Form LRA, Application to Rent/Screening Fee

Forms are hard copy only and not provided digitally. All sales on single forms are final.

Includes separate boxed sections for: Premises Information, Personal Information, Residence History, Employment and Income History, Credit Information, Personal References and Relatives. One form is used for each applicant.

Added the word “Lease” so form applies both to lease and rental applications. Defines Rental Property Owner, Authorized Broker or Agent, or Property Manager collectively as “Housing Provider.” Screening fee section II includes information about the property address, rental amount and proposed move-in date forthe premises being sought that was previously in the tenant information section I. Screening fee includes an updated maximum screening fee amount ($52.46) from 2020 from a DRE publication. General reformatting of the form.

Revised December 2022

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