RESIDENTIAL APPLICATION

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Property Address:

PRIMARY APPLICANT

* NAME

* HOME PHONE

WORK PHONE

* ADDRESS

* CITY

* STATE

* POSTAL CODE

* E-MAIL

DATE OF BIRTH

* SSN

PARENT'S PHONE

* INCOME INFORMATION

EMPLOYER

ADDRESS

SUPERVISOR

PHONE

INCOME

DATE EMPLOYED

IF EMPLOYED LESS THAN 6 MONTHS, PREVIOUS EMPLOYER

CO-APPLICANT

NAME

HOME PHONE

WORK PHONE

ADDRESS

CITY

STATE

POSTAL CODE

DATE OF BIRTH

SSN

PARENT'S PHONE

EMPLOYER

ADDRESS

SUPERVISOR

PHONE

INCOME

DATE EMPLOYED

IF EMPLOYED LESS THAN 6 MONTHS, PREVIOUS EMPLOYER

NAME ALL OTHER OCCUPANTS

OCCUPANT ONE

Relationship

Age

OCCUPANT TWO

Relationship

Age

OCCUPANT THREE

Relationship

Age

* WILL YOU HAVE ANY PETS

IF SO, DESCRIBE

* LIST YOUR PRIOR RESIDENCE'S (TWO YEARS, MOST CURRENT FIRST)

PRIOR RESIDENCE ONE
Address

Owner/Landlord

Phone

Length Occupied

Monthly Payment

Reason for Leaving

PRIOR RESIDENCE TWO
Address

Owner/Landlord

Phone

Length Occupied

Monthly Payment

Reason for Leaving

CREDIT REFERENCES

REFERENCE ONE

Type/Relationship

Phone Number

REFERENCE TWO

Type/Relationship

Phone Number

VEHICLE INFORMATION

VEHICLE ONE
Make/Model/Color

Year

Monthly Payment

VEHICLE TWO
Make/Model/Color

Year

Monthly Payment

IN CASE OF EMERGENCY LIST 2 NON-RESIDENTS

CONTACT ONE
Name

Home Phone

Work Phone

Relationship

CONTACT TWO
Name

Home Phone

Work Phone

Relationship

HAVE YOU EVER

* FILED FOR BANKRUPTCY?

* BEEN EVICTED FROM TENANCY?

* INTENTIONALLY REFUSED TO PAY RENT WHEN DUE?

* CONVICTED OF A FELONY?

IF YES, PLEASE EXPLAIN

HOW DID YOU HEAR ABOUT CSI REALTY?

IF OTHER, PLEASE EXPLAIN

In order for your application to be considered you must meet the following requirements:

  1. Sufficient Income
  2. Verifiable Good Credit
  3. Good Previous Rental History

We will try to process your application within 24 hours. Applications will not be pre-screened. All applications submitted become property of Commercial Services, Inc. We cannot guaranty any unit you have seen to be available by the time your application is processed. We cannot be held responsible for any unit that is rented after you have seen it and hand in an application. All rentals are on first approved basis.

If your application is approved, and your move in date is not immediate, a holding deposit will be taken. A holding deposit must be in the form of a cashier's check, check, or money order. Should you decide not to rent the unit, this holding deposit is not refundable. The holding deposit will be applied toward your security deposit, which is fully refundable at time of move-out, depending on the condition of the unit, rent due and/or other financial obligations incurred at the time of your move-out.

You will be required to pay the first month's rent and security deposit in advance. After signing a lease agreement with us, you are liable to report to us within 48 hours of a change of phone number(s) or place of employment.

Disclosure and Authorization

The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in the rejection of this and any further applications for housing, which we manage. The undersigned does further understand that all persons or firms named may freely give any requested information concerning me and I hereby waive all right to action for any consequences resulting from such information. My signature below authorizes investigations of all statements contained herein by the Management Company, including but not limited to a credit check.

I further understand and agree that Commercial Services, Inc. will rely upon this Rental Application as inducement for entering into a rental agreement or lease and I warrant that all the facts contained in this Application are true. If any facts prove to be untrue, Commercial Services, Inc. may terminate my tenancy immediately and collect from me any damages incurs including reasonable attorney's fees, administration fees, and collection fees resulting therefrom.

You are also herein notified that a negative credit report reflecting your credit may be submitted in the future to a credit reporting agency if you fail to fulfill the terms of your rental obligations or if you default in those obligations in any way.

Commercial Services Inc. welcomes all applicants and supports fair housing. We will not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, race, religion, familial status, physical or mental handicap, color or nation origin.

Notice of contractual relationship between the Property Owner and Commercial Services, Inc.: Commercial Services, Inc. is an exclusive agent of the Property Owner and represents the Property Owner's interest in any and all rental transactions.

By submitting this form with the above information to COMMERCIAL SERVICES INC. you are stating that the above information is true and accurate.

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Commercial Services, Inc.
P.O. Box 3523
Casper, Wyoming 82602
307.234.7179 (p)
307.234.9859 (f)