•  - - :
  • Spouse Information If Applicable (Please skip to the next page if you are not married).
  • Sorry, but NO PETS are allowed in any units owned by MBD Apartments.
  • Bank, Credit & References Section (Please list referrences NOT LIVING WITH YOU)
  • DISCLOSURE INFORMATION:
  • RADON GAS – Notice to Prospective Tenant: Rason is a naturally occurring radioactive gas that, when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon that exceed federal and state guidelines have been found in buildings in every state. Additional information regarding rason and radon testing may be obtained from your county public health unit.
  • LEAD PAINT – Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The seller of any or interest in residential real estate is required to provide the buyer with any information on lead-based paint hazards from risk assesments or inspection in the seller’s possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase.
  • ACKNOWLEDGMENT:
  • I/We, the undersigned, understand that MIKE DeMINTER is the leasing agent and representative for the owner/landlord and that the leasing agent’s fees will be paid by the owner/landlord. The undersigned acknowledge that this written notice was received prior to the undersigned receiving a lease agreement.
  • CONSENT TO OBTAIN CREDIT / EMPLOYMENT INFORMATION:

  • I/WE authorize MIKE DeMINTER, to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/WE further release all persons, agencies, or firms from any liabilities resulting from providing such information.

  • I/WE declare under penalty of perjury that the information listed in the application is true and correct. Executed on:
  •  - - :
  • By typing your name below, you are herby signing this document and authorizing MIKE DeMINTER and MBD Apartments to review this application and perform a background, credit, criminal and referrence checks.
  • Should be Empty: