OKLEE RENTALS ~ Oklee, MN

OKLEE RENTALS ~ Oklee, MN
DATE*

MonthDayYear
Date
How did you hear about this property?*

Newspaper/AdFriendInternetOther
RENTAL APPLICATION

Each household member 18 years of age and older MUST complete and sign this application form and pay a $35 application fee.
PERSONAL INFORMATION
Applicant's Complete Legal Name*

First NameMiddle NameLast Name
Other Names Used (Married, Maiden, or Nicknames)
Applicant's Birth Date*

MonthDayYear
Date
Applicant's Social Security #*
Applicant's Email Address*
example@example.com
Applicant's Phone Number*
Is there additional applicant's? (include everyone that will reside in unit)*

YesNo
2nd Applicant's Full Name
Relationship to Applicant
Date of Birth

MonthDayYear
Date
Vehicle License Plate #
Vehicle Make
Vehicle Model & Color
Vehicle Year
RESIDENCE HISTORY
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Move in Date

MonthDayYear
Date
Please list all states resided in over the past ten (10) years
Have you ever been evicted from tenancy or had an unlawful detainer served on you?*

YesNo
If yes, Date?
Have you ever been convicted of a crime (except driving citation) within the past 10 yrs?*

YesNo
If yes, Date?
If you answered yes to either of the questions above, please explain:
MONTHLY INCOME
Applicant's Employer
Contact or Supervisor's Name
Monthly Gross Income
Start Date

MonthDayYear
Date
Employer Address

Address

Street Address Line 2

CityState

Postal / Zip Code
Employer City
Employer Zip Code
Employer Phone Number
Employee Position or title
Additional sources of income (Assistance, Part-Time job etc)
Have you ever file for bankruptcy?*

YesNo
If yes, comments
EMERGENCY CONTACT
Emergency Contact Name*
Relationship to houschold*
Emergency Contact Address
Emergency Contact Phone Number*
Certification/Authorization to Release
Is there any information that might appear on your credit, rental or criminal history that you wish to disclose and/or address up front, knowing that failure to disclose such information may be considered grounds for denial of this application?*

YesNo
Applicant understands and agrees that if he/she makes incorrect or misleading statements or omissions on this form, applicant will forfeit his/her deposit.

Applicant understands and agrees that he/she has only applied for a tenancy. This form is not a lease, but an application and offer to lease which may be accepted or rejected by management. If Management does not accept this application, the prelease deposit will be refunded except as provided below. If Management notifies the applicant that the applicantion has been accepted, applicant must enter into the tenancy applied for or the deposit will be forfeited.

Management is a fair housing provider and will grant equal opportunity to all persons under the law.

Prelease deposit of $450.00 or $550.00 received (personal check, Money Order,), which payment will be applied as full liquidated damages in case of my failure or refusal to pay the first month's rent and execute the Lease. When the lease is signed, the application deposit will be held as and become a security and damage deposit in accordance with the Lease.

Applicant hereby grants to Management full authorization necessary to verify the information on this form, including but not limited to verification of credit history, rental history, criminal history, income verification, information from public agencies and other information relevant to this application for a residential tenancy.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Form 92006
This form is to be provided to each applicant for federally assisted housing Instructions: Optional Contact Person or Organization: You have the right by law to include as part of your application for housing, the name, address, telephone number, and other relevant information of a family member, friend, or social, health, advocacy, or other organization. This contact information is for the purpose of identifying a person or organization that may be able to help in resolving any issues that may arise during your tenancy or to assist in providing any special care or services you may require. You may update, remove, or change the information you provide on this form at any time. You are not required to provide this contact information, but if you choose to do so, please include the relevant information on this form.
Applicant Name*
Applicant's Mailing Address, City, State & Zip Code*
Applicant's Phone Number*
Cell Phone Number
Check Yes if you choose NOT to provide the emergency contact information*

YesNo
Name of Additional Contact Person or Organization
Relationship to Applicant
Additional Contact's Address, City, State & Zip Code
Contacts Phone Number
Reason for Contact: (Check all that apply)

EmergencyAssist with Recertification ProcessUnable to contact youChange in lease termsTermination of rental assistanceChange in house rulesEviction from unitLate payment of rent:
Change in lease terms Change in house rules Other:

