Explain any "YES" answers on back with names and details.
Has any signer ever been sued for bills? Yes No
Has any signer ever been sued for eviction? Yes No
Has any signer ever been bankrupt? Yes No
Has any signer ever been guilty of a felony? Yes No
Has any signer ever broken a lease? Yes No
Is the total move-in amount available now (rent and deposit)? Yes No
Applicant authorizes the owner and/or On Target Property Management LLC to contact past and present landlords,
employers, creditors, credit bureau, neighbors and any other sources deemed necessary to investigate applicant.
All the information is true, accurate and complete to the best of applicant's knowledge. Owner reserves the
right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM
OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
X__________________________________________
_________________
APPLICANT
DATE
All applicant occupancy must meet the On Target Property management LLC financial or legal standards for
leasing units at 'the hillside'.
DO NOT WRITE BELOW THIS LINE THIS SECTION TO BE COMPLETED BY INTERVIEWER