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ELAJENTA, LLC
Home
Commercial Rentals
Commercial Rental Application
Vacation Rentals
Rolling Acres Farm - Bulger PA
>
Concierge Services
Rolling Acres - Area Attractions
State Parks and Game Lands
Restaurants
For Sale
Services Provided
Residential Rental Application
Application for Rental
*
Indicates required field
Property you are completing application for
*
Please type in address of property
Term Requested
*
1 Year
3 Year
5 Year
Other
Name
*
First
Last
Phone Number
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Select One
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Cell
Home
Work
Email
*
Driver's License #
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Birthdate
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mm/dd/yyyy
Social Security Number
*
If you decide to move forward, we must have this information for a credit and background check.
Current Address
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Line 1
Line 2
City
State
Zip Code
Country
Business Information
Business Name
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Type of Entity
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LLC
Corporation
Partnership
Other
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Business Type
*
State of Incorporation
*
Tax/EIN Number
*
Phone Number
*
Email
*
Website
*
Professional/Personal References
1. Name
*
First
Last
Phone Number
*
Relationship
*
Business Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
2. Name
*
First
Last
Phone Number
*
Relationship
*
Business Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
3. Name
*
First
Last
Phone Number
*
Relationship
*
Business Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Background Information
Have you or an entity that you had ownership in, filed for bankruptcy
*
No
Yes
If Yes, please explain.
*
Been evicted from a tenancy or left owing money?
*
No
Yes
If yes, please provide Property Name, City, State and Landlord Name
*
Been convicted of a crime?
*
No
Yes
If yes, please provide Type of Offense, County and State
*
Required Documentation
Copy of Legal Personal Identification (i.e. Drivers License, Passport)
Identification File Upload
*
Max file size: 20MB
Please upload your drivers license, password or any other acceptable photo identification
Copy of Incorporation Documents
Incorporation Documents File Upload
*
Max file size: 20MB
Copy of current Financial Statements for the last accounting person and fiscal year
Financial Statement File upload
*
Max file size: 20MB
Two years of tax returns
*
Max file size: 20MB
Fiscal Year Financial Statement File Upload
*
Max file size: 20MB
12 months of bank statements
*
Max file size: 20MB
Other Information
How did you hear about this property?
*
Please include any other information you believe would help to evaluate this application
*
I/we, the undersigned, authorize Elajenta, LLC, Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords, employers, and back representatives. This investigation is for tenant screening purposes only, and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold Elajenta,LLC, Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information.
Important information about your rights under the Fair Credit reporting Act:
You have a right to request disclosure of the nature and the scope of the investigation.
You must be told if information in your file has been used against you.
You have a right to know what is in your file, and this disclosure may be free.
You have the right to ask for a credit score (there may be a fee for this service).
You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete , or unverifiable information.
In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the follow consumer reporting agencies:
Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111
Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA, 92631, (714) 738-3800
Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397-3742
On-Site Manager, Inc., P.O. Box 1514, Los Altos, CA, 94023-1514, (877) 222-0384
TERMS OF ACCEPTANCE AND SIGNATURE
I, the applicant for this application warrant the truthfulness of the information provided in this application. Please type your First and Last Name below to electronically sign document.
Electronic Signature
*
Please type your First and Last name
Acceptance
*
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
Submit
Home
Commercial Rentals
Commercial Rental Application
Vacation Rentals
Rolling Acres Farm - Bulger PA
>
Concierge Services
Rolling Acres - Area Attractions
State Parks and Game Lands
Restaurants
For Sale
Services Provided
Residential Rental Application
1234 Wakefield Road - Jefferson Hills, PA 15025 Phone: 412.414.7006 Fax: 412.774.1699 Copyright © 2021 Elajenta, LLC / All Rights Reserved
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UA-33001322-2