Commitment of Housing Authority or Owner: If you are approved for housing, this information will be kept as part of your tenant file. If issues arise during your tenancy or if you require any services or special care, we may contact the person or organization you listed to assist in resolvingthe issues or in providing any services or special care to you. Confidentiality Statement: The information provided on this form is confidential and will not be disclosed to anyone except as permitted by the applicant or applicable law. Legal Notification: Section 644 of the Housing and Community Development Act of 1992 (Public Law 102-550, approved October 28, 1992) requires each applicant for federally assisted housing to be offered the option of providing information regarding an additional contact person or organization. By accepting the applicant's application, the housing provider agrees to comply with the non-discrimination and equal opportunity requirements of 24 CFR section 5.105, including the prohibitions on discrimination in admission to or participation in federally assisted housing programs on the basis of race, color, religion, national origin, sex, disability, and familial status under the Fair Housing Act, and the prohibition on age discrimination under the Age Discrimination Act of 1975.
Signature of Applicant*

Clear
Date*

MonthDayYear
Date
The information collection requirements contained in this form were submitted to the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520 The public reporting burden is estimated at 15 minuts per response, including the time for seviewing instructions, searching existing data scurces, gathering and maintaining the data needed, and completing and reviewing the collection of information Section 644 ofthe Housing and Community Development Act of 1992 (42 U.S.C. 13604) imposed on HUD the obligation to require lousing previders participaring in HUD's assisted housing programs to provide my individual or family applying for occupancy in HUD assisted housing with the eption to include in the application for occupuncy thename, address, telephone sumber, and other relevant information of family member, friend, or person associated with social, health, advocacy, or similar organization. The objective of "providing such information is to facilitate contact ty the hossing provider with the person or organization identified by the tenant to assist in providing any delivery of services or special care to the tenant and assist with resolving any tenancy issues arising during the tenancy of suchtenant. This supplemencal application information is to be maintained by the housing provider and maintained as conEdential information Providing the information is basie to the operations of the HUD Assisted-Housing Program and is voluntary. Il supports statatory requirements aud program and masagement controls that prevent frand, waste and mistranagement. In accordance wih the Papervork Redaction Act. an agency may not conduct or spossor, and person is not required to respond to, a collection of information, unless the collection displays curreatly valid OMB control number. Privacy Statement Public Law 102-550. the Department of Houning and Urban Development (HIJD) to collect all the information (except the Social Security Number (SSN which will be used by HUD to protest disborsement data from actions Form HUD-92006 (05/09)
RHR RENTAL HISTORY REPORTS

General Consent Form - Each applicant 18 + over MUST complete a consent form
Last Name*
First*
Middle*
Maiden
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Sex*
Social Security Number*
Driver's License Number
Drivers License State
Applicant's Phone Number*
I/We authorize Rental History Reports (RHR) and/or the above named company to do a complete investigation of all information provided within my application for residency. I/We have personally filled in and/or reviewed all information contained within the application. I/We understand failure to complete these documents completely and truthfully may result in denial and/or forfeit of deposit. A complete investigation may include any or all of the following: Credit Report, Verification of Employment and Income, Criminal Record Search, Rental History References (including MPHA), Unlawful Detainer/Eviction Investigation, Identity Trace, Sex Offender Search, Terrorism Search, Check Writing History, and Personal Interviews with all provided references. The source of the information may come from, but is not limited to: credit bureaus; banks and other depository institutions; current and former employers; federal or state records including State Employment Security Agency records, county or state criminal records, count agencies as it relates to the applicant's eligibility, non-eligibility and/or benefit amounts received by the tenant, or other sources as required. It is understood that a photocopy or facsimile copy of this form will serve as authorization. I/We understand that I/We have a right to make awritten request within 30 days to receive information pertaining to this report if I/We are not accepted based upon information contained in the report. I/We authorize RHR to produce to the credit granter Federal and State records of employment and income history, including State Employment Security Agency records. This authorization continues in effect for one (1) year unless limited by state law, in which case, the authorization continues in effect for the maximum period, not to exceed one (1) year.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
All Applicant's 18 years of age and over are required to pay a $35 application fee (per applicant) before the application process can begin. This fee is to run our Credit, Criminal and Rental History Backgrounds. If you would like us to set up an auto payment through your checking or savings account please complete the form below. If you do not have a checking or savings the application can not be processed until we receive your money order in our office.
Do you have a checking or savings account to set up for the application fee?*

YesNo
AUTHORIZATION FOR AUTOMATIC PAYMENT

I authorize Greater Minnesota Management and the bank named below to initiate debits from my checking/savings account. This authority will remain in effect until I notify you in writing to cancel it in such time as to afford the bank a reasonable opportunity to act on it. I can stop payment of any debit by notifying my bank
three (3) days before my account is charged. I can have the amount of an erroneous charge immediately credited to my account up to fifteen (15) days following issuance of my bank statement or sixty (60) days after posting, whichever occurs first.
Name of Financial Institution*
Name on Checking/Savings Account*
Is this a Checking or Savings Account*

CheckingSavings
Routing Number (First 9 digits on bottom of check or deposit slip)*
Re-enter Routing Number*
Account Number*
Re-enter Account Number*
Signature*

Clear
On (date) Date* I authorize Greater Minnesota Management in Erskine, Minnesota to initiate electronic debit from my account and agree to the terms as detailed on the authorization. This authority will remain in effect until I cancel it in writing to the company
U.S. Department of Housing and Urban Development Office of Inspector General

information on your application forms.

Don't risk your chances for Federally assisted housing by providing false, incomplete, or inaccurate

This is to inform you that there is certain information you must provide when applying for assisted housing. There are penalties that apply if you knowingly omit information or give false information.

The United States Department of Housing and Urban Development (HUD) places a high priority on preventing fraud. If your application or recertification forms contain false or incomplete information, you may be: Evicted from your apartment or house: Required to repay all overpaid rental assistance you received: Fined up to S 10,000: Imprisoned for up to 5 years; and/or Prohibited from receiving future assistance. Your State and local governments may have other laws and penalties as well.

When you meet with the person who is to fill out your application, you should know what is expected of you. If you do not understand something, ask for clarification. That person can answer your question or find out what the answer is. When you answer application questions, you must include the following information:

All sources of money you or any member of your household receive (wages. welfare payments, alimony, social security, pension, etc: Any money you receive on behalf of your children (child support, social security for children, etc; Income from assets (interest from a savings account, credit union, or certificate of deposit: dividends from stock, etc; Earnings from second job or part time job; Any anticipated income (such as a bonus or pay raise you expect to receive) All bank accounts, savings bonds, certificates of deposit, stocks, real estate, etc that are owned by you and any adult member of your family's household who will be living with you.
Any business or asset you sold in the last 2 years for less than its full value, such as your home to your children. The names of all of the people (adults and children) who will actually be living with you, whether or not they are related to you.

Do not sign any form unless you have read it, understand it, and are sure everything is complete and accurate. When you sign the application and certification forms, you are claiming that they are complete to the best of your knowledge and belief. You are committing fraud if you sign a form knowing that it contains false or misleading information. Information you give on your application will be verified by your housing agency. In addition, HUD may do computer matches of the income you report with various Federal, State, or private agencies to verify that it is correct. You must provide updated information at least once a year. Some programs require that you report any changes in income or family/houschold composition immediately. Be sure to ask when you must recertify. You must report on recertification forms: All income changes, such as increases of pay and/or benefits, change or loss of job and/or benefits, etc., for all household members. Any move in or out of a household member; and, All assets that you or your household members own and any assets that was sold in the last 2 years for less than its full value.

You should be aware of the following fraud schemes: Do not pay any money to file an application; Do not pay any money to move up on the waiting list; Do not pay for anything not covered by your lease; Get a receipt for any money you pay; and, Get a written explanation if you are required to pay for anything other than rent (such as maintenance charges If you are aware of anyone who has falsified an application, or if anyone tries to persuade you to make false statements, report them to the manager of your complex or your PHA. If that is not possible, then call the local HUD office or the HUD Office of Inspector General (OIG) Hotline at 600)347-3735. You can also write to: HUD-OIG HOTLINE, (GFI) 451 Seventh Street, S.W., Washington, DC. 20410.

HUD- 1140-OIGTHIS DOCUMENT MAY BE REPRODUCED WITHOUT PERMISSION
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OKLEE RENTALS ~ Oklee, MN

RENTAL APPLICATION

PERSONAL INFORMATION

RESIDENCE HISTORY

MONTHLY INCOME

EMERGENCY CONTACT

Certification/Authorization to Release

Form 92006

RHR RENTAL HISTORY REPORTS