RentPPM.com

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Suffix	Jr Sr I II III IV
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Driver's License State	State / Province --USA-- AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY --Canada-- ON QC NS NB MB BC PE SK AB NL

Current Address
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State / Province	State / Province --USA-- AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY --Canada-- ON QC NS NB MB BC PE SK AB NL
Zip / Postal Code
Landlord Name
Landlord Phone
Rent Amount
Rent Period	Week Month Year
At this address since?

Address
Address Cont.
City
State/Province	State / Province --USA-- AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY --Canada-- ON QC NS NB MB BC PE SK AB NL
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Landlord Name
Landlord Phone
Rent Amount
Rent Period	week month year
Move in date
Move out date

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Pet Type, Breed, Color, Weight
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Make/Model of Vehicle
How did you hear about us?	Current Resident Past Resident Friend Family Member Craigslist Ad RentPPM.com Other online site Drive-by Property Property Signs Radio Commercial TV Commercial

I have read, agree and affirm that all of my statements and information provided in this application are true and complete. I acknowledge that false, undisclosed, incomplete or misleading information herein may constitute grounds for rejection of this application, termination of right of occupancy of all residents and occupants under a lease and/or forfeiture of deposits and fees, and may constitute a criminal offense under the laws of this state.

I understand that this application is preliminary only and does not bind you to execute a Lease or to deliver possession of the premises to me. I authorize you to contact any references listed above and to obtain consumer reports, which may include credit, rental payment and/or eviction history and criminal background information about me and in order to verify the above information. I understand that as my prospective landlord, any co-applicants, occupants, or guarantors that may be added to this application may need to consent to and successfully pass consumer background screening reports.

By agreeing, I authorize you to obtain subsequent consumer reports, including credit reports, to ensure that I continue to satisfy the terms of my tenancy, for the collection and recovery of any financial obligations relating to my tenancy, or for any other permissible purpose. Further, if I have included information on co-applicants, other adult household members, and/or guarantors on this application, I affirm that those individuals have knowledge of their inclusion on this application and expressly authorize you to obtain subsequent consumer reports, including credit reports. I understand that you may report all positive and negative rental payment history to consumer reporting agencies who track this information for landlords, mortgage companies and other creditors. I and all occupants or guarantors hereby release from all liability or responsibility all persons and corporations requesting or supplying such information.

SECURITY DEPOSIT FORFEITURE LANGUAGE
Please be advised that, upon your execution of this Rental Application and payment of the application fee and security deposit, Professional Property Management will remove the rental property from the market for a period of ten (10) days to facilitate your tenancy. If you do not return a written lease agreement to Professional Property Management within that time, or if you notify Professional Property Management within that time that you do not wish to rent the property, your application fee will be forfeited and your security deposit will be returned to you, less a cancellation fee in the amount of $150.00 plus the total value of lost rent, calculated on a pro rata basis, between the date of this Rental Application and the date you give us notice of your decision not to rent, or the end of the ten-day period, whichever is less. By signing below you acknowledge that the agreement by Professional Property Management to remove the rental property from the market to facilitate your tenancy in accordance with the above-described terms constitutes sufficient consideration to render this Rental Application contractually binding under Virginia law.


I hereby apply to lease the above described premises for the term and upon the conditions above set forth and agree that the rent is to be payable the 1st day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, I understand this application and any resulting lease agreement can be terminated by landlord at will.