3008 S Mobile Way

All Applicants, eighteen (18) years of age or older,
who will be residing in the Premises, must fill out a separate Application.

Residential History

In the past 7 years, have you:

Employment

Income

Vehicle Information

Criminal Background

* PLEASE NOTE – If you have been exposed to bed bugs, and are unwilling to give the above representations, warranties,
and authorizations, your application could be denied.

DEPOSITS AND FEES
I understand the application fee is a non-refundable payment for a credit and criminal check and processing charge of this
Application and such sum is not a rental payment or security deposit. This amount will be retained by Landlord to cover the
cost of processing the application as furnished by the Applicant, regardless if the Applicant is approved or denied; any false
or misleading information or intentional omission will result in rejection of application. THIS APPLICATION IS
PRELIMINARY ONLY AND DOES NOT OBLIGATE LANDLORD TO EXECUTE A LEASE OR TO DELIVER
POSSESSION OF THE DWELLING UNIT TO APPLICANT. THE RENTAL AGREEMENT WILL NOT BECOME
EFFECTIVE UNTIL THIS APPLICATION IS APPROVED BY LANDLORD. Completed Applications will be
reviewed on a first come, first served basis. An Application is not considered complete unless all necessary and required
information is provided by Applicant, and Applicant has signed all necessary documents. Applicant is responsible for signing
all required documents.

DISCLOSURE OF INFORMATION
I warrant and represent the information provided on this application to be true and correct. I authorize Landlord to make such
investigation into Applicant/Resident/Occupant’s credit, employment, rental and criminal history, as Landlord may deem
appropriate, and release all parties from liability for any damage that may result from furnishing such information to
Landlord. Landlord shall have the continuing right to review and obtain this credit and criminal information, rental
application, payment history and occupancy history for account review, improving application review methods, and all other
purposes. If approved, Applicant shall have a continuing and on-going duty to update all of the information provided on the
Application. Applicant acknowledges that Landlord may enter into a Lease in reliance on the information contained in
Applicant’s rental application and any and all other information provided to Landlord by Applicant. Applicant/Resident shall
promptly notify Landlord in writing of any subsequent change in the information provided by Applicant on Applicant’s
application. If Applicant is approved, Landlord shall have the right to terminate Applicant’s tenancy on three days notice to quit: 1) if it is determined that Applicant provided false or misleading information on this Application, or 2) if the Application
information is no longer correct, for example, Applicant is convicted of a sexual offense after moving into the Premises.
Landlord does not have a duty to verify, and does not represent or promise that it will verify, the accuracy or the answers
provided in the Application of any applicant. Furthermore, Landlord has no duty, and expressly disclaims any obligation, to
perform a criminal background check on each applicant. Landlord does not represent or guarantee that all residents have no
prior criminal record or background.
Landlord’s approval or denial of this Application is based on information provided by independent third parties. Landlord
makes no representation as to the accuracy of the information that Landlord obtains from third parties in approving or
denying this Application. Landlord hereby disclaims any liability for the accuracy of such information that Landlord obtains
pursuant to Applicant’s consent.

DISCLOSURE OF BROKERAGE RELATIONSHIP, LEAD-BASED PAINT, AND ASBESTOS DISCLOSURES
Brokerage Relationship Disclosures Applicable: YES
(“Broker” or “Agent” or “Landlord”) and the Prospective Resident(s)
referenced below have NOT entered into any Real Estate Brokerage Agency Agreement or Relationship. The working
relationship between Broker and Prospective Resident(s) specified below is for a specific property described as:
3008 S Mobile Way, Aurora CO 80013.
Resident understands and acknowledges that Broker is the agent for the property owner (Landlord), and Broker represents
only the Landlord’s interests in this transaction. The Owner (Landlord) of the property has granted to Broker the authority to
manage and administer the Premises and Property and to enter into, administer and enforce provisions of this Application and
any subsequent Lease that may result from the approval of this Application, and Broker is not considered an agent for the
Resident/Applicant at any time for any reason. As a prospective Resident, you are a customer in this transaction. A customer
is a party to a real estate transaction with whom the Broker has no brokerage relationship because such party has not engaged
or employed the Broker, either as the party’s agent or as the party’s transaction-broker. If you desire representation, Broker
recommends that you obtain either your own Broker or legal advice from an attorney.
Different brokerage relationships are available that include seller agency, landlord agency, buyer agency, tenant agency or
transaction-brokerage. The Colorado Real Estate Commission has a form setting forth the definitions of these working
brokerage relationships (Form DD25). Upon request, Broker will provide the working definitions of the various brokerage
relationships to you.
Lead Paint Disclosures Applicable: YES
Prior to signing a lease for the Premises, the Landlord is legally required to provide all Prospective Residents (Applicants)
with DISCLOSURES OF INFORMATION ON LEAD-BASED and/or LEAD-BASED PAINT HAZARDS. Prospective
Resident acknowledges that Landlord or Landlord’s Agent will not process this application until such time that Prospective
resident acknowledges in writing that Prospective Resident has received such disclosures.
Asbestos Disclosures Applicable: YES
Additionally, while not legally required, Landlord has voluntarily disclosed that the premises may contain asbestos.
Prospective Resident acknowledges that Landlord or Landlord’s Agent will not process this application until such time that
Prospective resident acknowledges in writing that Prospective Resident has received such asbestos disclosures.

By signing this Application, Applicant acknowledges receiving Landlord’s disclosure of application-related costs, any
pest control disclosures, if applicable, and a receipt for all application fees paid by Applicant. Applicant also agrees to
receive via email communications from Landlord’s regarding the decision on this Application. If Applicant is
approved and a lease is executed by Applicant and Landlord, Applicant agrees to receive an electronic copy of the
fully executed lease from Landlord.
THIS APPLICATION HAS IMPORTANT LEGAL CONSEQUENCES. PARTIES TO THIS APPLICATION
SHOULD CONSULT LEGAL COUNSEL BEFORE EXECUTION.

This form has not been approved by the Colorado Real Estate Commission. It was prepared by Leonard Hunt’s legal counsel Tschetter Sulzer,PC.
Copyright 1014_2019 Tschetter Hamrich Sulzer. All Rights Reserved