Fair Tenant Screening Act RENTAL CRITERIA RCW

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1 Fair Tenant Screening Act RENTAL CRITERIA RCW Rental Entity or Property Manager: Tenant Identification: Applicant must provide current government issued photo identification When accepting a Tenant Rental Application we will consider: Extenuating circumstances (ie: m edical reasons, unemployment, gaps in employment, etc). Screening reports will be reviewed for the following negative information and could result in denial of tenancy: *Credit History Applicant may be denied for: Unverifiable social security number, open bankruptcy, judgment(s) or collection(s) for unpaid rent or damages, excessive collections (ie:utilities, check cashing/pay day loans, other) Other: *Criminal History: Applicant may be denied where the date of disposition and/or release of probation have occurred within the past 7 years for a conviction, guilty plea or no-contest plea for: Drug related offenses (intent to deliver, delivery, sale or possession of a controlled substance, manufacturing) Sex crimes and/or crimes against a child, registered or unregistered sex offender (10 year disclosure) Felonies ie: assault, arson, robbery, forgery, etc, *Rental History: Applicant may be denied for: Unverifiable rental history, unfulfilled or non-compliance of lease obligations, current or past owing for deposit, rent, fees or damages Eviction filed in the last months or years or eviction pending *Employment History / Income: Proof of income is required and is obtained in various ways, ie: directly through employer, bank statements, pay stubs, tax returns, letters from Department of Social Security, LES, etc. Adequate income to pay rent is required: 2.5 times the rent/income ratio or 3 times rent/income ratio Other: Applicant may be denied for: Unverifiable employment or income, lack of income *Tenant applications are also reviewed for lack of information or false information. *Under the Fair Credit Reporting Act, Property Managers/Landlords are unable to give an applicant a copy of the background check. If your application is denied the landlord is required to provide you with a written notice of adverse action that states the reason(s) for taking adverse action (RCW ). Adverse action can be denial of your application or approval with additional condition(s) ie: co-signer required, increased deposit, increased monthly rent, last month s rent). You have the right to dispute the accuracy of the information in the tenant screening report. You have the right to a free copy of your tenant screening report. To dispute the accuracy or for a free copy of your tenant screening report, please submit your request in writing with a copy of your photo ID to: Accurate Screening & Credit Reporting, Inc. ~PO Box 39673~Lakewood, WA 98496~Office: ~Fax: Date: Signature Print Name: Signature: Print Name:

2 Para information en español, visite o escribe a la FTC Consumer Response Center, Room 130-A 600 Pennsylvania Ave. N. W., Washington, D. C A Summary of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to or write to: Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Ave. N.W., Washington, D.C You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that provided the information. You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your file disclosure ). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: a person has taken adverse action against you because of information in your credit report; you are the victim of identify theft and place a fraud alert in your file; your file contains inaccurate information as a result of fraud; you are on public assistance; you are unemployed but expect to apply for employment within 60 days. In addition, by September 2005 all consumers will be entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See for additional information. You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See for an explanation of dispute procedures. Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected,

3 usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, Employer, landlord, or other business. The FCRA specifies those with a valid need for access. You must give your consent for reports to be provided to Employers. A consumer reporting agency may not give out information about you to your Employer, or a potential Employer, without your written consent given to the Employer. Written consent generally is not required in the trucking industry. For more information, go to You may limit prescreened offers of credit and insurance you get based on information in your credit report. Unsolicited prescreened offers for credit and insurance must include a tollfree phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at OPT-OUT ( ) or You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. Identity theft victims and active duty military personnel have additional rights. For more information, visit States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General Federal enforcers are: TYPE OF BUSINESS: Consumer reporting agencies, creditors and others not listed below National banks, federal branches/agencies of foreign banks (word National or initials N.A. appear in or after bank s name) Federal Reserve System member banks (except national banks, and federal branches/agencies of foreign banks) Savings associations and federally chartered savings banks (word Federal or initials F.S.B. appear in federal institution s name) Federal credit unions (words Federal Credit Union appear in institution s name) State-chartered banks that are not members of the Federal Reserve System Air, surface, or rail common carriers regulated by former Civil Aeronautics Board or Interstate Commerce Commission Activities subject to the Packers and Stockyards Act, 1921 CONTACT: Federal Trade Commission: Consumer Response Center FCRA Washington, DC Office of the Comptroller of the Currency Compliance Management, Mail Stop 6-6 Washington, DC Federal Reserve Board Division of Consumer & Community Affairs Washington, DC Office of Thrift Supervision Consumer Complaints Washington, DC National Credit Union Administration 1775 Duke Street Alexandria, VA Federal Deposit Insurance Corporation Consumer Response Center, 2345 Grand Avenue, Suite 100 Kansas City, Missouri Department of Transportation, Office of Financial Management Washington, DC Department of Agriculture Office of Deputy Administrator GIPSA Washington, DC

