AccuSearch Comprehensive Rental Application Form #22603-P

NOTICE: If you have a credit freeze with Equifax, you must lift the freeze before submitting your rental application. If you have an active freeze at the time of screening, we will need to collect an additional screening fee in order to process credit again.

Contact Equifax via phone at (888) 378-4329 or manage your freeze online on their official site.

Equifax Security Freeze Management
Client Code
Must be 6 digits. Currently Entered: 0 digits.
The property manager will supply you with a six digit client code.

Applications without a valid client code will not be processed for screening.
Name of property management company/agent
Rental management contact person
Address of Rental Property Address of Rental Property
Street Address City State / Province / Region
Please include unit number, if applicable
I am applying as a

I am applying as a Tenant Guarantor
Name of occupant that you are cosigning for Name of occupant that you are cosigning for First Last
Personal information
Full Name Full Name First Middle Last
Please include first, middle, and last names. If you have more than one last name, please list them.
Have you ever used any other names?

If Yes, name(s).
Date of Birth Date of Birth / MM / DD YYYY
Driver’s License Number
Social Security number/Tax ID number
Must be 9 characters. Currently Entered: 0 characters.
If you do not have a SSN or TIN, please enter 000000000
Phone Phone - ### - ### ####
Email
Address information
Current address Current address
Street address (address number, street name, unit number) Name of property/apartment complex (if applicable) City State / Province / Region Postal / Zip Code Country
Move In Date Move In Date / MM / DD YYYY
Move Out Date Move Out Date / MM / DD YYYY
Terms

Terms Rent Own Staying with family Staying with friends
Rent Amount
Landlord Mgmt Co.
Landlord Mgmt Address
Landlord’s Telephone Landlord’s Telephone - ### - ### ####
Landlord email
Prior address Prior address
Street address (address number, street name, unit number) Name of property/apartment complex (if applicable) City State / Province / Region Postal / Zip Code Country
Move In Date Move In Date / MM / DD YYYY
Move Out Date Move Out Date / MM / DD YYYY
Terms

Terms Rent Own Staying with family Staying with friends
Rent Amount
Landlord Mgmt Co.
Landlord Mgmt Address
Landlord’s Telephone Landlord’s Telephone - ### - ### ####
Landlord email
Current Employment
Company
Address Address
Street Address City State / Province / Region
Employer address
Phone Phone - ### - ### ####

Please provide a number for someone who can verify your employment -- direct supervisor, human resources, payroll, etc.
Email

Please provide an email address for someone who can verify your employment -- direct supervisor, human resources, payroll, etc.
Supervisor Name Supervisor Name First Last
This may also be an HR, payroll, or other administration staff member who can verify your specific employment details
Hire Date Hire Date / MM / DD YYYY
Job Title
Full Time Part Time
Average/range of hours worked per week
Salary/Hourly rate

Please indicate per hour/per year
Additional Income

Other employment, child support, interest, etc.
Additional information
Pets

Pets No Yes N/A
If yes, number, size and type(s)
Auto Make/Model/License #
Have you ever been convicted of a crime?

Have you ever been convicted of a crime? No Yes N/A

(Please choose N/A if applying for a property in Seattle)
Have you ever been evicted or refuse to pay rent?

Have you ever been evicted or refuse to pay rent? No Yes N/A
Emergency Contact Information
Local Contact Local Contact First Last
Phone Phone - ### - ### ####
Street Address City State / Province / Region
Nearest Relative Nearest Relative First Last
Street Address City State / Province / Region
Phone Phone - ### - ### ####
Identification and proof of income
Upload picture of photo ID

Attach Files

Maximum file size is 3.5 MB.
Upload recent proof of income

Attach Files

Please upload proof of income, preferably pay statements from the last 3 months or W2/tax return. 5 files maximum.
Signature authorization
NON-REFUNDABLE SCREENING FEE NOTICE

NON-REFUNDABLE SCREENING FEE NOTICE Screening fee is $44.00 plus tax. All screening fees are non-refundable. By checking this box, I acknowledge and agree that the fee paid to AccuSearch for services rendered in compiling my tenant screening report is non-refundable.
NOTICE OF RIGHT TO DISPUTE

NOTICE OF RIGHT TO DISPUTE I understand I retain the right to obtain a copy of the information compiled in my consumer screening report. In order to obtain the copy of my screening report, I recognize that according to the FCRA, I must submit a written request to AccuSearch, separate from this form, along with acceptable proof of identification. For more information on the dispute process, please call us toll-free at the number below.
Name Name First Middle Last
Please click and drag or swipe to draw your signature in the below field.

In compliance with the Fair Credit Reporting Act, State and Federal Laws, this is to inform you that an investigation involving the statements made on this application for tenancy is being initiated by AccuSearch. I certify to the best of my knowledge all statements are true and complete. I further authorize AccuSearch to obtain credit reports, court/criminal records, character reports, general reputation, mode of living, rental references and employment history as needed to verify all the information put forth on this application.

Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Fair Chance Housing Ordinance Notice

Per Fair Chance Housing Ordinance, SMC 14.09, if this property is located within Seattle city limits, landlord is prohibited from requiring disclosure, asking about, rejecting an applicant, or taking an adverse action based on any arrest record, conviction record, criminal history, except for registry information as described in subsection 14.09.025.A.3, subsection 14.09.025.A.4, subsection 14.09.025.A.5, and subject to the exclusions and legal requirements in section 14.09.115. If a landlord screens prospective occupants for registry information, the written notice shall also include this screening criteria and must inform applicants that they may provide any supplemental information related to an individual’s rehabilitation, good conduct, and facts or explanations regarding their registry information.
Screening provided by:
AccuSearch
103 E. Holly St. Ste. #207
Bellingham, WA 98225
877-646-4466
$0

Total

+Tax 9%

AccuSearch Comprehensive Rental Application Form #22603-P

AccuSearch Comprehensive Rental Application Form #22603-P

Personal information

Address information

Current Employment

Additional information

Emergency Contact Information

Identification and proof of income

Signature authorization

Fair Chance Housing Ordinance Notice

$0

Total

+Tax 9%

$`0`