RENTAL APPLICATION. (All applicants must complete RRM and GLVAR applications)

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1 RENTAL APPLICATION (All applicants must complete RRM and GLVAR applications) Application Fee Application Fee is non-refundable and $55 per applicant/occupant over 18. Roommates must submit a separate application. Fee is accepted in certified funds only in the form of a cashier's check or money order payable to Robinson Realty & Management. RRM outsources the screening to a third party service (Background Info USA). A complete background check includes verification of current and previous tenant history, current and previous employment, credit history, contact personal references, and to receive any criminal history information pertaining to the applicant that may be found in federal, state, or local criminal justice agency files and to verify any other information deemed necessary to fulfill the tenant requirements. In addition to the application, please remit a copy of your driver's license or valid ID, 30 days worth of paystubs or a 60 day banking statement and photo of your pet, if applicable. Application Processing Applications are processed upon receipt of the application fee and a complete application form and can take between business hours to receive background screening information. The property manager will contact the applicant should additional information be needed or upon acceptance or denial of an application. If denied, applicant will receive a denial letter in writing in the mail. The applicant is FULLY AWARE that Robinson Realty & Management reserves the right to process multiple applications at the same time. The applicant and co-applicant agree to submit security deposit equal to one month's rent within 24 hours of approval to un-list the property. All additional deposits are to be submitted at the time of lease signing. All move-in costs shall be in the form of certified funds (Cashiers Check, Money Order). The property manager will provide the applicant with a breakdown of funds required prior to occupancy. Should the applicant decide not to rent the property after submitting the security deposits, the security deposits will be retained by the owner as administrative expenses RRM Application Rev Initials: Initials:

2 Rental Qualifications Some of the criteria used in qualifying prospective tenants are: Credit rating of 600 or above Dependable rental history Applicant's income to be at least three times the monthly rent If applicant does not meet the standard requirements, an additional security deposit may be requested up to triple the amount of the rent. Owner will also have the final decision in the approval process. Security Deposits Security deposits, cleaning deposits, and pet deposits (if applicable) are required at the time of the lease signing. Security Deposits can vary depending on the applicants' qualifications. All deposits are fully refundable only if the property is in as good or better a condition upon vacancy. Property Re-Key All properties are re-keyed upon occupancy. There is a $100 key charge, due at the lease signing, and is nonrefundable. All keys will be in the possession of the tenant; Robinson Realty & Management, at no time of a tenant's occupancy, will have keys to the property. Pets Whether or not pets are allowed in the property depends on the owner. Pet deposits apply per pet. Restrictions apply to certain breeds of dogs. Penalties apply when there is failure to disclose a pet prior to occupancy. Please notify our office before bringing any pet to the property. Utilities The applicant is responsible to for all utilities, which may include power, gas, and water. Trash and sewer varies per property. Other services may include satellite access or cable and telephone services and are the sole responsibility of the tenant. Misc. Boats, mobile homes, trailers, trampolines and water beds are not allowed on any of our properties unless otherwise stated in the HOA rules and regulations. Installation of satellite dishes may be subject to architectural committee approval if governed by an association. Lease Term Lease periods are typically 1-2 years. We do not accept short-term leases, unless a current lease is being extended. RRM Application Rev

3 Initials: Initials: This property is offered and accepted in its present condition, including, but not limited to the following: a) Overall interior cleanliness b) All appliances c) All paint, flooring, and window coverings d) All landscaping, bushes, trees, and exterior lighting e) Garage door openers (if applicable) f) Any debris or materials Initials Initials Any concerns regarding the appearance of the property should be addressed in writing below. This is simply a request and is not valid unless the owner agrees to the terms in writing. If you wish your application to be 100% contingent on your request, please initial here (If initialed We will not process application until we get owner approval of request) Please return completed rental application Monday through Friday 8:30am to 5:00pm to Robinson Realty & Management, LLC 3765 E. Sunset Road, Suite B1 Las Vegas, NV Office Fax RRM Application Rev

4 PLEASE READ CAREFULLY APPLICANT AUTHORZATION AND CONSENT FOR RELEASE OF INFORMATION This release and authorization acknowledges that Robinson Realty & Management, LLC, may now, or any time while I am renting, conduct a verification of my current and previous tenant history, current and previous employment, credit history, contact personal references, and to receive any criminal history information pertaining to me which may be in the files of any Federal, State, or Local criminal justice agency, and to verify any other information deemed necessary to fulfill the Tenant requirements. The results of this verification process will be used to determine tenant eligibility under Robinson Realty & Management, LLC tenant policies. In the event that information from the report is utilized in whole or in part in making an adverse action decision with regard to your potential renter, before making the adverse decision, we will provide you with a copy of the consumer report and a description in writing of your rights under the law. I authorize Background Info USA and any of its agents, to disclose orally and in writing the results of this verification process to the designated authorized representative of Robinson Realty & Management, LLC I have read and understand this release and consent, and I authorize the background verification. I authorize persons, schools, current and former employers, current and former landlords and other organizations and Agencies to provide Background Info USA with all information that may be requested. I hereby release all of the persons and Agencies providing such information from any and all claims and damages connected with their release of any requested information. I agree that any copy of this document is as valid as the original. I do hereby agree to forever release and discharge Robinson Realty & Management, LLC, Background Info USA and their associates to the full extent permitted by law from any claims, damages, losses, liabilities, costs and expenses, or any other charge or complaint filed with any Agency arising from retrieving and reporting of information. According to the Federal Fair Credit Reporting Act, I am entitled to know if tenant was denied based on information obtained by my prospective employer and to receive a disclosure of the public record information and of the nature and scope of the investigative report. Print Name Print Name Signature Date Signature Date RRM Application Rev

5 RENTAL APPLICATION Application is not complete until page 4 is signed. Unless this application is initialed on each page it will not be processed. (If more than two persons are applying, use additional applications.) PROPERTY ADDRESS REQUIRED TO SUBMIT: (Cash, MO, CC) Application (Non-Refundable) Fee $ 55 PP Deposit to Hold $ Amt. Received $ MOVE-IN DATE (NON-REFUNDABLE) APPLICATION FEE $ 55 PP RENT $ SECURITY DEPOSIT $ PET DEPOSIT $ (NON-REFUNDABLE) PROCESSING FEE $ KEY DEPOSIT $ CLEANING FEE $ OTHER $ EVIDENCE BY: CASH CHECK CASHIER'S CHECK MONEY ORDER APPLICANT: HOME OTHER PHONE SSN# DL# STATE BIRTH DATE CURRENT ADDRESS: LANDLORD NAME / MORTGAGE HOLDER: PAYMENT: (PLEASE CHECK ONE) OWNED OR RENT REASON FOR LEAVING PRIOR STREET ADDRESS: LANDLORD NAME / MORTGAGE HOLDER: REASON FOR LEAVING CURRENT EMPLOYER: ADDRESS: EMPLOYED AS (PLEASE CHECK ONE) OWNED OR RENT FAX# Rental Application Rev. 11/09 Page 1 of 4 Applicants Initials: [ ] [ ] Robinson & Associates Realty 3765 E Sunset Rd Ste 1 Las Vegas, NV Phone: (702) Fax: (702) Saghi Yazdani-Robinson Application Produced with ZipForm by ziplogix Fifteen Mile Road, Fraser, Michigan

6 SALARY: $ PER/MO SUPERVISOR: OTHER INCOME: SOURCE AMOUNT: $ PRIOR EMPLOYER (IF LESS THAN 3 YEARS): SALARY: $ EMPLOYED AS PER/MO SUPERVISOR: CREDIT REFERENCES: BANK ACCT.# CO-APPLICANT: ADDRESS SSN # DL# STATE BIRTH DATE CURRENT ADDRESS: LANDLORD NAME / MORTGAGE HOLDER: PAYMENT: PRIOR STREET ADDRESS: (PLEASE CHECK ONE) OWNED OR RENT LANDLORD NAME / MORTGAGE HOLDER: (PLEASE CHECK ONE) OWNED OR RENT REASON FOR LEAVING CURRENT EMPLOYER: EMPLOYED AS ADDRESS: FAX# SALARY: $ PER/MO SUPERVISOR: OTHER INCOME: SOURCE AMOUNT: $ PRIOR EMPLOYER (IF LESS THAN 3 YEARS): SALARY: $ EMPLOYED AS PER/MO SUPERVISOR: Rental Application Rev. 11/09 Page 2 of 4 Applicants Initials: [ ] [ ] Produced with ZipForm by ziplogix Fifteen Mile Road, Fraser, Michigan Application

7 CREDIT REFERENCES: BANK ACCT.# AUTOMOBILES: ADDRESS MAKE MODEL LIC# MAKE MODEL LIC# MAKE MODEL LIC# STATE YR COLOR STATE YR COLOR STATE YR COLOR IN ADDITION TO APPLICANT(S), OTHER PERSONS TO BE AT PREMISES: NAME RELATIONSHIP AGE OCCUPATION PETS? (Y/N) HOW MANY? Cats Dogs Other Name Cat or Dog? Breed Weight Spayed or Neutered? If Other, please explain: HAS ANY APPLICANT EVER FILED BANKRUPTCY? GIVE DETAILS HAS ANY APPLICANT EVER BEEN EVICTED? EXPLAIN HAS ANY APPLICANT EVER WILLFULLY REFUSED TO PAY RENT WHEN DUE? EXPLAIN HAS ANY APPLICANT OR OCCUPANT EVER BEEN CONVICTED OF A GROSS MISDEMEANOR OR FELONY? YES OR NO IF YES PLEASE EXPLAIN Rental Application Rev. 11/09 Page 3 of 4 Applicants Initials: [ ] [ ] Produced with ZipForm by ziplogix Fifteen Mile Road, Fraser, Michigan Application