4 Property Manager: Move-In Date: (253) Fax: (253) A separate application is required from each occupant 18 years of age or older. ID Verified Married: Yes No RENTAL PROPERTY Rent Amount: $ IDENTIFICATION (PLEASE PRINT) Cell Phone: Home Phone: Address: Applicant s Name: Birth Date: Soc. Sec. No: Driver s Lic./ID No: State: Driver s Lic./ID Address: Occupants under the age of 18: 1) Birth Date: 2) Birth Date: 3) Birth Date: 4) Birth Date: RESIDENTIAL HISTORY CURRENT PREVIOUS FROM: / TO: / AMT: $ FROM: / TO: / AMT: $ Address: Apt. No: Address: Apt. No: City: State: Zip: City: State: Zip: Payments To: Phone: Payments To: Phone: Reason for Moving: APPLICANT S EMPLOYMENT HISTORY (Pay stubs, tax returns, LES, or bank statements may be required.) Current Employer: Total Additional Monthly Income: $ Address: DSHS: $ SSI/SSD: $ Supervisor: Phone: Child Support: $ Student Loan: $ Position: Pay: $ Monthly Hourly Other: $ Hours Per Week: Length of Employment: P/T Employment: $ Contact: Phone: BANK/BRANCH Account No: Checking Saving VEHICLE Make: Model: Year: Color: State: Plate No: EMERGENCY CONTACTS Name: Relationship: Phone: Name: Relationship: Phone: ADDITIONAL INFORMATION (Use back of form for further explanation.) PETS: Yes No Please describe all pets: HAVE YOU EVER BEEN EVICTED? Yes No If yes, property name and address: Have the police ever been summoned to your home for any reason, if so explain: Civil judgements: Yes No If yes, explain: Broken a rental contract or pending open balance: Yes No If yes, explain: Refused to pay rent: Yes No Filed Bankruptcy: Yes No Arrested: Yes No Convicted of any illegal drug activity: Yes No Convicted of a felony: Yes No If yes, explain: Are you a current/registered sex offender? Yes No Any occupants/family members been convicted of a crime: Yes No If yes, explain: Poor Credit/Collections: Yes No If yes, agree to elevated deposit of $ I have reviewed the Fair Tenant Screening Act: Initial Initial Initial Initial

5 DISCLOSURE ( Rental Entity ) may obtain information about you from Accurate Screening & Credit Reporting, Inc., PO Box 39673, Lakewood, WA 98496, , for tenant screening purposes. Thus, you may be the subject of a background check, also known as a consumer report and/or an investigative consumer report, which may include information about your character, general reputation, personal characteristics, and/or mode of living. These reports may contain, without limitation, all or some of the following types of information about you: credit history, social security number verification, address and alias history, personal and/or professional references, employment history, educational history, licenses, certifications, motor vehicle records, driving records, criminal history, and civil court record history. You have the right to know whether a consumer report has been obtained about you; and you have the right to request a copy of any report obtained by Rental Entity, a copy of A Summary of Your Rights Under the FCRA, and a complete and accurate written disclosure of the nature and scope of any investigative consumer report obtained by Rental Entity. An investigative consumer report is information on an individual s character, general reputation, personal characteristics, or mode of living is obtained through a personal interview with an information source. The nature and scope of the most common form of investigative consumer report obtained for tenant screening purposes is an interview with a landlord, employer or supervisor. New York and Maine residents only: You have the right to inspect and receive a copy of any investigative consumer report requested by Rental Entity by contacting the consumer reporting agency identified above directly. You may contact the Rental Entity to request the name, address and telephone number of the nearest unit of the consumer reporting agency designated to handle inquiries, which the Rental Entity shall provide within 5 days. New York residents only: Upon request, you will be informed whether or not a consumer report was requested by Rental Entity, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law. Oregon residents only: Information describing your rights under federal and Oregon law regarding consumer identity theft protection, the storage and disposal of your credit information, and remedies available should you suspect or find that the Rental Entity has not maintained secured records will be provided upon request. Washington State residents only: You have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act. AUTHORIZATION By completing this application I agree that you may conduct a credit, background and reference check on me. I hereby authorize Accurate Screening & Credit Reporting Inc. to use their authorized consumer reporting agency, credit bureau, or other investigative agencies to investigate the references within this application or statements of other data obtained from me or any other person pertaining to my employment history, prior credit tendencies, character, general reputation, personal characteristics, and mode of living, to obtain a consumer report and such other credit information which may result thereby, and to disclose and furnish such information to the Rental Entity in support of this application. I have been advised that I have the right, under Section 606B of the Fair Credit Reporting Act, to make a written request, within 60 days, for a complete and accurate disclosure of the nature and scope of this investigation. The facts set forth on this sheet are true and complete. I, as the prospective applicant agree that a complete investigation of all on this sheet will not constitute an invasion of privacy. I authorize Accurate Screening & Credit Reporting, Inc. to obtain credit reports, criminal and eviction background information. Accurate Screening & Credit Reporting Inc. has my permission to release information found in their screening process. OWNER/AGENT WILL REQUIRE A NON REFUNDABLE PAYMENT OF $ WHICH IS TO BE USED TO SCREEN APPLICANT WITH RESPECT TO CREDIT HISTORY AND/OR OTHER BACKGROUND INFORMATION. AUTHORIZED SIGNATURE: DATE: RCW Holding Fee Amount: $ Initial Initial Upon approval of tenancy/signing of rental/lease agreement, this fee will be credited against my deposit and/or my first month s rent. I hereby waive all rights to the return of holding fee and holding fee shall be retained as liquidated damages in the event I do not choose to enter into the agreement applied herein. In the event application for tenancy is not accepted, holding fee shall be returned to applicant.

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