down 1st months rent) once my application is approved, I may then be able to set up a time and date to view the property/unit. I understand that Applegate, Inc. strongly recommends that I view a property and/or unit that I am interested in renting prior to turning in this application and that I am agreeing to possibly taking the property sight unseen if I turn in this application prior to viewing it.

I understand that my application results are only valid for 30 days and if I have not entered into a lease within 30 days, I will need to reapply.
APPLICATION FOR RESIDENCY
- I,
- *
- give authorization for Applegate, Inc. to obtain information from my current/previous Employer and/or Landlord in regard to my employment status, income, rental history, etc. Once this application is submitted to Applegate, Inc., my application will be processed in a timely fashion, in the order in which it was received. In the event that I no longer wish for my application to be processed, I will need to notify Applegate, Inc. in writing. I understand that if Applegate, Inc. has already processed my application, I will not be entitled to a refund of the application fee.
- Signature of applicant*
- Date*
  Date Format: MM slash DD slash YYYY
POLICY STATEMENT
All applicants will be accepted or rejected for residency. No person(s) will be denied occupancy based on membership in any protected class, according to local, state and federal fair housing laws. Applegate, Inc. maintains the following policies:
1. Applicants whose rent would exceed 40% of their monthly income may be required to obtain a co-signer; in the absence of a co-signer the application may be rejected. A co-signer, if required, must guarantee rental payments by signature, in person or in the presence of a notary, on the lease. Co-signer shall qualify by virtue of credit reference and record of timely payment of debts.
2. An applicant’s credit report shall reflect a habit of prompt payment of debts and no unsatisfied judgments. A co-signer guarantor may be requested in the absence of qualified credit report.
3. A positive past housing reference may be required. If applicant has no prior rental history, a cosigner may be required. Past housing reference shall include: A) Record of timely payment of rent; B) Record of abiding by management rules; C) Record of not disturbing other residents; and D) Record of respect of property.
4. All information on the application form must be completed; any falsification of information on the application shall be grounds for rejection.
5. No more than two (2) persons per bedroom shall occupy a unit. Additional restrictions regarding occupancy may be set in place for particular properties and/or based on Association or City regulations.
6. Manufacture, distribution or use of a controlled substance on premises may be grounds for immediate eviction.
7. No Pets are allowed unless otherwise noted by property manager and adequate pet policy. No ferrets allowed. No Pitbull Terriers, Staffordshire Terriers, Rottweilers, German Shepherds, Presa Canarios, Chow Chows, Doberman Pinschers, Akitas, Wolf-hybrids, Mastiffs, Cane Corsos, Great Danes, Alaskan Malamutes or Siberian Huskies.
APPLICATION FOR RESIDENCY
PROPERTY APPLYING FOR:*
Applicant Information
Name*
First Middle Last
Social Security*
Date of Birth*
Date Format: MM slash DD slash YYYY
Drivers License/State ID*
Cell Phone*
Work Phone
Emergency Contact (Name & Phone #)*
Email Address*
Vehicle Make/Model/Color & Vehicle License Plate #
Current Address
*
Street Address Address Line 2 City State ZIP Code
How Long?*
Landlord*
Phone*
Previous Address
Street Address Address Line 2 City State ZIP Code
How Long?
Landlord
Phone
Have you ever failed to pay rent when due?*
Have you ever been evicted?*
Have you had a foreclosure?*
Have you ever had vermin or insect problems*
Present Employer
Since
Monthly Pay: $
Position
Phone
Other Source of Income
Source & Amount
Contact
Phone
Source & Amount
Contact
Phone

