Consent Application, Credit and Reference Reports, Histories and Intentions

HELLO. OUR ALAMOGORDO HOME IS NOT ANY MORE AVAILABLE FOR LEASE OR PURCHASE. YOU ARE TOO LATE. THANK YOU VERY MUCH FOR YOUR INTEREST IN IT - ESPECIALLY TO MANY PEOPLE WHO CONTACTED US AND VISITED IT AND PROVIDED THEIR RENT/BUY APPLICATION FORMS. IF IT BECOMES AVAILABLE AGAIN IN THE FUTURE, WE WILL TELL YOU ON THIS WEBPAGE, AND YOU SHOULD AVAIL YOURSELF OF IT JUST AS FAST AS YOU CAN TO NOT LOSE THE OPPORTUNITY.

(Best printout most systems at 80%. IE: Print => Properties => Graphics => Scaling => 80%. Problems? Contact us for copy.)
John* and Laurencia Williams
3624 Yosemite Dr., NE, Albuquerque, NM 87111 - www.jjwill.com
cell: 505-321-1034 ("John"), landline: 505-332-0846, fax: 505-275-5637, wizguru@jjwill.com
*John J. Williams is both a landlord/owner and a prior Real Estate Salesperson, New Mexico

RENTAL APPLICATION FORM for Credit and Reference Reports, Histories, and Intended
Uses for Property at 2011 Crescent Dr., Alamogordo, NM 88310 (Nonsmoking Home)
Note 1: This Form does not commit either you or us to lease or rent; if Applicant(s) is/are accepted,
a written Rental Agreement Form, which does obligate us and you to renting, may then be completed
Note 2: We can't consider you without this Form - please submit Form even if still not 100% certain
Please hand us your original signed, dated Form, Fax or Certify Mail to:
John & Laurie Williams, P.O. Box 23097, Albuquerque, NM 87192
________________________________________________

ALL APPLICANTS: Thank you for your interest in our home. This 3-page Form asks for types of data common to professional real estate rental forms. This is a legal document, so you may want to consult with your attorney. All heads of household and only heads of household must apply as an Applicant. The head of household with the best credit, job, reference, and occupancy histories should apply as "Principal Applicant" for best chance of approval. Be frank and truthful. Please complete all blanks or put "N/A" if Not Applicable to you. If you have any questions or comments about this form or have problems printing it out, please email, fax or mail them to us (addresses above). We will consider all reasonable changes and corrections you might suggest. If you are a Co-Applicant and lived in a different address than Principal Applicant within last 3 years, please also provide that data on separate sheet of paper. Until this document is signed and returned by Applicant(s), we reserve the right to make changes in it without prior notice or liability. Best of luck!
APPLICANT FEES: If you submit this Form prior to viewing our home, we can hold off on the fee until you view our home and you decide to move forward on renting it, but we require this Form prior to your viewing it to travel to Alamogordo for viewing. A $19 fee is required for each Applicant's Credit Report (married couple married more than 3 years to each other requires only one Credit Report). This fee is less than our cost to obtain one credit report alone. In lieu of this fee, we will accept your credit report sealed by the credit report issuer. Fee is 100% refunded if we rent to you.
PLEASE PRINT CLEARLY IN INK! (use the reverse side of this Rental Application Form if you wish to better explain any entry)

________________________________	________________________________	__________________
PRINCIPAL APPLICANT's Name	Social Security # (SSN)	Date of Birth (DOB)
________________________________	________________________________	________________________________
Current Home Address	City/State/Zip	When did you move in (mnth/yr)?
________________________________	________________________________	________________________________
Day Phone # (no earlier than: __________ )	Evening Phone # (no later than: ________)	Other Phone # (Times: _____ - _____ )
________________________________	________________________________	________________________________
Current Landlord/Owner	Phone #	Why are you moving out?
________________________________	________________________________	___________- ___________
(1) Previous Home Address	City/State/Zip	When (from and to mnth/yr)?
________________________________	________________________________	________________________________
This Previous Landlord/Owner	Phone #	Why did you move out?
________________________________	________________________________	___________- ___________
(2) Previous Home Address (if after 12/31/03)	City/State/Zip	When (from and to mnth/yr)?
________________________________	________________________________	________________________________
This Previous Landlord/Owner	Phone #	Why did you move out?
________________________________	________________________________	___________- ___________