8 HOW LONG DOES APPLICANT PLAN TO LIVE HERE? FURNITURE? TYPE DOES ANYONE IN THE HOUSEHOLD SMOKE? Y/N APPLICANT IN CASE OF EMERGENCY, PERSON TO NOTIFY: RELATIONSHIP: CO-APPLICANT IN CASE OF EMERGENCY, PERSON TO NOTIFY: RELATIONSHIP: DOES APPLICANT PLAN TO USE LIQUID FILLED DISCLOSURE PLEASE READ CAREFULLY BEFORE SIGNING 1. APPLICANT UNDERSTANDS THAT IS THE LEASING AGENT AND REPRESENTATIVE FOR THE LANDLORD OF THE PREMISES LOCATED AT AT A MONTHLY RENT OF $. 2. APPLICANT DECLARES THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT, AND APPLICANT AUTHORIZES AN EMPLOYMENT CHECK, CRIMINAL RECORDS CHECK, CREDIT CHECK, VERIFICATION OF REFERENCES AND CURRENT AND PREVIOUS LANDLORDS. 3. APPLICANT HEREBY PAYS $ 55 PP AS A NON-REFUNDABLE APPLICATION FEE AND $ AS HOLDING DEPOSIT. IF APPLICANT IS DECLINED, HOLDING DEPOSIT SHALL BE REFUNDED WITHIN BUSINESS DAYS. IF, AFTER APPROVAL, APPLICANT DECIDES NOT TO FULFILL THIS AGREEMENT BY COMPLETING LEASE AND PAYING FIRST MONTHS RENT AND REMAINING SECURITY DEPOSIT, HOLDING DEPOSIT SHALL BE RETAINED BY LANDLORD TO COVER ADMINISTRATIVE EXPENSES. 4. APPLICANT AGREES TO EXECUTE A RENTAL AGREEMENT BEFORE POSSESSION IS GIVEN AND TO PAY THE RENT AND SECURITY DEPOSIT WITHIN BUSINESS DAYS AFTER BEING NOTIFIED OF ACCEPTANCE OF THIS APPLICANT. 5. LANDLORD AND AGENT WILL NOT BE BOUND BY ANY REPRESENTATIONS, AGREEMENTS OR PROMISES, WRITTEN OR ORAL, MADE BY LANDLORD OR AGENT UNLESS CONTAINED IN THE RENTAL AGREEMENT SIGNED BY LANDLORD OR LANDLORD'S AGENT. 6. APPLICANT DOES HEREBY RELEASE LANDLORD, AGENT AND THIS COMPANY FROM ANY AND ALL DAMAGES OR LIABILITIES WHICH MIGHT RESULT FROM THE ABOVE INFORMATION. APPLICANT RELEASES PRESENT LANDLORD AND ALL PREVIOUS LANDLORDS FROM ANY AND ALL LIABILITY FOR ANY DAMAGE OR INJURY WHATSOEVER CAUSED BY PROVIDING INFORMATION TO LANDLORD OR AGENT REGARDING APPLICANT. 7. APPLICANT UNDERSTANDS AND ACKNOWLEDGES THAT A FALSE STATEMENT MADE HEREIN IS GROUNDS FOR DENIAL OF RENTAL TO APPLICANT. ANY STATEMENT HEREIN MAY BE CONSTRUED AS A CONDITION PRECEDENT TO ANY BINDING RENTAL AGREEMENT OR CONTRACT BETWEEN APPLICANT AND LANDLORD. 8. APPROVAL FOR RESIDENCY IS MADE WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, OR HANDICAP. 9. APPLICANT UNDERSTANDS THAT APPLICANT ACQUIRES NO RIGHTS TO PREMISES UNTIL EXECUTION OF A RENTAL AGREEMENT IN THE FORM SUBMITTED AND DEPOSIT OF RENT AND SECURITY DESCRIBED ABOVE. SIGNATURE OF APPLICANT DATE TIME SIGNATURE OF CO-APPLICANT DATE TIME OFFICE USE ONLY: REFERRAL COMPANY MLS # DATE PAID AGENT: P.I.D. # LICENSE # THE GREATER LAS VEGAS ASSOCIATION OF REALTORS PROVIDES THIS FORM FOR MEMBERS ONLY AND IS NO WAY DEEMED RESPONSIBLE FOR INFORMATION PROVIDED THEREIN. Rental Application Rev. 11/09 Page 4 of 4 Applicants Initials: Produced with ZipForm by ziplogix Fifteen Mile Road, Fraser, Michigan [ ] [ ] Application

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