Names of Other Persons to Occupy Unit (Include Birthdates if Under 18)
a
b
c
d
Do you expect any additions to the household?*
Reason
Do you or others living with you intend on having any pets?*
- Yes
- No
Type*
Breed*
Size*
Age*
Service/ESA Animal*
(If Service or ESA Animal, documentation/proof must accompany application)
Have you or any other person named in this application ever been convicted of a crime?*
Explanation
Signature*
Date*
Date Format: MM slash DD slash YYYY
AGENCY IN RELATIONSHIPS IN
REAL ESTATE TRANSACTIONS
1. Page 1
2. MINNESOTA LAW REQUIRES that early in any relationship, real estate brokers or salespersons discuss with
3. consumers what type of agency representation or relationship they desire. (1) The available options are listed below. This
4. is not a contract. This is an agency disclosure form only. If you desire representation you must enter into a
5. written contract, according to state law (a listing contract or a buyer/tenant representation contract). Until such time
6. as you choose to enter into a written contract for representation, you will be treated as a customer and will not receive
7. any representation from the broker or salesperson. The broker or salesperson will be acting as a Facilitator (see
8. paragraph V on page two (2)), unless the broker or salesperson is representing another party, as described below.
9. ACKNOWLEDGMENT: I/We acknowledge that I/we have been presented with the below-described options.
10. I/We understand that until I/We have signed a representation contract, I/We am/are not represented by the
11. broker/salesperson. I/We understand that written consent is required for a dual agency relationship.
12. THIS IS A DISCLOSURE ONLY, NOT A CONTRACT FOR REPRESENTATION.
Signature*
Date*
Date Format: MM slash DD slash YYYY
I. Seller’s/Landlord’s Broker: A broker who lists a property, or a salesperson who is licensed to the listing broker, represents the Seller/Landlord and acts on behalf of the Seller/Landlord. A Seller’s/Landlord’s broker owes to the Seller/Landlord the fiduciary duties described on page two (2). (2) The broker must also disclose to the Buyer material facts as defined in MN Statute 82.68, Subd. 3, of which the broker is aware that could adversely and significantly affect the Buyer’s use or enjoyment of the property. (MN Statute 82.68, Subd. 3 does not apply to rental/lease transactions). If a broker or salesperson working with a Buyer/Tenant as a customer is representing the Seller/Landlord, he or she must act in the Seller’s/Landlord’s best interest and must tell the Seller/Landlord any information disclosed to him or her, except confidential information acquired in a facilitator relationship (see paragraph V on page two (2)). In that case, the Buyer/Tenant will not be represented and will not receive advice and counsel from the broker or salesperson.
II. Subagent: A broker or salesperson who is working with a Buyer/Tenant but represents the Seller/Landlord. In this case, the Buyer/Tenant is the broker’s customer and is not represented by that broker. If a broker or salesperson working with a Buyer/Tenant as a customer is representing the Seller/Landlord, he or she must act in the Seller’s/Landlord’s best interest and must tell the Seller/Landlord any information that is disclosed to him or her. In that case, the Buyer/Tenant will not be represented and will not receive advice and counsel from the broker or salesperson.
III. Buyer’s/Tenant’s Broker: A Buyer/Tenant may enter into an agreement for the broker or salesperson to represent and act on behalf of the Buyer/Tenant. The broker may represent the Buyer/Tenant only, and not the Seller/Landlord, even if he or she is being paid in whole or in part by the Seller/Landlord. A Buyer’s/Tenant’s broker owes to the Buyer/Tenant the fiduciary duties described on page two (2). (2) The broker must disclose to the Buyer material facts as defined in MN Statute 82.68, Subd. 3, of which the broker is aware that could adversely and significantly affect the Buyer’s use or enjoyment of the property. (MN Statute 82.68, Subd. 3 does not apply to rental/lease transactions.) If a broker or salesperson working with a Seller/Landlord as a customer is representing the Buyer/Tenant, he or she must act in the Buyer’s/Tenant’s best interest and must tell the Buyer/Tenant any information disclosed to him. or her, except confidential information acquired in a facilitator relationship (see paragraph V on page two (2)). In that case, the Seller/Landlord will not be represented and will not receive advice and counsel from the broker or salesperson
*
( Initial )
*
( Initial )
I have had the opportunity to review the “Notice Regarding Predatory Offender Information” on Page two. (2)
