PM-Rental Application CONTROLLERS arrowup6 Application ID Application String Application Entry ID Application Status PAYMENT STATUS Applicant String DATE AND TIME PROPERTY STATUS AVAILABLE OFF MARKET RENTED TERMINATED OWNER EID OWNER EMAIL SEND APP TO OWNER DENIAL REASON SOURCE OF DENIAL DETERMINATION DATE Section Thank you for your interest in our rentals. This application will take approximately 5 minutes or less to complete. There is a $50 non-refundable application fee that will be collected via credit/debit card before submission for each applicant/co-applicant/co-signer. You will not have the ability to save this application, so please continue all the way until you see the "SUBMIT APPLICATION" button. Please call our office (970) 528-9555 during our normal business hours, Monday - Friday, 9am to 5pm (excluding holidays) if you have any issues or questions. You can view all of our application terms, conditions, and applicant requirement by clicking here. Thank you. APPLICANT DETAILS Which Property Are you Applying for? Applicant Contact Info Applicant First Name * Middle Name Applicant Last Name * Applicant Cell Phone * Applicant Home Phone * Work Phone Optional Applicant Email * This cannot be the same email as the co-applicant or co-signer. Applicant Personal Details Applicant Drivers License or State ID Number * Expiration Date * MM/YY Format Drivers License / ID State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Have you previously rented from Vertex Property Management? * YESNO Co-Applicants and Additional Adults CO-APPLICANT & OCCUPANT DETAILS Do you have a co-signer or a co-applicant I Have a Co-Applicant I Have a Co-Signer Co-Applicants will live at the Premises and be equally responsible for the Lease. Co-Signers are parties that will guarantee the Lease if the Primary and/or Co-Applicant does not meet the financial or credit requirements. Are there additional adults 18+, other than the applicant (or co-applicant) that will be occupying the Premises? * No, there will not be additional occupants Yes, there will be additional occupants Co-Applicant Co-Applicant First Name * Co-Applicant Last Name * Co-Applicant Cell Phone * Co-Applicant Email * This cannot be the same email as the applicant or co-signer. Co-Applicant Drivers License Number * Co-Applicant Drivers License State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Co-Signer Co-Signer First Name * Co-Signer Last Name * Co-Signer Email * This cannot be the same email as the applicant or co-applicant. Co-Signer Cell Phone * List All Property Occupants Adults 18+ Each Adult 18+ listed as living at the residence will be subject to a criminal background check and fees associated up to $35 each. Occupants are not responsible for the lease and are not considered Tenants. The Applicant, Co-Applicant and Co-signer (where applicable) are responsible for all Occupants listed on this application. No adult 18+ may live at the residence unless listed on this application or prior approved by management. Full Name * Relationship * Drivers License / State ID # * License / ID # State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming plus1 Add Occupant minus1 Remove APPLICANT RENTAL HISTORY Please provide the last 5 years of occupancy information APPLICANT’S RENTAL HISTORY INFORMATION Provide the last 5 years of occupancy information. Address # Previous Address * Landlord Name and/or Property Managers Company Name * Rental Start Date * Rental End Date * Rent Amount * $ plus1 Add Occupancy minus1 Remove Address # Previous Address * Landlord Name and/or Property Managers Company Name * Rental Start Date * Rental End Date * Rent Amount * $ plus1 Add Occupancy minus1 Remove Address # Previous Address * Landlord Name and/or Property Managers Company Name * Rental Start Date * Rental End Date * Rent Amount * $ plus1 Add Occupancy minus1 Remove APPLICANT EMPLOYMENT HISTORY Please provide the last 5 years of employment history APPLICANT’S EMPLOYMENT HISTORY INFORMATION Provide the last 5 years of employment history. Employment # Employer's Name * Company Address * Position/Title * Monthly Income * $ How long employed? * If still employed, type "current" plus1 Add Employment minus1 Remove Employment # Employer's Name * Company Address * Position/Title * Monthly Income * $ How long employed? * If still employed, type "current" plus1 Add Employment minus1 Remove Employment # Employer's Name * Company Address * Position/Title * Monthly Income * $ How long employed? * If still employed, type "current" plus1 Add Employment minus1 Remove APPLICANT REFERENCES Please provide 3 references APPLICANT REFERENCES Provide At least 3 references Reference # Reference Full Name * Reference Relationship * Reference Phone * plus1 Add minus1 Remove Reference # Reference Full Name * Reference Relationship * Reference Phone * plus1 Add minus1 Remove Reference # Reference Full Name * Reference Relationship * Reference Phone * plus1 Add minus1 Remove PETS Please list all pets that will be occupying the Premises. Will you have pets at this property? * YesNo PETS PET TYPE * PET BREED * INDOOR/OUTDOOR * INDOOR OUTDOOR PET NAME * PET AGE * plus1 Add Pet minus1 Remove APPLICATION QUESTIONS Answers to the following questions do not automatically cause application to be declined, including Felonies and Bankruptcy. False information will automatically disqualify an applicant. RENTAL APPLICATION QUESTIONAIRE Have you ever filed for bankruptcy? * YES NO Have you ever been evicted or had judgment issued against you? * YES NO Are there any outstanding judgments against you? * YES NO PLEASE EXPLAIN THE CIRCUMSTANCES, AND DISPOSITION OF THE JUDGEMENTS * Have you, or any Occupants named in application had property foreclosed upon or given title or deed in lieu thereof in the past seven (5) years? * YES NO Are you or