Fill Out an Application How did you hear about the rental? Will you sign a 1 year lease? If not, how long? Location desired: Date occupancy desired: Names and ages of all other adult persons (19 or older) to occupy premises. Include given names for each one: Total number of persons in this tenancy will be: 123456789 Do you have pets? Describe: Name and ages of all minor tenants (19 years or younger): Name/Age: Phone(Home & Work): Email Address Do you smoke? Yes No Present Address: Present Landlord's Name & Phone: Length of stay: Reason for leaving: Previous Address: Previous Landlord's Name & Phone: Length of stay: Reason for leaving: Occupation: Monthly Income/length of employment: Employer's Name/Phone: Employer's Address: Other Reference- Name & Phone Make & Yr of Car Driver's Licence#: Next of Kin: Person to contact in Emergency- Name & Phone: Acknowledgement and Consent for the Collection of Personal Information: * I acknowledge having read and understood the below and freely agree to it. I understand that this application does NOT constitute an agreement on the part of Harvest View Development Corp. I acknowledge the right of Harvest View Development Corp. at any time prior to execution and delivery to me of a lease covering the property hereby applied for, to withdraw, revoke, or cancel, without penalty or liability for damages or otherwise, any acceptance or approval of this application previously made or given. I agree and consent that credit inquiries, and any other inquiries as deemed necessary by Harvest View Development Corp. may be made at any item in connection with this application. I acknowledge and consent that PETS ARE NOT ALLOWED WITHOUT WRITTEN PERMISSION. Harvest View Development Corp., which term shall also include any landlord of any premises of which the applicant's may become tenants as a result of this application, including any successor to such landlord is hereby authorized to obtain whatever personal information about the applicant's as it may reasonably require, including, but not limited to, employment history and income, tenant history and credit information, from current and former landlords, current and former employers, current and former suppliers, creditors and financial services, credit agencies; or any person in a substantially similar relationship to the applicant. This consent shall be sufficient authorization for such parties to disclose to Harvest View Development Corp. any personal information relating to the applicant/s. Harvest View Development Corp. is hereby authorized to disclose personal information about the applicant's gained from the applicants application, and also personal information about the applicant's relating to, and obtained in connection with any tenancy that may result from this application to any person who bona fide purports to be a prospective or current employer or landlord of the applicant/s without obtaining any further consent from applicant's. Harvest View Development Corp. is hereby authorized to retain personal information during tenancy and after tenancy ceases. Harvest View Development Corp. is hereby authorized to do reference checks on the applicant/s to other Management Companies/Landlords in the area. If you are human, leave this field blank. Submit