DISCLOSURE AND AUTHORIZATION FOR CONSUMER REPORTS

In connection with my application to rent a dwelling with Station 19 Apartments, further known as ("Company"). I understand consumer reports will be requested by ACUTRAQ Background Screening. These reports may include, as allowed by law, the following types of information, as applicable: names and dates of current and previous employers, reason for termination of employment, work experience, names and dates of current and previous tenancy, reasons for termination of tenancy, credit, etc. I further understand that such reports may contain public record information such as, but not limited to: judgments, bankruptcy proceedings, evictions, criminal records, etc., from federal, state, and other agencies that maintain such records.

In addition, investigative consumer reports (gathered from personal interviews, as applicable, with current and former employers and/or landlords, past or current neighbors and associates of mine, etc.) to gather information regarding my work or tenant performance, character, general reputation and personal characteristics, and mode of living (lifestyle) may be obtained.

I understand that the Company can use this disclosure and authorization to continue to obtain such consumer reports throughout my lease period.

Authorization
I hereby authorize procurement of consumer report(s) and/or investigative consumer report(s) by Company. This authorization shall remain on file and shall serve as ongoing authorization for the Company to procure such reports at any time during my lease period. I authorize without, reservation, any person, business or agency contacted by ACUTRAQ Background Screening, to furnish the above-mentioned information.

Summary of Rights: This authorization is conditioned upon the following representations of my rights:
I understand that I have the right to make a request to the consumer reporting agency: ACUTRAQ Background Screening, P.O. Box 766 Elkins, Arkansas, 479-439-9174, upon proper identification, to obtain copies of any reports furnished to the Company by ACUTRAQ Background Screening and to request the nature and substance of all information in its files on me at the time of my request, including the sources of information, and ACUTRAQ Background Screening, on Company's behalf, will provide a complete and accurate disclosure of the nature and scope of the investigation covered by any investigative consumer report(s). ACUTRAQ Background Screening will also disclose the recipients of any such reports on me which the ACUTRAQ Background Screening has previously furnished within one year preceding my request (California three years). I hereby consent to Company obtaining the above information from the ACUTRAQ Background Screening. I understand that I can dispute, at any time, any information that is inaccurate in any type of report with the ACUTRAQ Background Screening. I may view the ACUTRAQ Background Screening's privacy policy at their website: www.ACUTRAQ.com

By choosing "I Agree" and continuing to the application, you acknowledge that you have read and understand ALL of the above information.

There is a $50.00 fee for each application plus an additional $200.00 administration fee.

Applications will ONLY be considered with receipt of both the application and the administration fee.

Please Note: IF YOU ARE USING THE ZEGO/PAYLEASE PAYMENT PORTAL TO RENT AN APARTMENT:

You are requesting we hold either an apartment unit, or to be placed on our waiting list. 1) Upon execution of the lease, the above amounts will be applied to the fees required under the lease agreement. 2) If you notify us within 48 hours of the date/time timestamped by Zego/Paylease of your decision not to lease the apartment, or if your application for residency is declined, you will forfeit the application fee but will be entitled to a refund of the non-refundable fee. 3) If neither 1 nor 2 above occur, all amounts noted herein will be considered liquidated damages and I will forfeit all claims for a refund of said amount.

Please choose "I Agree" to continue to the application.