Occupants named in application obligated to pay alimony, child support, or separate maintenance? * YES NO Has Applicant or Occupants named in application have pending criminal charges or ever been convicted of, plead guilty, or no contest to, any criminal offense(s) other than traffic infractions that were disposed of other than by acquittal or a finding of not guilty? * YES NO PLEASE EXPLAIN THE CHARGES, CIRCUMSTANCES, AND DISPOSITION OF THE CRIMINAL CHARGES * APPLICATION AUTHORIZATION Electronic Signature Agreement Electronic Signature. By signing below, the Applicant authorizes the signing this of this Authorization electronically. The Applicant hereby agrees that the electronic signature below is the legal equivalent of their manual signature of this Authorization. By signing and submitting this Authorization the Applicant hereby consents to be legally bound by this Authorization and its terms and conditions. The Applicant further agrees that the use of a keypad, mouse, or other device to select an item, button, icon, or similar act/action, or to otherwise provide Vertex Property Management ("Hereinafter referred to as Manager"), or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes the Applicant's signature (“E-Signature”), acceptance and agreement as if signed by the Applicant in writing. The Applicant further agrees that no certification authority or other third-party verification is necessary to validate the Applicant's E-Signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of the Applicant's E-Signature or any resulting document between the Applicant and Vertex Property Management. The Applicant hereby represents that they are authorized to enter this Authorization and that the Applicant will be bound by the terms and conditions thereof. Consent to Electronic Delivery. The Applicant specifically agrees to receive and/or obtain all Manager “Electronic Communications” (defined below). The term “Electronic Communications” includes, but is not limited to, all current and future notices, invoices, and/or disclosures that various federal and/or state laws or regulations require that the Manager to provide to the Applicant, as well as such other documents, statements, data, records, and any other communications regarding the Applicant's relationship with the Manager. The Applicant acknowledges that, for their records, they can use VRPApp to retain Electronic Communications by printing and/or downloading and saving this Authorization and any other agreements and Electronic Communications, documents, or records that you agree to using the Applicant's E-Signature. The Applicant hereby accepts Electronic Communications provided as reasonable and proper notice, for the purpose of all laws, rules, and regulations, and agree that such electronic form fully satisfies any requirement that such communications be provided to the Applicant in writing or in a form that the Applicant may keep. Paper Version of Electronic Communications. The Applicant may request a paper version of an Electronic Communication in lieu of signing any future agreements electronically. The Applicant acknowledges that the Manager reserves the right to charge a reasonable fee for the production and mailing of paper versions of any Electronic Communications. To request a paper copy of an Electronic Communication please send us a signed, written notice via certified mail, postage included to Vertex Realty Partners, ATTN: Vertex Property Management, 601 Main Street, Grand Junction, CO 81501. Revocation of Electronic Delivery. The Applicant possesses the right to withdraw their consent to receive or obtain communications at any time. The Applicant acknowledges that the Manager reserves the right to restrict or terminate the Applicant's access to VRPapp or any systems which they have access to if the Applicant withdraws their consent to receive Electronic Communications, and to charge a reasonable administration fee in preparation, and delivery of any paper documents. If the Applicant wishes to withdraw such consent, please send the Manager a signed, written notice via certified mail to Vertex Realty Partners, ATTN: Vertex Property Management, 601 Main Street, Grand Junction, CO 81501. Credit & Background Check By signing and submitting this Rental Application, you hereby authorize Vertex Property Management to transmit your contact information to SmartMove by Transunion to obtain, as part of its application approval process under the laws of the State of Colorado, the following: Consumer Credit Report Check Systems Criminal Background Check References Check Employer Check How are you paying for this application? Credit CardCoupon Code ENTER DISCOUNT CODE (Case Sensitive) * Application Fees NON-REFUNDABLEAPPLICATION FEES:PRIMARY APPLICANT: $50.00CO-APPLICANT: $50.00CO-SIGNER: $50.00Additional Adults 18+: $35.00 EA Credit Card Payment Credit Card Billing Address * Credit Card Billing Address Credit Card Billing Address Credit Card Billing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Credit Card Billing Address Credit Card * Section Total Application Fees for this Application * $ The State of Colorado requires us to disclose how this fee is assessed. This fee covers the cost of obtaining your background check, administration time for review, credit card processing fees of 2.9% + $0.30 and printing a physical copy for records. There is no profit earned for our brokerage by ways of this fee. I have read, understood, and agree to the "Electronic Signature Agreement", "Credit and Background Check Authorization", and "Application Fees", and the Applicants TOS and authorize Vertex Realty Partners, Inc DBA Vertex Property Management to charge my account and process my application. * signature keyboard Clear If you are human, leave this field blank. SUBMIT APPLICATION Start Over