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_______________________________	____________________	_______________________	______________________________
Principal Applicant's Current Employer's Name	Phone #	Date Started Position (mnth/yr)	Name of Supervisor
_______________________________	________________________________________		______________________________
Address	City/State		Occupation/Position Held
_______________________________	____________________	__________ - __________	______________________________
Previous Employer's Name (if after 12/31/03)	Phone #	Dates Position Held (mnth/yr)	Name of Supervisor
_______________________________	____________________	____________________________	______________________________
Address	City/State	Why You Left Position	Occupation/Position Held
$ __________________________	SOURCE: ( )Salaries ( )Wages ( )Government Assistance ( )Pensions/Annuities ( )Investments
Principal Applicant's Gross Annual Income	( )Commissions ( )Fees ( )Tips ( )Sales ( )Auctions ( )All Others: ___________________________

CITIZENSHIP: Are you a citizen of another country? YES:__ NO:__. If YES, please state your Country, your address in that Country, your Passport # or Visa #, how long in U.S., your permitted length of stay in the U.S., and if a Diplomatic Clause is required: ________________________________________________________________________.
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_________________________________	______________________________________		__________________
CO-APPLICANT's Name	Social Security # (SSN)		Date of Birth (DOB)
_________________________________	____________________	__________ - __________	________________________________
Co-Applicant's Current Employer's Name	Phone #	Date Started Position (mnth/yr)	Name of Supervisor
_________________________________	________________________________________		______________________________
Address	City/State		Occupation/Position Held
_________________________________	____________________	__________ - __________	______________________________
Previous Employer's Name (if after 12/31/03)	Phone #	Dates Position Held (mnth/yr)	Name of Supervisor
_________________________________	____________________	____________________________	______________________________
Address	City/State	Why You Left Position	Occupation/Position Held
$ __________________________	SOURCE: ( )Salaries ( )Wages ( )Government Assistance ( )Pensions/Annuities ( )Investments
Co-Applicant's Gross Annual Income	( )Commissions ( )Fees ( )Tips ( )Sales ( )Auctions ( )All Others: ___________________________

ASSETS & LIABILITIES: PRINCIPAL APPLICANT: Total Assets-Liabilities: $ ______ - $______. CO-APPLICANT: Total Assets-Liabilities: $ ______ - $______.
MARRIED APPLICANTS: If Applicants are married to each other, total community property Assets-Liabilities (not included above): $ ________ - $________.
Names, addresses of banks and brokers where Applicants have accounts: __________________________________________________________________________
_____________________________________________________________________________________________________________________________________.

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PERSONAL REFERENCES (2) (no relatives):
Name:	Address:	Phone #(s):
____________________________________	______________________________________________	____________________________
____________________________________	______________________________________________	____________________________
NEAREST RELATIVE OR NEXT OF KIN:
Name:	Address:	Phone #(s):
____________________________________	______________________________________________	____________________________

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OCCUPANTS, OCCUPANT'S VEHICLES & ANIMALS, TIMING
OCCUPANTS: Names, Ages, Relationships to Applicant(s) (include Applicants); max. occupany is 8	________________________________ ________________________________	________________________________ ________________________________
________________________________ ________________________________	________________________________ ________________________________	________________________________ ________________________________
________________________________ ________________________________	________________________________ ________________________________	________________________________ ________________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - -

VEHICLES: Cars,Trucks,Motorcycles,RVs,Boats,Trailers Enter Type/Make/Model, Year, Tag #, and State for each	________________________________ ________________________________	________________________________ ________________________________
________________________________ ________________________________	________________________________ ________________________________	________________________________ ________________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - -

ANIMALS: If accepted, the following animal(s) (e.g. pets) will be living or visiting with me/us (NOTE: Not all animals are approved by the landlords/owners, and some approved animals may require a nonrefundable pet deposit)
Description: _________________________________________________________ Is animal ever allowed to walk on or fly over the floor? YES:__ NO:__.	Description: _________________________________________________________ Is animal ever allowed to walk on or fly over the floor? YES:__ NO:__.
Description: _________________________________________________________ Is animal ever allowed to walk on or fly over the floor? YES:__ NO:__.	Description: _________________________________________________________ Is animal ever allowed to walk on or fly over the floor? YES:__ NO:__.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - OCCUPANCY TIMING: Desired Length of Occupany (months): _______ Desired Date of Occupancy (mnth/yr): __________________________ *************************************************

BUSINESS INTERESTS: (1) If accepted, I/we WILL: ____ WILL NOT: ____ operate a business from all or part of this property. If you marked WILL,
please describe in detail the name, nature, type of each and every business activity, and the names, street addresses and phone #s of all business owners:
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________.
(2) Was more than 10% of your income from self-employment in the last 12 months? YES:__ NO:__. If Yes, please append a copy of your tax Form 1040 and its Schedule C for the last two tax years.

