Application and Sample Documents

History of Residency:

List below the information for the two prior residences where lived prior to the Current address shown on your Tenant Information Sheet

*If Employed in above position for less than two years or if currently in more than one position, Complete the following for the immediate prior employer:

Assets & Liabilities

This statement and any applicable schedules may be completed jointly by both married and unmarried Co Tenants i f Their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a Combined basis; otherwise separate Statements and Schedules are required. If the Co Tenant section was completed About a spouse, this Statement and supporting schedules must be completed about that spouse also.

Liabilities and Pledged Assets. List the creditor’s name, address and account number for all outstanding debts. Including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use Continuation sheet if necessary. Indicate (*) by those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.

List Checking and Savings Account Information Below:

LIABILITIES (debts) (INCLUDE ALL ITEMS FROM CREDIT REPORT IF NECESSARY, ATTACH ADDITIONAL SHEETS)

(*Please review your credit report to confirm that all debts listed on said report are detailed Above if still in existence)

Schedule of Real Estate Property Owned (If additional properties are owned use continuation sheet)

DECLARATIONS

If you answer “yes” to any questions A through I, please use continuation sheet for explanation.

1. In foreclosure, transfer of title in lieu of foreclosure or judgment? 2. (This would include such loans as home mortgage loans, SBA 3. Home improvement loans, educational loans, manufactured home loans, 4. Any mortgage, financial obligation, bond, or loan guarantee? 6. FHA, or VA case number, if any, and reason for the action.

1. Loan, mortgage, financial obligation, bond, or loan guarantee?

ACKNOWLEDGE AND AGREEMENT

The undersigned specifically acknowledge(s) and agree(s) that:

1) all statements made in this application are made for the purpose of entering a Lease and/or Sale Agreement with Randy Hall and/or one of his legal entities;

2) verification or reinvestigation of information contained in the Application or other submitted information may be made at the time by Randy Hall, its agents, successors, and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by Randy Hall, even if the lease and/or sale agreement is not approved:

3) Randy Hall, its agents, successors, and assigns will rely on the information contained in the application, and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein change prior to closing:

4) In the event my/our payments in the loan indicated in this application become delinquent, Randy Hall, its agents, successors, and assigns may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency(s);

5) Randy Hall its agents, successors, and assigns make no representations or warranties, excess or implied, to the Tenant(s) regarding the property, condition of the property, or the value of the property.

FAIR HOUSING. TENANT IS HEREIN INFORMED THAT IT IS THE LANDLORD’S POLICY AND PRACTICE HOUSING. TENANT IS HEREIN INFORMED THAT IT IS LANDLORD’S POLICY AND PRACTICE TO A)TO A) CARRY OUT AN AFFIRMATIVE PROGRAM TO ATTRACT ALL MINORITY AND MAJORITY CARRY OUT AN AFFIRMATIVE PROGRAM TO ATTRACT ALL MINORITY AND MAJORITY GROUPS TO IT’SGROUPS TO IT’S HOUSING FOR INITIAL SALE OR RENTAL. SAID PROGRAM INVOLVES HOUSING FOR INITIAL SALE OR RENTAL. SAID PROGRAM INVOLVES PUBLICIZING TO MINORITY PERSONPUBLICIZING TO MINORITY PERSONS THE AVAILABILITY OF HOUSING OPPORTUNITIES THE AVAILABILITY OF HOUSING OPPORTUNITIES REGARDLESS OF RACE, COLOR, RELIGION, SEX, REGARDLESS OF RACE, COLOR, RELIGION, SEX, HANDICAP, FAMILIAL STATUS OR NATIONAL HANDICAP, FAMILIAL STATUS OR NATIONAL ORIGIN, THROUGH THE TYPE OF MEDIA CUSTOMARILYORIGIN, THROUGH THE TYPE OF MEDIA CUSTOMARILY UTILIZED BY LANDLORD; B) MAINTAIN UTILIZED BY LANDLORD; B) MAINTAIN A NONDISCRIMINATION HIRING POLICY IN RECRUITING FROMA NONDISCRIMINATION HIRING POLICY IN RECRUITING FROM BOTH MINORITY AND MAJORITY BOTH MINORITY AND MAJORITY GROUPS; AND C) INSTRUCT ALL EMPLOYEES IN WRITING AND ORALLYGROUPS; AND C) INSTRUCT ALL EMPLOYEES IN WRITING AND ORALLY IN THE POLICY OF IN THE POLICY OF NONDISCRIMINATION AND FAIR HOUSING. TENANT AGREES THAT IF TENANT HAS ANY NONDISCRIMINATION AND FAIR HOUSING. TENANT AGREES THAT IF TENANT HAS ANY CONCERNS OR COMPLAINTS RELATED TO FAIR HOUSING, THAT TENANT WILL DIRECT SAID CONCERNS OR COMPLAINTS RELATED TO FAIR HOUSING, THAT TENANT WILL DIRECT SAID IN INFORMATION IN WRITING TO THE ATTENTION OF RANDOLPH A HALL, PRESIDENT PRIOR TO FORMATION IN WRITING TO THE ATTENTION OF RANDOLPH A HALL, PRESIDENT PRIOR TO MAKINGMAKING ANY THIRD PARTY COMPLAINTS IN ORDER TO ALLOW LANDLORD TO RESPOND.ANY THIRD PARTY COMPLAINTS IN ORDER TO ALLOW LANDLORD TO RESPOND.

Certification: I/we certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this application and acknowledge my/oure date set forth opposite my/our signature(s) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to,Fine or imprisonment or both under the provisions of Title 18, United Sates Code, Section 1001.et seq, and monetary damages to Randy Hall, its agents, successors, and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we made onr any loss due to reliance upon any misrepresentation which I/we made on this application.