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.

2 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.). 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.

3 ;.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. 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 ~ _ _ _ _ __.

4 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? _ _ __ 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?

5 ____. 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 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___. 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?

6 _____ 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 - - - - . ---~----- 3 Home Phone Cell Phone ----------------- 4 Work Phone _ _ _ _ _ _ _ _ _ _ _ _ _ __ Errmil ------------------ . 5. 6 Current Address _ _ _ _ _ _ _ _ _ _ _ __ City _ _ _ _ __ State Zip _ _ _ __ 7 0 Owned 0 Rent Payment $_ _ _ _ _ _ __ How Long?

7 _ _ __ 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?

8 _ _ 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.]

9 EOWol M01niIIlQ. aVPQATlIlUfV. 1 How did you hear about this property? _____. 2 Please explain why you are moving from your current location? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __. 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?

10 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? 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?