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PERSONAL CONT'D: The landlords/owners reserve the right not to lease to any individual who has been evicted, broken a prior lease, declared bankruptcy, been sued for nonpayment of rent or damage to rental property, convicted of certain crimes, arrested for certain crimes where a trial or appeal is pending, or who is wanted for a felony crime within the last 10 years. Please note that none of these will automatically disqualify you as a renter as we are willing to consider truthful and verifiable exculpatory, extenuating, mitigating and rehabilitatory circumstances. To determine Principal Applicant 's and Co-Applicant 's eligibility, please answer the following questions (if you marked YES for any of these questions, you may use reverse side (sign and date) and/or attachments to provide details and explanations for further consideration and verification by landlords/owners). "You" below refers individually to Principal Applicant and Co-Applicant:      (1) Have you been or are you now being: Evicted or asked or threatened to move-out? YES: __ NO:__. Broken a rental agreement or lease? YES:__ NO:__. Declared bankruptcy? YES:__ NO:__. Sued or threatened to be sued for nonpayment of rent or for damage to rental property above deposit amount and normal wear and tear? YES:__ NO:__.
    (2) Have you used a name or identity different than the one you listed above, if any (include all false names, nicknames and other SSNs)? YES:__ NO:__. If Yes, please list them all and dates of use: _____________________________________________________________. "You" below refers individually to Principal Applicant, Co-Applicant, and all others listed above under "OCCUPANTS":     (1) Have you used a residential property to manufacture, modify, store, sell, offer or distribute an illegal drug, explosive or any other illegal substance, material, device, product or service, or conducted any other illegal activity any of which is a felony offense? YES:__ NO:__.
    (2) Have you been or are you now being: Convicted of or successfully sued for a felony, act of violence or property damage? YES:__ NO:__. Arrested and charged or sued for any of the foregoing offenses where a trial or appeal is pending? YES:__ NO:__. Registered or required by law to register as a sexual predator or sex offender? YES:__ NO:__. Subjected of a warrant or court order seeking your arrest or questioning relevant to a felony, act of violence or property damage other than as an innocent witness? YES:__ NO:__.

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CONSENT: I/We (ie: Principal Applicant/Co-Applicant) hereby fully consent to permit the landlords/owners and their designated agents to obtain my/our credit and references information, occupancy history, employment history, and criminal history, if any (including confirming any and all information on this Rental Application Form) for the purpose of determining whether or not to enter into a lease agreement with me/us. Furthermore, I/we fully agree that if accepted, the landlords/owners shall have a continuing right to review my/our on this Rental Application Form and the Rental Agreement, as well as my/our occupancy, employment and criminal (if any) background histories. Furthermore, I/we fully understand and agree that providing false, fraudulent or misleading information, or if any of the information becomes false during the lease term, is grounds for denial of lease or termination of my/our right of occupancy. Furthermore, I/we fully understand and agree that neither John J. Williams nor Laurencia Williams, landlords/owners, nor their designated agents, heirs or assigns shall be liable to anyone for any claim, injury or damage consequent upon furnishing the information requested in this Rental Application Form or acting on it. Furthermore, I/we fully understand and agree that , if accepted, and if the landlords/owners permit me/us to keep an animal(s) or to operate a business on or from this property that their permission does not constitute any form of government permission or approval. Furthermore, I/we shall fully indemnify, hold free and harmless and defend the landlords/owners from any and all liabilities, judgments, damages, injuries, losses and costs that may result directly or indirectly from the animal(s) I/we permit on the property, from the business activities I/we conduct or permit from or on the property, from all losses and damages done to the property that exceed both normal wear and tear and my/our deposit, and from all intentional and negligent acts I/we do on the property. Furthermore, I/we assume full responsibility for all intentional and negligent acts committed on the property by ourselves and by all others (both human and animal) we permit to live or visit on the property. Furthermore, I /we fully understand and agree that nothing stated or possibly implied herein shall constitute an offer of employment, partnership, joint venture or other business relationship between me/us and the landlords/owners except that which normally exists between landlord/owner and tenant.

