RESIDENTIAL RENTAL APPLICATION

Each Adult Must Fill Out a Separate Application

Killer Whale Report - $42.00 Non-Refundable Screening Fee
 - Add $3.00 processing fee when paying with credit card
 - Add $6.00 fee per Juvenile to be screened

A Message To Our Applicants

Welcome to Powell Management.  We hope you find this property meets all of your needs.  For your convenience, the following is a brief overview of the general guidelines used to process an application

Application Form – Each adult (17-1/2 and older) wishing to live in one of our properties must fill out an application and be approved.  All sections of each application must be complete and accurate.  The fee for this is $42, non-refundable, plus $3.00 credit card fee, if done online.

Employment – In order to verify that there is adequate income to make rental payments, we expect all applicants to have at least twelve (12) months of current verifiable employment, and the gross income must be equal to three times the monthly rental amount (2 ½ times for qualified properties).

Rental History – In order to verify that the prospective tenant has demonstrated a desire to meet lease/rental obligations, we expect all applicants to provide 6 months of positive verifiable current rental history on a written agreement.  We also expect all applicants to provide 6 months of positive verifiable previous rental history on a written agreement.

In General – We want to verify the amount of current rent and that the rental was paid in a timely manner, that the property was kept in good condition, that there is no history of complaints from other tenants, that all lease obligations have been met, and that the tenancy has been a positive experience.

Credit History – In order to verify that the prospective tenant has demonstrated fiscal responsibility, we expect all applicants to have positive credit history for 1 year.  Any applicant whose credit history reflects apartment collections of civil judgments, evictions, or more than $400 in collections (excluding medical) will be denied tenancy.

Public/Criminal Record – We take great pride in keeping our properties crime-free, and all applicants are screened for a possible criminal background.

No person shall be denied the right to rent one of our properties based on applicant’s race, color, religion, national origin, sex, age, disability, marital status or familial status.
www.PowellManagement.net

  • In order to process your application in a timely manner, we must have you:
  • Use BLACK INK when filling out the application and print boldly and clearly.
  • One applicant per application.
  • Fill out all of the questions on the application.  Do not leave any blanks.
  • If application is submitted online, a credit card fee of $3.00 is required for each application.
  • If mailing in or dropping off, acceptable forms of payment are: cash, check, or money order.
  • Make sure you have listed correct daytime phone numbers for all applicants, landlords (current & previous) and your employer.
  • Sign the application.  We cannot process the report without a signature.
  • Please return completed application with a check, cash or money order for $42.00 payable to Powell Management, or submit online for $45.00.
  • Return to: Rental Office located at 22211 Marine View Drive South, Des Moines OR fax to 206-824-9030 OR call 206-878-0389


Incomplete and/or illegible applications could result in a delay or denial of tenancy.
We appreciate the time you have taken to fill out our application as we have requested.

 

Address of Rental Property: Unit #:
Rent Amount:
Applicant’s Complete Name: Date of Birth:
Telephone #: Email Address:

Other Occupant’s Name, Age, & Relationship:    
If any of the above noted occupants are currently married or separated but not living with their spouse:    
Complete every item on the application. Incomplete and/or inaccurate information may result in process delay or denial of tenancy.

CURRENT ADDRESS (Required Entry)
Street:
City: State: Zip:
Apt #:
Name of Apts:
How Long? From:     To:
Pymts/
Rent Pd To:
Amt:
Landlord/
Mgmt Co:
Address:
Tel #: Prop. Type:  
PREVIOUS ADDRESS (Required Entry)
Street:
City: State: Zip:
Apt #:
Name of Apts:
How Long? From:     To:
Pymts/
Rent Pd To:
Amt:
Landlord/
Mgmt Co:
Address:
Tel #: Prop. Type:  

Current Employer: Tel #: Supervisor:
Dept/Attached to: Occupation: Rank:
Hire Date: Monthly Salary: Full Time: Part Time:
Address: Suite:
City: State: Zip:

Prior Employer: Tel #: Supervisor:
Dept/Attached to: Occupation: Rank:
Hire Date: Monthly Salary: Full Time: Part Time:
Address: Suite:
City: State: Zip:

Additional Income (Interest, Child Support, Etc):
Bank: Branch: Tel#:
You will be contacted for your Account Number and Social Security Number.
Pets? If yes, Number, Size, Type:
Disability status and require special accommodations?

HAVE YOU OR ANY OTHER HOUSEHOLD MEMBER:
Ever been evicted or refused to pay rent? Ever been charged or convicted of a crime?
If yes to any of the above, give details: What is the nature of the offense? What County(ies) State(s)?
When?
Ever used any other name(s)?
If yes, list name(s):
Are you or any other household member a Registered or Unregistered Sex Offender?
Are you or any other household member currently using any illegal drugs?
Auto/Year/Make/Lic#: 1) 2)

Local Contact: Address: Tel #:
Nearest Relative: Address: Tel #:
Emergency Contact: Address: Tel #:

Addendum (A) to Application for Tenancy
LETTER OF AUTHORIZATION

To Whom It May Concern:

I understand I acquire no rights in an apartment until I sign this agreement and submit a holding fee in the amount of $ ___________ . If my tenancy is approved and I sign an apartment rental agreement, this fee shall be credited to my first month’s rent and/or security deposit. If my tenancy is approved but I DO NOT sign an apartment rental agreement, then this fee shall be forfeited to the landlord as liquidated damages for holding an apartment at ________________________ . If my tenancy is not approved this fee shall be returned to me.

In compliance with the Fair Credit Reporting Act, State and Federal laws, this is to inform you and your household members that an investigation involving the statements made on this application for tenancy are being initiated by ORCA Information, Inc., PO Box 277 Anacortes, Washington 98221, 360-588-1633. I certify that to the best of my knowledge all statements are “true and complete”. I further authorize ORCA Information, Inc. to obtain CREDIT REPORTS, EMPLOYMENT REFERENCES, COURT, CRIMINAL & JUVENILE RECORDS, ARREST DETENTION INFORMATION and CHARACTER REFERENCES, GENERAL REPUTATION, MODE OF LIVING, and RENTAL REFERENCES as needed to verify all information put forth on this application and otherwise available regarding all applicants identified on this application (for minor children, the undersigned parent/guardian authorizes the above information to be obtain on their behalf).

Furthermore I warrant the accuracy of all information contained on this rental application, including that relating to the other intended occupants of the subject property. I/We understand and agree that if subsequently a determination is made that I provided false or inaccurate information on the rental application it is a breach of the terms of any rental agreement signed based on that information and Owner and/or his/her agent may take legal action to terminate said Agreement. SCREENING FEE IS NON-REFUNDABLE.

Applicant's Name:    
My typed name below shall have the same force and effect as my written signature.
Applicant's Signature:    
Date of Authorization:    

List All Children of Juvenile Age (12yrs-17yrs) Intended to Reside on the Rental Property:
(Please note there is an additional $6.00 fee per Juvenile to be screened)
Full Legal Name Nickname(s) Date of Birth
Full Legal Name Nickname(s) Date of Birth
Full Legal Name Nickname(s) Date of Birth
Full Legal Name Nickname(s) Date of Birth

Calculate Payment Amount:
      Application Fee: $42.00
      Credit Card Fee: $3.00
      Optional:
            Juvenile Additions: $6.00 each
Amount Due: