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NVAR – K1008 – rev. 05/08 Page 1 of 4
This Rental Application is an offer to rent. The Deed of Lease is a legally binding contract.
It is unlawful to discriminate on the basis of race, color, religion, national origin, sex, elderliness, familial status or
handicap. This application will be processed in accordance with all Fair Housing and occupancy laws.
The applicants acknowledge by their initials that in this real estate leasing transaction the Listing Broker,
, represents the Landlord and that the Leasing broker, ,
represents the Landlord OR the Tenant. (If the Broker is acting as a dual representative of both the Landlord
and Tenant, then the appropriate disclosure form is attached to and made a part of this Application.
Applicant/s Initials / Leasing Agent must attach a business card.
Applicant/s Identification Type & Expiration Date: .
OFFER TO RENT
(Applicant 1) and (Applicant 2) offer
to lease the property known as
, Virginia (“Premises”), for years/months
, 20 , for the monthly rent of $ payable in advance on
the first day of each month.
A NON-REFUNDABLE PROCESSING FEE OF $
per Applicant is
included with this application. Processing may take up to 5 business days to complete. AN EARNEST MONEY
DEPOSIT OF $
(“Deposit”) is included and will be held by
. If this Application is accepted, the Deposit will be credited to amounts owed to the Landlord. If this
Application is not accepted, the Deposit will be refunded to the Applicant(s) less any additional documented
Occupancy is subject to possession being delivered by the present occupant. The property is accepted “As Is”
unless otherwise noted below or by attachment.
CONTACT NUMBERS: APPLICANT 1 APPLICANT 2
OFFICE USE ONLY
Application Received Date Time
Application Reviewed By
Accepted Rejected Withdrawn Applicant of Agent notified Date Time
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