The Mondrian | Online Application

Date of application*

Name of applicant*

Date of birth*

Social security number*

Cell phone #*

Email address*

Enter Email Confirm Email

Select the unit type for the application*

Apartment Number*

Potential Move-in Date*

Enter the rent of desired unit*

List the names of additional applicants

Applicants that will be sharing a lease are each required to fill out this form, pay the required fee, and provide the document listed above.

Enter the desired lease term in months

Present address*

Street Address City State / Province / Region ZIP / Postal Code Country

Currently, does the applicant:

Rent
Own
Lives with Parent

Current rent $

How long at present address? (Months; Years)*

Present landlord*

Present landlord phone #*

Name of employer*

Position*

Length of employment*

Salary*

Employer address*

Street Address City State / Province / Region ZIP / Postal Code Country

Type of business*

CHECKING ACCOUNT

Checking bank name*

Checking branch*

Checking account #*

SAVINGS ACCOUNT

Saving account bank name

Savings account branch

Savings account #

Will others occupy the apartment (outside of leaseholders)?*

Yes
No

Do you have a pet ?*

Yes
No

Will you require a parking space ?*

Yes
No

Others who will occupy apartment, if yes*

Name	Relationship	Age

Applicants will deposit the following non-refundable application fee per applicant for the processing of this application.

Fee: $55.00

I agree to rent the premises on the above terms and conditions and hereby post a SECURITY DEPOSIT in the amount indicated below and agree to sign the customary form of lease promptly upon acceptance of this application. Upon notification of acceptance as a tenant/lessee, if applicant fails to take possession of the subject premises the security deposit is forfeited as liquidated damages.

Security deposit

Applicant signature*

Date*

I agree that if any information herein contained is false the lease made on the strength of this application, at the option of MONDRIAN REALTY, LLC be terminated at any time. I hereby affirm that any answers on this application are true and correct and that I have not knowingly withheld any fact or circumstance which would, if disclosed effect my application unfavorably. I authorize you to secure, from a consumer reporting agency and investigative consumer report. This report may contain, but would not be limited to a consumer credit report, a criminal history records investigation of residence, employment and income. I authorize MONDIAN REALTY, LLC and its consumer reporting agency to verify any and all information contained in this application to inquire into my character, general reputation, personal characteristics and mode of living and I release all concerned from any liability in connection with any information they give. I have also been advised that I have the right under the federal Fair Credit Reporting Act (FCRA), Section 606(B), to make a written request of you and a consumer reporting agency within a reasonable time, for a complete and accurate disclosure of the nature and scope of the investigation. I acknowledge receipt of the summary of consumer rights required under Section (606) of the (FCRA), entitle A Summary of Your Rights under Fair Credit Reporting Act.

Initial applicant*

This application and the content hereof are considered as part of my lease.

Initial applicant*

Rents are due and payable on the 1st of each month. Make all money orders accompanying application and lease payable to «Mondrian Realty, LLC».

Upon submission of the application, you will have the option to pay the $55 fee online or contact us via phone to complete payment. By submitting this application, you also agree to our Privacy Policy and Terms and Conditions.

How did you hear about us?*

Broker Name and Angecy*

Name of Resident and Apartment Number*

Have you already viewed this apartment?*

Yes
No

If yes, who showed you the apartment?*

Broker
The Mondrian Staff

Document Upload

Please upload your Employment Verification Letter.

Drop files here or

Accepted file types: pdf, gif, png, jpg, tiff, bmp, Max. file size: 128 MB, Max. files: 10.

Document Upload

Please upload (2) most recent pay check stubs.

Drop files here or

Accepted file types: pdf, gif, png, jpg, tiff, bmp, Max. file size: 128 MB, Max. files: 10.

Please select the payment button below to continue the application. The application is not fully submitted until payment has been made. Please do not close your browser. The payment page can take several seconds to load.

Application Fee Payment*

Price:

Name

First Last

Date

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