RENTAL APPLICATION G:r - Fountain Realty

1 PLEASE DO NOT COMPLETE PAGES 5 & 6. RENTAL APPLICATION G:r EQUA~ "GUilD OPPOICTII"nl' 1 FAIR HOUSING nevada strictly abides by the Federal Fair Housing Act, nevada Fair Housing Law and principles of equal 2 opportunity. It is strictly prohibited to discriminate on the basis of race, religious creed, color, national origin, disability, sexual 3 orientation, gender identity or expression, ancestry, familial starus or sex. 4. 5 APPLICANTS The APPLICATION fee is $ per. _ _ _ _~_ _ :. 6 Fee must be paid by 0 cash, 0 cashier's check money order debit/credit card. 7 Any fee charged by employer to verify employment must be paid by the applicant in advance. Fees are non-refundable, and must 8 be paid separately from any security deposits or pet fees.. 9. 10 CREDIT CRITERIA, PROOF OF INCOME AND IDENTIFICATION Please attach the following to upon making APPLICATION : 11 liI Copies of last two (2) most recent paycheck srubs. 12 0 Copy of last year's income tax rerum 13 0 Copies of last three (3) months bank statements 14 0 Proof of Other Income (SIIS, child support, etc.)

2 15 0 Copy of driver's license, military ID or state ID. 16 OOther _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____. 17 0 Other 18 OOther----------------- . 19 0 Other _____. 20. 21 WHEN YOUR APPLICATION IS COMPLETE Please submit RENTAL APPLICATION , processing fees, credit criteria, proof of 22 income and identification to or 1437 C Street, Sparks 23 Incomplete RENTAL applications will not be processed. 24. 25 Additional Information Requested: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _--'-_ _ _ _ _ _ _ _ _ __. 26. 27 28 29 30. 31 Please allow three days to process applications . For questions or concerns regarding the RENTAL APPLICATION please contact 32 the Agent below. 33. 34 Management Company Fountain Realty Managing Agent ;.;.o.;..m.;..;..L.:..F_o"-u;..;. :t.;.;.a.;.;.in'--_____. 35. 36 Address 1437 C Street Contact Phone: 775 825 8844. --~~~~~--------- 37. 38 City, State, Zip: Sparks, nevada 89431 Email Address: Property Address: _ _ _ _~ _ _ _ _ _ _ _ _ _-'-' Applicant Initials ' -__'___' Page 1 of7 RENTAL App 117.

3 This copyright protected form was produced using Instanet Solutions' Instanet Forms service. 1f&,~. APPLICANT 1 APPLICATION will not be accepted if received without being initialed and signed by applicant. Please use additional 2 applications if more than two persons are applying. 3. 4 Applicant hereby makes this request to rent the following property under the following terms and conditions: 5. 6 Requested Move In Date: _ _ _ _ _ _ __ 7 Property Address _ _ _ _ _ _----,_ _ _ _ __ State Zip _ _ _ _ __. 8 (Non-Refundable) APPLICATION Fee Security Deposit ~ _ _ _ _ __. 9 (Non-Refundable) Processing Fee $_ _ _ _ _ __ Pet Deposit $ _ _ _ _ _ __. 10 Cleaning Fee ~=_____=. 11 Evidenced by: 0 Cash 0 Check 0 Cashiers Check Money Order 12. 13 Applicant Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Birth Date _ _ _ _ _ __. 14 Social Security Number Drivers License - - - - - - - - - - State 15 Home Phone Cell Phone --- . -------~--------------- 16 Work Phone Email 17. ---------------------- 18 Current Address: _ _ _ _----,_____ City _ _ _ _ _ __ State Zip _ _ _ __ 19 0 Owned 0 Rent Payment ~_____ How Long?

