Contact Rush Realty Today 720-236-9580 1912 S. University Blvd. #106
Denver, Colorado 80210

Application

Please fill in all of the fields below. If a required field doesn’t apply in your circumstances, please enter/select “N/A” where available.

Each adult 18 years of age or older who will reside in the property must fill out a separate application. Please send a copy of your driver’s license or other government-issued photo ID, plus verification of income to “info@rushrealty.com”. You also must complete your application by visiting https://rushrealty.petscreening.com/ and filling out a pet / animal questionnaire (even if you don’t have pets). Your application can only be approved conditionally until the PetScreening process is complete. Let us know if you have questions.

Online Application Form

How did you hear about us?

Which property are you applying for?

Type of unit preferred:

Preferred move-in date (mm/dd):

GENERAL INFORMATION

All fields marked with an asterisk (*) are required. If a field doesn't apply in your circumstance, please enter "N/A." Your application information will be transferred securely.

First Name

Middle Name

N/A

Last Name

Date of Birth (mm/dd/yyyy)

Social Security Number

N/A

Mobile or Primary Phone

Alternate Phone

N/A

Alternate Email

N/A

RENTAL HISTORY

CURRENT or MOST RECENT ADDRESS

Apt #

N/A

City

State

Zip

Number of Occupants

Rent or Mortgage?

Rent Mortgage

Rent/Mortgage $

Reason Leaving

Since (mm/yyyy)

EMPLOYMENT & INCOME INFORMATION

Are you employed?

Yes No

Other Income $/mo

N/A

Other Income Source

N/A

Gross Income Last Year from All Sources

If you do not meet the income requirements, you will need to provide evidence that you have at least six months of rent available in a liquid account. Please ask for details.

MOTOR VEHICLE/LICENSE INFORMATION

Driver's license #

N/A

State

Is your drivers license valid?

Yes No N/A

Any outstanding traffic tickets?

Yes No

How many vehicles do you own?

0 1 2

Is your vehicle properly registered?

Yes No N/A

ANIMALS

Do you have animal(s)?

Yes No

EMERGENCY CONTACTS

Contact #1

Name

Phone

Relationship

Address

Apt #

N/A

City

State

Zip

Contact #2

Name

Phone

Relationship

ADDITIONAL BACKGROUND INFORMATION

Do you require any special accommodations?

Yes No

Do you smoke inside?

Yes No

Do you smoke outside?

Yes No

Do you use cannabis products in any form?

Yes No

(Please note that most properties do not allow smoking anywhere on the premises. Please ask for details.)

In the past 7 years, has the applicant:

filed bankruptcy?

Yes No

been foreclosed upon?

Yes No

Has the applicant ever:

received a demand for payment of rent?

Yes No

been evicted?

Yes No

forfeited any security deposit?

Yes No

Has applicant or proposed occupant:

ever committed, confessed to, or been convicted of a felony?

Yes No

ever committed a non-traffic misdemeanor?

Yes No

been convicted of the use, sale, possession, manufacture or distribution of a controlled substance?

Yes No

had any history of loud, offensive, disorderly, criminal, violent, dangerous or destructive behavior?

Yes No

If yes to misdemeanor, felony or criminal questions, please explain:

N/A

Is applicant, or any proposed occupant:

a current, illegal user of, or addicted to, a controlled substance?

Yes No

wanted by the police or other authorities?

Yes No

being sought for payment of unpaid rent, other bill or debt?

Yes No

Does applicant or any proposed occupant: have any outstanding judgments, lawsuits, bankruptcy, warrants or charges pending?

Yes No

Would the presence of applicant, animal or any proposed occupant endanger the health or safety of others?

Yes No

Other Occupants

Each person 18 years or older who will reside in the apartment must fill out a separate application. There are maximum occupancy limits for each property - please ask for details.

Please list the name, date of birth and relationship of each additional proposed occupant.

Full Name	Date of Birth	Relationship to Applicant	Smoker?
			Yes No
			Yes No
			Yes No

TERMS AND AGREEMENT

(This is a binding legal agreement. Please read carefully before signing.)

If the applicant and Owner/Property Manager (“Manager”) enter into a rental contract, this application becomes part of the rental contract.
If applicant becomes a Resident, Resident agrees to report to Manager promptly any changes to this information, and to promptly supply any missing information or copies of the required supporting documents.
Manager may cancel this application and/or any rental contract entered into with applicant due to any omission, misstatement, falsification, or error or any failure by applicant to report to Manager any missing or changed facts. Applicant’s references (employers, landlords, etc.,) must respond to Manager’s request for information within 24 hours of such request, or Manager may cancel this application.
Applicant has attached or made arrangements to pay an application fee of $30 (required from each potential adult tenant) and understands that Manager will conduct a credit and/or background/criminal history check of each potential tenant. This fee is not refundable.
All signing parties below certify they are at least age 18.
Manager reserves the right to reject this application for any reason.
Applicant releases owner from any liability or claim for damages related to this application. Applicant authorizes any person or firm such as owner, agent, creditors, employers, landlords, agencies, etc. to release information about applicant at any time without liability.
If applicable, Co-Signer guarantees and agrees to be held legally responsible for Applicant's payment of all amounts due and shall submit a separate Application, pay a separate application fee, and be required to pay a co-deposit if Applicant is accepted.

Applicant has read, understands and agrees to all terms and conditions, certifies that all information is TRUE and CORRECT, and authorizes owner and agents to check applicant’s credit, employment, rental, character, mode of living, driving, motor vehicle and criminal histories and all public records. Applicant authorizes Manager to re-check such information at any time needed in the future. Information provided will be relied upon to help determine your financial condition, history and ability to pay. Issuing a false financial statement is a criminal offense, punishable under Colorado law, CRS 18-5-209.

Applicant's Signature

By typing your name in the field above, you are verifying your electronic signature. If you prefer, you may print and sign a paper version.

Signed Date

BROKER DISCLOSURE

Different Brokerage Relationships are available,which include Seller Agency, Subagency, Buyer Agency or Transaction Broker. Rush Realty and its agents are working with you as a Landlord’s agent. We are an agent for the Owner, not your agent. We owe duties to the Owner,which include utmost good faith, loyalty and fidelity. We will negotiate on behalf of and act as an advocate for the Owner. Please do not tell us any information that you do not want shared with the Owner. You are not vicariously liable (legally responsible) for our actions. Although we do not represent you, we will disclose to you all adverse material facts about the property actually known by us. We will assist you without regard to race, creed, sex, religion, national origin, familial status, marital status, disability or sexual preference, as applicable by law.

I have read and understand the above broker disclosure.

Yes

Applicant's Signature /s/

By typing your name in the field above, you are verifying your electronic signature. If you prefer, you may print and sign a paper version.

Signed Date

Upon submiting this form, you will have the opportunity to pay online.

© 2024
Rush Realty
1912 S. University Blvd. #106, Denver, Colorado 80210
720-236-9580