Have you ever (check if applicable) *Required
Been evicted or asked to move out?
Broken a rental agreement or lease contract?
Been or are currently delinquent to a previous landlord?
Had more than 3 late payments or 2 returned checks for rent in the most recent 12 month period?
Received deferred adjudication or conviction for a felony?
Received deferred adjudication or conviction for a sex-related offense?
Received deferred adjudication or conviction for a Class A Misdemeanor?
Been arrested?
None of the above applies to me.
If you checked any box(s), please explain:
AUTHORIZATION
By typing applicant's name and date below, applicant represents that all of the above information is true and complete and authorizes verification of information through the performance of criminal background checks. Applicant authorizes investigation of information as to character, general reputation, personal characteristics and lifestyle. Applicant acknowledges that false information herein may constitute grounds for rejection of this application.
Name:*Required
Date:*Required
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