Home Share Application
Home Share Application

By accessing this page, you have chosen to print the application instead of completing it online. Please provide your social security number (SSN) and driver's license number (DLN) below, and ignore Step 5 on the "Application Process" page, and the "Sending SSN/DLN" page. This application will print on an 8.5" x 11" single-sided sheet of paper, with a "portrait" orientation. IF necessary, reduce to 99% or less in order to fit all text on the printed page, select "print page 1 of 1", but DO NOT set "Shrink to Fit Page Width". ALL FIELDS ARE REQUIRED unless non-applicable.
signature
date
print name
Full Name (first, "nickname", middle, last)
Primary eMail Address
Female
Male
Transgendered
Sex
Primary Contact Number
Cell Number (if different)
Birthdate
Driver's License Number (DLN)
DLN Issuing State / Province
Social Security Number (SSN)
Vehicle Make / Model
License Plate Number
State / Province of Registration
No
Yes
Are you a US citizen?
IF you are a student, check all that apply
Full-time student
Part-time student
Are you under age 18?
I get financial aid
I am on work-study
I have a job
Employer Company Name
No
Yes
If "no" what country?
If so, are you emancipated?
No
Yes
Do you smoke?
No
Yes
Yes, but only outside
Yes, but only socially
Current or Last Street Address
City of Current or Last Address
County
State / Province & Zip / P-Code
-
Lived at This Address From - To
Deposit Amt.
Monthly Rent
Was the deposit refunded?
Yes, part of it
Yes, all of it
No
Not yet
Reason For Moving
Previous Street Address
City of Previous Address
County
State / Province & Zip / P-Code
-
Lived at This Address From - To
Deposit Amt.
Monthly Rent
Was the deposit refunded?
Yes, part of it
Yes, all of it
No
Not yet
Reason For Moving
No
Do you have a pet or trained service animal that will live w/ you?
Yes
As defined by State law (RCW 70.84.020, and .021) is your dog a "trained service animal" required because of a disability?
No
Yes
Type(s) of Pet(s)
How many of each?
Is your dog a "companion animal"?
Appx. Weight(s) of Dog(s)
No
Yes
Have you ever been convicted of a crime?
No
If "yes" select all that apply
Property crime
Traffic related
Finance/credit/insurance crime
Violence against person(s)
Gross Misdemeanor
Misdemeanor
Felony
Yes
What type of crime(s) (check all that apply)
Drug related
Gang related
Animal cruelty or neglect
Animal fighting or transport
What type of arrangement do you want?
ONE person w/ washer/dryer
ONE person NO washer/dryer
TWO people w/ washer/dryer
TWO people NO washer/dryer
Month-to-month
Check to indicate that you understand each statement
I am not legally obligated to sign the Home Share Agreement unless and until I accept a formal offer
My application fee is credited towards the security deposit if I accept a formal offer
My application fee will be forfeited if I accept a formal offer, but fail to sign the Home Share Agreement
I will have the opportunity to decline any formal offer, without further legal obligation
The information I provide is kept confidential
If I provide false information, my application will be denied
This home is NOT allergen-free. Pets have, and do live here
There is a pet deposit required (if applicable), except for service animals
Large and/or noisy parties are NOT allowed, visitor numbers are restricted
Firearms and explosives are not permitted
Are the Authorization to Collect Personal Information / Good Faith Agreement enclosed?
No
Yes
How are you sending the application fee?
Enclosed herein
USPS
UPS
FedEX
PayPal
By my signature below I hereby affirm that all information I have provided on this form is correct and true to the best of my knowledge.
< Return to "Application" page
Each person must fill out a separate application (two applications can be printed, back-to-back).