Please phone us at 1-(425) 497-8774 to
determine whether we have a vacancy, then print this
application, complete it, and bring it to your on-site
appointment along with a screening fee of $40. for each
prospective tenant 18 or over. Checks should be made
payable to: Meadow Ave. LLC, P.O. Box 3051, Redmond, WA
98073
RENTAL
APPLICATION
ONE FOR EACH
ADULT 18 AND OLDER
FIRST NAME, MIDDLE INITIAL, LAST:
PHONE # WHERE WE CAN REACH YOU WITH APPLICATION RESULTS:
DATE OF BIRTH:
SS #:
DRIVERS LICENSE #:
STATE:
CURRENT ADDRESS:
CURRENT LANDLORD (name and phone number):
PREVIOUS LANDLORD (name and phone number):
EMPLOYER :
SUPERVISOR PHONE #:
MONTHLY INCOME (PRE-TAX)
From your employment: $
Other monthly Income: $
REFERENCES:
Local acquaintance (name and phone number)
Nearest relative (name and phone number)
Emergency contact: please provide name, address, and phone
for your Emergency Contact
Name:
Address:
Phone:
Have you ever been evicted? Y N
Have the police ever been summoned to your home for any
reason? Y N
Have you ever been convicted of illegal drug activity? Y N
Have you ever been convicted of a felony? Y N
Do you own a motor home or trailer? A motorcycle? A
waterbed? A pet? (circle)
I/We certify that
to the best of my/our knowledge, all statements are true
and complete. I/We further authorize to obtain credit
reports, character reports, civil and/or criminal records
and rental history as needed to verify all information put
forth in this application or a copy of it. I/We are aware
that an incomplete application causes delay in processing
and may result in denial of tenancy. I/We understand that
false, fraudulent or misleading information may be grounds
for denial of tenancy.
Signed:
Date: