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Property will be shown and made available to all persons without regard to race, color, creed, religion, national origin, sex, familial status, handicap, or elderliness in compliance with all applicable federal and state and local fair housing laws and regulations.
The Applicant named below hereby makes application to Matchbox Realty & Management Services, Inc. (Management) as managing agent for the owner of the property located in the City of Harrisonburg, Rockingham County, City of Staunton or Augusta County, Virginia and described as:
A nonrefundable application fee of $30.00 shall accompany this application.
Please complete the entire application - If a field does not apply to you please type N/A
Real Estate licensees in Virginia who have entered into brokerage relationships are required by law to make prompt written disclosure of those brokerage relationships to those they work with, but do not represent in the real estate transaction. The undersigned do hereby acknowledge that Matchbox Realty & Management Services, Inc. represents the Owner in this transaction.
Applicant should exercise whatever due diligence applicant deems necessary with respect to information on any sexual offenders registered under Chapter 23 (sec. 19.2 – 387 et seq.) of Title 19. Such information may be obtained by contacting your local police department or the Department of State Police, Central Records Exchange at (804-674-2000).
The Applicant hereby certifies that the information contained in this Application is true and correct to the best of Applicant’s knowledge and belief. Applicant hereby authorizes Management to conduct a credit check on Applicant and an appropriate background check to verify information provided herein by Applicant for approval or rejection of this Application.
I have read and understand the terms and conditions of this Application for Lease. This application is separate from any lease agreement.
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