4 _ _ __ 20 Landlord Name/Mortgage Holder _ _ _ _ _ _ _ _ Phone _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 21 Reasonforleaving: _____. 22 If less than 3 Years 23 Prior Address _ _ _ _ _----,_____ City _ _ _ _ _ __ State Zip _____ 24 0 Owned 0 Rent Payment $_____ How Long? _ _ __ 25 Landlord Name/Mortgage Holder _ _ _ _ _ _ _ Phone _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 26 Reason for leaving _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 27 28 Current Employer _ _ _ _ _ _ _ _ _ _ _ __ Employed as _____ How Long? ____. 29 Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ City _____ State Zip _____. 30 Phone----,_____ Fax _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __. 31 Salary ~ _____ Per/Mo _____ Supervisor _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __. 32 Other Income Source 33 If less than 3 Years --------------- Amount $------- 34 Prior Employer _ _ _ _ _ _ _ _ _ _ _ _ ___ Employed as _ _ _ _ _ _ _ __ How Long? ___. 35 Address _____ City _ _ _ _ _ _ _ State Zip _____. 36 Phone Fax _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___.

5 37 Salary ------------------- $_____ Per/Mo - - - - - Supervisor _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __. 38. 39 Monthly Obligations Total $. $ ------ . 40 Auto Loan Auto Insurance $------------- . 41 Health Insurance $_---------- Child Support $ --------- . 42 Credit Card $_------ Credit Card $ ---------- . 43 Other $_------ Other $_------- . 44. 45 How long will Applicant live here? _____ Does anyone in the household smoke? 0 Yes 0 No 46. 47 Applicant Emergency Contact Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ Relationship _ _ _ _ _ _ _ _ __. 48 Cell Phone Work Phone Other Phone - - - - - - - - 49 Address ---------------------------------------- ------ @}{SAR 03115. Page 2 of7 Property Address: _ _ _ _ _ _ _ _ _ .~_ _ _.'_Applicant Initials ~/___I_ _I ~ RENTAL App 217. This copyright protected form was produced using Instanet Solutions' Instanet Forms service. I=~. CO-APPLICANT 1 Co-Applicant Name _ _ _ _ _ _ _ _ _ _ __ Birth Date: _____. 2 Social Security Number _ _ _ _ _ _ _ _ _ __ Drivers License State.

6 ---~----- 3 Home Phone Cell Phone ----------------- 4 Work Phone _ _ _ _ _ _ _ _ _ _ _ _ _ __ Errmil ------------------ . 5. 6 Current Address _ _ _ _ _ _ _ _ _ _ _ __ City _ _ _ _ __ State Zip _ _ _ __ 7 0 Owned 0 Rent Payment $_ _ _ _ _ _ __ How Long? _ _ __ 8 Landlord Name/Mortgage Holder _ _ _ _ _ _ __ Phone 9 Reason for leaving _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _-_ -_-_-_-_. -_-_-_ -_ -_. -_-_. -_ -_ -_-_ -__. - - 10 If less than 3 Years 11 Prior Address _ _ _ _ _----,_____ City _ _ _ _ _ __ State Zip _ _ _ __ 12 0 Owned 0 Rent Payment $ _ _ _ _ _ _ _ _ How Long? _ _ __ 13 Landlord Name/Mortgage Holder _ _ _ _ _ _ _ _ Phone _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 14 Reason for leaving _____ 15. 16 Current Employer _ _ _ _ _ _ _ _ _ _ _ __ Employed as _____ How Long? _ _. 17 Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ City _ _ _ _ _ _ State Zip _____. 18 Phone----,_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Fax _____. 19 Salary ~_ _ _ _ _ _ _ _ _ Per/Mo _ _ _ __ Supervisor _____ 20 Other Income Source Amount $_ _ _ __ 21 If less than 3 Years ------------ 22 Prior Employer _ _ _ _ _ _ _ _ _ _ _ _ __ Employed as _ _ _ _ _ _ ____ How Long?

7 _ _ 23 Address City _ _ _ _ __ State Zip _ _ _ ___ ----------------- 24 Phone----,_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Fax 25 Salary~_ _ _ _ _ _ _ _ Per/Mo _ _ _ __ Supervisor ---------------------- _____ 26 27 Monthly Obligations $ _ _ _ _ _ _ __ 28 Auto Loan $ _____ Auto Insurance $ _____ 29 Health Insurance $ Child Support $ _ _ _ _ _ _ __ 30 Credit Card $. --------- Credit Card $. --------- --------- 31 Other $ Other $. 32 -------- ----------- . 33 Co-Applicant Emergency Contact Name _____. 34 Cell Phone Work Phone _____ Other Phone _ _ _ _ _ _ __. 35 Address ---------------------------------------- - RSAR 03/15. Page 3 of? Property Address: _ _ _ _ _ _ _ _ _ _ _ _-=-' Applicant Initials [____1____1_ _1_ _1 RENTAL App 117. This copyright protected form was produced using Instanet Solutions' Instanet Forms service. '?o! ~. GENERAL QUESTIONNAIRE.. EOWol M01niIIlQ. aVPQATlIlUfV. 1 How did you hear about this property? _____. 2 Please explain why you are moving from your current location?]

8 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __. 3 _____=_--~=_----------- 4 Has any Applicant ever had recurring problems with current apartment or landlord? No If yes, please 5explrun: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____. 6 _____. 7 Has any Applicant ever been served a late rent notice? 0 Yes 0 No If yes, please explain: _ _ _ _ _ _ _ __. 8 _____-=~~=_--------------~----------- 9 Has any Applicant ever willfully refused to pay rent when due? Yes 0 No If yes, please explain: _ _ _ __. 10 _____~--~=_----------------------------- ------------- 11 Has any Applicant ever been evicted? 0 Yes 0 No If yes, please explrun: _____. 12 _____. 13 Has any Applicant ever filed bankruptcy? 0 Yes 0 No If yes, please explain: _____. 14=-_____ =-__. -=~__----~----------------------------- 15 Has any Applicant been a party to a lawsuit? 0 Yes 0 No If yes, please explain: _ _ _ _ _ _ _ _ _ _ __. 16 _____~----------- 17 Has any applicant or occupant ever been convicted of a gross misdemeanor or felony?

9 0 Yes 0 No If yes, please 18explain: _____. 19 _____. 20 Is any applicant or occupant required to register or has been convicted as a sex offender? 0 Yes 0 No If yes, please 21explrun: _ _ _ _ _ _ _ _ _ _ =-_____=-__ =-___~--~----~------- 22 We may run a credit check and a criminal background check. Is there anything negative we will find that you want to 23 comment on? --------------------------------------- 24 _____. 25 26 Does any Applicant plan to use liquid filled furniture? 0 Yes 0 No Furniture type _____ 27 28 Do you have Pets? 0 Yes 0 No If Yes, type of pet: _____ 29~------------------__----------------- -------------------------------- . 30 Contact Agent for Pet APPLICATION . 31 32 In addition to Applicant(s), other persons to be at premises: 33 Name: Age ___ Relationship _ _ _ _ _ _ __ Occupation _ _ _ _ _ _ __. 34 Name: Age ___ Relationship _ _ _ _ _ _ __ Occupation _ _ _ _ _ _ __. 35 Name: Age Relationship _____ Occupation _ _ _ _ _ _ __. 36 Name: Age ___ Relationship _____ Occupation _____.

10 37. 38 Vehicles 39 Make Model Color License # _____ State 40 Make Model Color License # - - - - - State 41 Make Model Color License # - - - - - - State 42 Make Model Color License # - - - - - - State Page 4 of7 Property Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _-=-. Applicant Initials '--_ _ _. J{SAR 03/15. RENTAL App 417. This copyright protected form was produced using Instanet Solutions' Instanet Forms service. ,= VERIFICATION OF EMPLOYMENT 1 EMPLOYER CONTACT INFORMATION. 2 Applicant Name: _ _ _ _ _ _ _ _ _ _ __. 3 Company Name: _ _ _ _ _ _ _ _ _ _ __ Address: 4 Supervisor: _ _ _ _ _ _ _ _ _ _ _ _ _ __. ------------------- . Phone Number: _ _ _ _ _ _ _ _ _ _ _ _ __. 5 Email: Fax Number: _ _ _ _ _ _ _ _ _ _ _ _ _ __. 6 ---------------------------- . 7. 8. 9. 10. 11 To Whom it May Concern: 12 One of your employees (named above) has applied to rent one of our properties. Please verify the following 13 information below. See authorization attached. 14. 15 Date of Employment 16 Hired Date: Termination Date: 17.}