PREFERRED PROPERTIES NORTHWEST (PPNW)

PO BOX 6599

BEAVERTON, OREGON 97007

OFFICE 503-649-0990        FAX 503-591-1999

 

RENTAL  APPLICATION  -  FEE $25.00 PER PERSON

 

   NAME:_____________________________________________________________

    PERMANENT ADDRESS:________________________________________________

                            CITY:___________________________STATE:________ZIP:___________

    DRIVERS LIC#:______________________________ STATE: _________

    DATE OF BIRTH:___________________ SOCIAL SECURITY #: _______________________

    PHONE #: ________________________ E-MAIL: ___________________________________

    CONTACT PERSON (RELATIVE): _________________________________________________

    RELATIONSHIP: __________________________ PHONE# ____________________________

    CURRENT/PREVIOUS LANDLORD: _______________________________________________

    ADDRESS: _____________________________________________________________________

    LENGTH OF TIME AT THIS ADDRESS: ____________________________________________

    LANDLORD PHONE #: ________________________________

    REASON FOR LEAVING: ______________________________

    HAVE YOU EVER BEEN EVICTED: YES _______ NO _______

    HAVE YOU EVER BEEN ASKED TO LEAVE: YES _____ NO ______

    HAVE YOU EVER BEEN CONVICTED OF A FELONY: YES _____ NO ______

    DO YOU HAVE ANY PETS: YES _____ NO ____

    APPLICANT(S) HEREBY CERTIFY THAT THE INFORMATION IS TRUE AND CORRECT AND HEREBY  AUTHORIZE LANDLORD/AGENT TO MAKE ANY NECESSARY INQUIRIES DEEMED NECESSARY TO EVALUATE THE APPLICATION FOR TENANCY AND CREDIT STANDING. APPLICANT UNDERSTANDS AND ACCEPTS THAT ANY INFORMATION PROVIDED THAT IS INCOMPLETE, INACCURATE OR FALSIFIED SHALL BE GROUNDS FOR DENIAL OF THE APPLICATION OR SUBSEQUENT TERMINATION OF TENANCY UPON DETERMINATION OF SUCH FALSIFIED INFORMATION