A. Applicant Identification:

B. Property Condition:

Applicant is strongly encouraged to view the Property in-person prior to submitting any application.

C. Applicant Information

Housing

Employment and Other Income

Note: If Applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional.

Note: Applicant is responsible for including the appropriate contact information for employment verification purposes.

Emergency Contact: (Do not insert the name of an occupant or co-applicant.)

D. Occupant Information

Name all other persons that are not co-applicants who will occupy the Property:

E. Vehicle Information

RV to be parked on Premise

Note: State, local, and/or HOA ordinances may restrict your ability to park certain vehicles on the Property.

F. Animals:

If yes, list all animals to be kept on the Property

If any of the animals listed above are assistance animals, please provide appropriate documentation with a reasonable accommodation request for the assistance animal(s).

G. Additional Information:

Has Applicant ever:

H. Authorization

Applicant authorizes Landlord and Landlord's authorized agent, at any time before, during, or after any tenancy, to:

1. obtain a copy of Applicant's credit report;
2. obtain a criminal background check related to Applicant and any occupant; and
3. verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.

Notice of Landlord's Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

Privacy Policy: Landlord's agent or property manager maintains a privacy policy that is available upon request.

Fees: Applicant submits a non-refundable fee (entity or individual) for processing and reviewing this application.

to be applied to the security deposit upon execution of a lease or returned to Applicant if a lease is not executed.

Acknowledgement & Representation:

1. Signing this application indicates that Applicant has had the opportunity to review Landlord's tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income, and rental history.
2. Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.
3. Applicant represents that the statements in this application are true and complete.
4. Applicant is responsible for any costs associated with obtaining information.

For Landlord's Use:

have submitted an application to lease a property located at Vedas Camp RD, Haskell, TX 79521.

The landlord, broker, or landlord's representative is:
HCR Realty LLC --Chan Guess (name)
103 N Ave E (address)
Haskell, TX 79521 (city, state, zip)
(940)864-8109 (phone) (940)256-1713 (fax)
hcr.changuess@gmail.com (e-mail)

I give my permission:

1. to my current and former employers to release any information about my employment history and income history to the above-named person;
2. to my current and former landlords to release any information about my rental history to the above-named person;
3. to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person;
4. to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and
5. to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.

Note: Any broker gathering information about an applicant acts under specific instructions to verify some or all of the information described in this authorization. The broker maintains a privacy policy which is available upon request.