DISCLOSURE AND AUTHORIZATION
The undersigned declares that the information on this rental application is true and correct, and
understands that false statements may result in rejection of this and any future applications for
housing we manage. The undersigned does further understand that all persons or firms
associated with BHHS Hodnett Cooper Real Estate may freely give any requested information concerning
me. I waive all right to action for any consequences resulting from releasing such information.
I also hereby authorize BHHS Hodnett Cooper Real Estate to verify my past and present employment earnings
records, bank statements, previous residences and or any information given for the purposes renting
and or lease through BHHS Hodnett Cooper Real Estate including but not limited to a credit check. I further
understand and agree that BHHS Hodnett Cooper Real Estate will rely upon this Rental Application as an
inducement for entering into a rental agreement or lease and I warrant that the facts contained in
this Application are true. If any facts prove to be untrue, BHHS Hodnett Cooper Real Estate may terminate
my tenancy immediately and collect from me any damages incurred including reasonable attorneys
fees resulting there from. You are also herein notified that a negative credit report reflecting
your credit record may be submitted in the future to a credit reporting agency if you fail to
fulfill the terms of your rental obligations or if you default in those obligations in any way.
BHHS Hodnett Cooper Real Estate welcomes all applicants and supports fair housing. We do not refuse to lease
or rent any housing accommodations or property nor in any other way discriminate against a person
because of sex, marital status, race, creed, religion, age, familial status, physical or mental
handicap, color or national origin.
Notice is herby given of the contractual relationship between the Property Owner and BHHS Hodnett Cooper Real Estate. BHHS Hodnett Cooper Real Estate is an exclusive agent of the Property Owner and represents the Property Owner's interest in any and all rental transactions.
Valid Photo Identification must be presented prior to final approval of this application.
I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief. By clicking "Apply Now" you agree to the terms stated above. Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information. Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application.