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ACKNOWLEDGMENT and QUALIFICATIONS: The landlords/owners do not have a duty to verify, and they neither represent or covenants that they will verify, the accuracy of the answers provided to the foregoing questions concerning prospective residents. Furthermore, the landlords/owners have no duty and expressly disclaim any obligation to perform a criminal, credit or any other background check on Principal Applicant and/or Co-Applicant for lease or continued occupancy purposes. The ability of the landlords/owners to run criminal background checks does not constitute any guarantee, assurance or representation that the Principal Applicant or Co-Applicant have no prior criminal record or background or that the landlords/owners have undertaken any effort verify the lack of criminal record or background of the Principal Applicant or Co-Applicant. If accepted, any inadequacy, omission or error that the landlords/owners may have in verifying any of the information provided in this Rental Application Form or in acting on or enforcing any provision of this Rental Application Form does not waive, diminish or forego any rights of the landlords/owners, including their right to verify this type of information or to act on or enforce any provision of this Rental Application Form and Rental Agreement Form in the future. By signing below, Principal Applicant and Co-Applicant represent that all of the data provided in this Rental Application Form is true and correct, the Principal Applicant and Co-Applicant understand that the landlords/owners heavily rely on this data and its accuracy and completeness as attested to by the Principal Applicant and Co-Applicant The landlords/owners expressly reserve the right to cancel any lease if Principal Applicant or Co-Applicant has made any false or misleading statements in this Rental Application Form without liability to them.

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MOISTURE AND MOLD: As with any property, there may be moisture and mold issues at the property in the future and your cooperation and coordination with the landlords/owners inspection processes and any necessary and appropriate corrective action may be required. Should you have any maintenance issues regarding moisture and/or mold growth, you must promptly report them to the landlords/owners so that they can be addressed promptly and properly by them.

LEAD PAINT ISSUES: By law, if the home is older than 1978, which this home is, the landlord/owner is required to provide the tenant with both a Lead-Based Paint Disclosure and the Government's "Protect Your Family From Lead in Your Home" EPA pamphlet prior to signing the Rental Agreement (this is the Rental Application Form - not the Rental Agreement Form). Landlords/owners have no knowledge of lead-based paint and/or lead-based paint hazards in this housing, and they have no reports or records pertaining to lead-based paint and/or lead-based paint hazards in this housing. The Disclosure and Pamphlet state that lead paint, lead paint chips, and lead paint dust can pose health hazards if not managed properly, and that lead exposure is especially harmful to young children and pregnant women.

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RENTING OR LEASING TO OTHERS NOT PERMITTED: If accepted, I/we fully agree that I/we shall neither rent nor lease all or any part of this real estate property to anyone. This does not mean that other family members cannot live with you, but that you must immediately and accurately disclose them to the landlords/owners in writing, you cannot charge them rent to live with you, you must be living in the home during the entire lease period, and the total number of people living in the home cannot exceed the maximum occupancy at any time.

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NONSMOKING HOME: If accepted, I/we fully agree that I/we shall neither smoke inside this home nor permit anyone else to smoke inside this home.

________________________________	________________________________	____________
Principal Applicant (sign)	Principal Applicant (print name)	Date
________________________________	________________________________	____________
Co-Applicant (sign)	Co-Applicant (print name)	Date

________________________________	________________________________	____________
Landlord/Owner (sign)	Landlord/Owner (print name)	Date
________________________________	________________________________	____________
Landlord/Owner (sign)	Landlord/Owner (print name)	Date

By signing this Form, each Applicant attests that he/she has read, understood and accepted without qualification all 3 pages of this 3-page Form, and he/she gives landlords/owners full permission to obtain his/her/their credit report and all other background histories as described herein. Along with this properly signed and dated Form (include all additional attachments you need to include with this Form), each Applicant must also provide a clear unredacted photocopy of his/her current driver's license (if Applicant does not have driver's license, clear unredacted copy of other official picture ID will do). Landlords/owners confirm that the above is the genuine written permission of the above applicants. Landlords/owners understand it is a violation of the Federal Fair Credit Reporting Act to obtain a credit report on any person without their written permission or legitimate business purpose, which landlords/owners can document with this signed and dated form. Landlords/owners can obtain credit reports on anyone, but only with their written permission or other proof that landlords/owners are in compliance with the Fair Credit Reporting Act. If landlords/owners turn down an applicant based on his or her credit, he or she is entitled to know why and get the name of the credit reporting agency.

Standard Disclosure: FEDERAL FAIR CREDIT REPORTING ACT IMPOSES CRIMINAL PENALTIES OF UP TO $5,000 AND A YEAR IN PRISON AGAINST ANYONE WHO KNOWINGLY AND WILLFULLY OBTAINS INFORMATION FROM A CONSUMER REPORTING AGENCY UNDER FALSE PRETENSES.