Riley Jackson Real Estate & Property Management 2415 Evergreen Park Dr, Building D, Olympia WA Office 360.753.

8000 Fax 360.705.0077

DATE Property Address Visual Proof of Drivers' License or State ID Provided: YES NO Rental Agent Rent Amount City Deposit State Do any tenants Smoke? Zip

Applicant

INFORMATION Drivers License or photo ID must be provided

Middle Name State of Issuance City Home Phone Work Phone LAST Name Expiration Date Date of Birth State Zip Social Security #

FIRST Name for all applicants Drivers License # Applicant's Present Address Cell Phone

Alt Contact # (Spouse phone) Email Address

SPOUSE
FIRST Name INFORMATION Drivers License # Spouse Present Address

Drivers License or photo ID must be Provided for All Applicants

Middle Name Slate of Issuance City LAST Name Expiration Dale Date of Birth State Zip Social Security It

[List all other persons to occupy rental property/unit including name,age,relationship ` ,

Residence

History-Applicant and Spouse

Live with relatives Other: Reason for Moving Length of Residence (dates) City: City Live with relatives Other: Reason for Moving Length of Residence (dates) City: State Slate State
Zip

Current Residence: Do you: Own Rent School Dormitory Current Landlord/Mortgage Name Landlord Contact Phone w/Area Code PREVIOUS Address w/April PREVIOUS Residence: Do you: Own Rent School Dormitory Current LandlordlMortgage Name Landlord Contact Phone w/Area Code

Monthly Payment

Monthly Payment

Employment HISTORY
Current Employer Positi on Previous Employer Positi on

Pay stub,tax return,ect may be

Address Full Time City Part Time Self Emp. City Part Time Self Emp. SlaleOp Employment Dates SlatelZip Employment Dales Monthly Gross Income Monthly Gross Income

Supervisor's NamelPhone Address Supervisor's Name/Phone

Temporary

Full Time

Current Employer Positi on Previous Employer Positi on

SPOUSE

Temporary E M P L O Y M E N T , HISTORY Pay Stub,tax return, ect may be

Address Supervisor's Name/Phone Address Supervisor's Name/Phone Full Time

City Part Time Self Emp. City Part Time Self Emp.
Temporary

Slate/Zip Employment Dates StatelZip Employment Dates Monthly Gross Income Monthly Gross Income

Temporary

Full Time

Applicant Initials________________________________________ page

Application continued on back of

Other sources of Income

When Received/Amount

Other sources of Income

When Received/Amount

Applicant Initials________________________________________ page

Application continued on back of

APPLICATION CONTINUED

;MISCELLANEOUS
Vehicle Make/Model Year License#ISlate PETS (Requires Lessor 's Consent) Breed

Vehicle Make/Model

Year

License /State

Age

WeightlHeighl PETS (Requires Lessor's Consent) Breed Weight/Height PETS (Requires Lessor's Consent) Breed Address Address City/Slate City/State city

Age Age

WeIghVHeighl WeIghVHeighl

PETS (Requires Lessor's Consent) Breed Age Name of nearest relative Emergency Contact Relationship Relationship

Phone wlarea code Phone wlarea code StalelAp

Checking/Savings Institution you bank with

Will you have a waterbed? Yes No Do you have waterbed ever been evicted orof Lessor)landlord owing money? Yves-Name of Landlord/Cttylslate Have you insurance? (At discretion left a Yes No Do you or any of your occupants have charges pending against you or them for any criminal offense? Applicant:or your occupants ever been convicted of, or pleaded guilty or no contest to any criminal No Occupant: Yes Have you Yes No offense(s)? Applicant: Yes No Occupant: Have you/occupants experienced litigation such as: evictions, suits, judgments, bankruptcies, foreclosures, etc. Applicant: of the above questions, give details and dates: If "Yes" to any Yes No Occupant: Yes No

I hereby certify and affirm that all information provided is true, correct and complete. I fully understand that my lease or rental agreement may be terminated if I have made any false, misleading or incomplete statements in this application, including forfeiture of deposits and fees. I hereby authorize verification of all information provided in this application including calling employers, current and former landlords, financial institutions and authorize a credit report and background/criminal check. I understand I am being charged a non-refundable application fee for screening my application. I have read and agree to the provisions stated. SIGNED: SIGNED: Date

QUALIFICATION CRITERIA F$40.00 Non refundable appl ication fee per occupant We rent to the first qualified applicant. Only one application at a time will be processed on each property. A separate rental application and fee are required for each prospective tenant 18 years of age or older. A valid form of legal photo identification is required at the time of application. INCOME: Applicants must provide verifiable sources of income, when combined in gross amounts, total at least 3 times the monthly rent. EMPLOYMENT: Applicant(s) must provide proof of at least six months of employment by providing the most recent pay stub, if self-employed, a copy of the previous year's tax return or 1099; or if employment is pending, a copy of the offer letter on company letterhead stating start date/salary. RENTAL HISTORY: Applicants must provide at least 6 months of good rental history. Verification from family and friends is not accepted. Certain rental history may require higher security deposits and/or first and last months rent. CREDIT HISTORY: A credit report will be processed on each applicant. Depending on these results, an additional deposit or Guarantor may be required. If a guarantor is required, they must satisfy the criteria within this application including an established credity history with a positive rating. Guarantors are responsible for all obligations of all residents on the initial lease and subsequent leases, renewals, extensions and addendums. Certain credit history such as bankruptcies, accounts in collection, delinquent or charged off accounts may require higher security deposit. Credit reports supplied by applicants will not be considered. CRIMINAL HISTORY: A criminal background check will be processed on each applicant. PETS: Pet policy is at the discretion of each owner. Pit bull and rottweiler dogs are not allowed. No pets under 1 year of age. A pet fee per pet is required. Pets may require additional deposits. Unauthorized pets on premise may result in eviction.

I/We have read and understand this Rental Qualification Criteria and that the Application Processing Fee is non-refundable. Initials Initials Upon application approval, the security deposit must be paid within 24 hours of approval and rent or prorated rent starts 7 days thereafter or when property becomes available for move-in. Co-signers must be a legal resident in the same county as the rental property and provide a completed application with fee. Each applicant (in roommate situation) may require separate co-signers. Co-signers residing out of the county must be approved on a case by case basis by management and/or owner.