IV. Dual Agency – Broker Representing both Seller/Landlord and Buyer/Tenant: Dual agency occurs when one broker or salesperson represents both parties to a transaction, or when two salespersons licensed to the same broker each represent a party to the transaction. Dual agency requires the informed consent of all parties, and means that the broker and salesperson owe the same duties to the Seller/Landlord and the Buyer/Tenant. This role limits the level of representation the broker and salesperson can provide, and prohibits them from acting exclusively for either party. In a dual agency, confidential information about price, terms and motivation for pursuing a transaction will be kept confidential unless one party instructs the broker or salesperson in writing to disclose specific information about him or her. Other information will be shared. Dual agents may not advocate for one party to the detriment of the other.
Within the limitations described above, dual agents owe to both Seller/Landlord and Buyer/Tenant the fiduciary duties described below. (2) Dual agents must disclose to Buyers material facts as defined in MN Statute 82.68, Subd. 3, of which the broker is aware that could adversely and significantly affect the Buyer’s use or enjoyment of the property. (MN Statute 82.68, Subd. 3 does not apply to rental/lease transactions.)
V. Facilitator: A broker or salesperson who performs services for a Buyer/Tenant, a Seller/Landlord or both but does not represent either in a fiduciary capacity as a Buyer’s/Tenant’s Broker, Seller’s/Landlord’s Broker or Dual Agent. THE FACILITATOR BROKER OR SALESPERSON DOES NOT OWE ANY PARTY ANY OF THE FIDUCIARY DUTIES LISTED BELOW, EXCEPT CONFIDENTIALITY, UNLESS THOSE DUTIES ARE INCLUDED IN A WRITTEN FACILITATOR SERVICES AGREEMENT. The facilitator broker or salesperson owes the duty of confidentiality to the party but owes no other duty to the party except those duties required by law or contained in a written facilitator services agreement, if any. In the event a facilitator broker or salesperson working with a Buyer/ Tenant shows a property listed by the facilitator broker or salesperson, then the facilitator broker or salesperson must act as a Seller’s/Landlord’s Broker (see paragraph I on page one (1)). In the event a facilitator broker or salesperson, working with a Seller/Landlord, accepts a showing of the property by a Buyer/Tenant being represented by the facilitator broker or salesperson, then the facilitator broker or salesperson must act as a Buyer’s/Tenant’s Broker (see paragraph III on page one (1)).
VI. This disclosure is required by law in any transaction involving property occupied or intended to be occupied by one to four families as their residence.
VII. The fiduciary duties mentioned above are listed below and have the following meanings: Loyalty – broker/salesperson will act only in client(s)’ best interest. Obedience – broker/salesperson will carry out all clients(s)’ lawful instructions. Disclosure – broker/salesperson will disclose to client(s) all material facts of which broker/salesperson has knowledge which might reasonably affect the client(s)’ use and enjoyment of the property. Confidentiality – broker/salesperson will keep client(s)’ confidences unless required by law to disclose specific information (such as disclosure of material facts to Buyers). Reasonable Care – broker/salesperson will use reasonable care in performing duties as an agent. Accounting – broker/salesperson will account to client(s) for all client(s)’ money and property received as agent.
VIII. If Seller(s)/Landlord(s) decide(s) not to agree to a dual agency relationship, Seller(s)/Landlord(s) may give up the opportunity to sell/lease the property to Buyer(s)/Tenant(s) represented by the broker/salesperson. If Buyer(s)/ Tenant(s) decide(s) not to agree to a dual agency relationship, Buyer(s)/Tenant(s) may give up the opportunity to purchase/lease properties listed by the broker.
NOTICE REGARDING PREDATORY OFFENDER INFORMATION: Information regarding the predatory offender registry and persons registered with the predatory offender registry under MN Statute 243.166 may be obtained by contacting the local law enforcement offices in the community where the property is located, or the Minnesota Department of Corrections at (651) 631-7200, or from the Department of Corrections Web site at www.corr.state.mn.us.
Application Fee $35 per person, unless married. **
Application fee is for anyone 18 and Over. Children under the age of 18 should not be included.
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Applegate Lease Application Form

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Step 1 of 2

Applicant Information

Current Address

Previous Address

Names of Other Persons to Occupy Unit (Include Birthdates if Under 18)

AGENCY IN RELATIONSHIPS IN REAL ESTATE TRANSACTIONS

AGENCY IN RELATIONSHIPS IN
REAL ESTATE TRANSACTIONS