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Rental Application form Date: Address Applying For: Main Terms: On Vacant properties the start date for any properties shall be within 5 days of approval of the tenant by the Landlord/agent. End dates Shall be that which is approved and accepted by the Landlord. Application Fee: I/We acknowledge an application fee of $50.00 is being charged in connection with my/our application and that the fee is non-refundable regardless of acceptance of application. This is in addition to the security deposit and/or last month s rent required to lease the property. *All adults intending to live at the property need to fill out an application per person & pay $50.00 dollars for each application* Receipt of Deposit: The additional Deposit of $ is due at the time of application. If applicable our pet policy includes a $500.00 nonrefundable pet fee with an additional $100.00 per month in pet rent. If the Applicant(s) has pets the $500.00 nonrefundable pet fee will be collected at the time of application. The security deposit and pet fee will be paid separate from one another. This deposit and pet fee is received subject to Agent s approval and acceptance of this rental application submitted by Applicant(s). This application is not considered a lease nor is there a binding contract to rent the premises until all parties sign a lease. If Agent approves the application, Applicant(s) shall then promptly sign a lease for the premises within a 48-hour time frame. At the time of Agent s approval of application the above deposit will be applied towards the full security deposit required under said lease. In consideration of Agent s promise to fully review the application and complete further processing, once application is approved, Applicant(s) acknowledge full understanding that deposit is not refundable should Applicant(s) elect not to execute lease or occupy premises as agreed. Applicant(s) shall cooperate with application process if additional information is necessary. If Applicant(s) are not approved to rent the premise mentioned above a full refund of the security deposit and pet fee will be issued. If Applicant(s) is approved pending receipt of completed a notarized Co- Signer Application, it must be received in our office within 48 hours from the time the Applicant(s) is notified of this status. If Co-Signer Application is still not received, the holding fee shall be returned to Applicant(s) along with an Adverse Action Letter stating property is no longer being held for Applicant(s).

If Applicant(s) is applying for the rental unit site unseen, Applicant(s) acknowledge the inherent risks involved with such action. If Applicant(s) are approved for the rental, Applicant(s) agree to execute a lease on the subject unit/home AS IS stated above. Tenant understands that any representations made by the agent are of opinions and guestimations. Tenant agrees to do their own research outside of Chamberlin Investment Group, LLC before they sign the lease or apply for the property. Information Disclosure Authorization I/We hereby authorized you to release to Chamberlin Property Management, LLC, for verification purposes, information concerning: Employment history, dates, title, income, hours worked, etc. Banking and savings accounts of record. Mortgage Loan Rating/Rental History (opening date, high credit, payment amount, loan balance, payment record, monthly rental rate, condition of property at check-out, etc.) Any information deemed necessary in connection with a consumer credit report for a real estate transaction. This information is for the confidential use of Chamberlin Investment Group Property Management, LLC. and the property owner in compiling a rental application credit report, as well as rental, employment and credit history. A photographic or scan of this authorization, (being a photographic or scanned copy of the signatures of the undersigned), may be deemed to be the equivalent of the original and may be used as a duplicate original. Your prompt reply will help my pending rental application. Signature Social Security Number Email Please provide 3 references (preferably past landlords) Name / Relationship Name / Relationship

Name / Relationship Please provide one of the following as proof of income. 1. A paystub 2. A letter from your employer verifying your employment and salary 3. Last year s tax returns Help us get to know you by answering the following questions. Questions that are * we ask that you expand on some of your answers in the comments section below. How many people will be occupying the unit? Do you intend on getting or bringing an animal to live with you? Please write the number of people in the box If you answered yes to the above question. Is the animal a service animal? Do you currently work from home? (Our lease stipulates that the property will only be used for residential use. businesses may be run out of the unit without prior authorization.) How many times a month would you typically host a party / get together with friends etc? Please write the number of nights you typically host events at home? Of 30 Are you and the other potential tenants on the lease students? Do you currently smoke cigarettes? Do you currently smoke Marijuana? Do you grow Marijuana? Are you comfortable having a contractor visit your home while you are not there to fix a repair? Are you handy and comfortable conducting minor repairs or fixes on your own? We conduct periodic inspections to check the safety of the property (smoke alarms, tripping hazards etc ) Are you open to allowing us to conduct these inspections while you are not home? We begin pre-leasing of our units in January. This means if your lease is not renewed for another year, showings will begin in January and will continue until the unit has been pre-

leased. Will this pose any problems for you? With the above statement about our pre-leasing policy, we have a 2 hour showing notice. This notice is not often used, as we like to give our tenants as much notice as we can. However are you willing to work with us, if this 2 hour notice has to be enacted? If you choose to not extend your lease in January, are you willing to work with us to help re-lease the unit as quickly as possible by keeping your unit in showing condition? (clean and tidy) *Have you ever had any problems with the return of your security deposit? *Have you ever been involved in a litigation regarding your tenancy at a rental unit? What is the square footage of the unit that you are moving from? An overabundance of furniture or personal items limits accessibility poses a safety risk to you and inhibits acceptable use of the property. Would you be willing to send us pictures of some of your furniture / personal belongings to make sure that they will comply within our acceptable parameters? Every unit has the possibility to be sold during your tenancy, are you comfortable with us granting real estate agents, inspectors and appraisers access to the unit? / With 2 hour notice for the unit to be in showable condition? Have you considered purchasing a home? Would you be open to work with a realtor from our office to see what your options are to purchase a home? If you answered yes please expand in the comments section below If you answered yes please expand in the comments section below Comments:

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1800 30 th Street, Suite 204 (303) 442-3960 Boulder, CO 80301 (303) 381-1370 Fax Rental Address: Apartment Number: Tenant Screening for Residential BACKGROUND SCREENING AUTHORIZATION Landlord Account #: Approval #: In connection with this rental application, several investigative-consumer reports may be requested and may include information as to the applicant s character, general reputation, personal characteristics, mode of living, work habits, creditworthiness, current and previous rental history. The information will be maintained in a limited access file. The information will be used for the sole purpose of identification when conducting a background investigation. Applicant Information (Complete the following information as accurately as possible. Please Print or Type) Last Name First Name Middle Name Maiden Name Other Names Last Date Used _ Dates Used Social Security Number Date of Birth Current Banking Institution Account Number Employment History (Please supply current employment information.) #1 Employer Name Telephone Address Position Rate of Pay hourly monthly From To Address History (Please list current and previous address) Owned Rented Current Landlord/Lender Name Telephone Property Address To/From

, City State Zip Monthly Rent Amount Owned Rented Landlord/Lender Name Telephone Property Address From/To, City State Zip Monthly Rent Amount Additional Information Have you ever been convicted of a crime, excluding minor traffic violations? If yes, provide details including date, location and nature of crime(s)? I authorize all references, corporations, employers, credit bureaus and banking institutions to release any information the background investigation agency may require in connection with this check. Further, I understand information may be requested concerning my criminal and civil history from various private and public sources and authorize the procurement of this information. I understand that these files may contain negative information; therefore I agree to hold harmless the background investigation agency and any agent acting on its behalf, from any and all liability arising through the investigation of my background. (I understand that my date of birth is used solely as an identifier to avoid possible misidentification while completing the background check process.) I further acknowledge that a facsimile (FAX) or photographic copy of this release will be valid as the original. Under the Fair Credit Reporting Act (FCRA), I am entitled to receive a copy of the background report before my application is denied any adverse action is taken against me based in whole or in part on information contained in such a report. I am also free to contact the Federal Trade Commission about my rights under the FCRA. Applicant Signature: Date: