Deposit Form Deposit Form Name of Client*Address of Rental*Price of Room*Contact Number*Email Address* Preferred way to contact if urgent* Email Phone Call SMS Agent*Payment OptionsPayment is accepted via Zelle to firstname.lastname@example.org, or via debit/credit card. If payment is made through credit card, there will be a $10.00 convenience fee. If you paid via venmo, please attach screenshot of payment below. Choose One of the following Options*Already Paid via ZelleWould like to Pay OnlineProcessing payment in officePlease attach Proof of Payment via Venmo (2MB limit)* Drop files here or Attach screenshot of payment via venmoGood Faith Deposit* Price: $510.00 A $10.00 convenience fee is added for online payments. This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Paying via:*Debit CardCashCredit CardCertified checksPersonal checks (if approved by management)Processed by:* First Last Date* Date Format: MM slash DD slash YYYY Deposit Agreement*I hereby certify, that the above-referenced information and documents are true and accurate to the best of my knowledge. The applicant understands that all information will be verified and credit bureau reports completed, of which the contents will be shared with the landlord. Until the landlord has approved the application, no tenancy has been created and you have no rights to this landlord. The rental agent has no power to make any representations as to whether or not this application has been approved or denied by the landlord. If denied, applicants sole remedy shall be the return of any deposits made here under, not including the $20 application fee for applicant and guarantor. PLEASE BE ADVISED THAT THE GOOD FAITH DEPOSIT IS ONLY REFUNDABLE IF THE APPLICATION IS EXPLICITLY DENIED BY THE LANDLORD OR LANDLORD'S MANAGING AGENT. ACCORDINGLY, THE GOOD FAITH DEPOSIT IS NON-REFUNDABLE IF THE APPLICANT IS ACCEPTED AND APPLICANT DECLINES TO MOVE FORWARD WITH LEASING THE APARTMENT. Any person signing on behalf of an applicant warrants and represents that said person and has the authority to sign on behalf of such applicant. The undersigned warrants and represents that all statements contained in this application are true, and recognized that the landlord will execute a lease reliance upon the truthfulness thereof. Applicant agrees to execute a Standard Apartment Lease, as from time revised, and on the terms and conditions contained herein. Any deposit made by applicant, up to one month’s rent, may be retained by landlord as liquidated damages for failure of applicant to execute such lease, make any payment here under, or if such lease is terminated prior to occupancy for the untruth of any statement contained herein. BROKER FEE IS NON-REFUNDABLE UNDER ANY CIRCUMSTANCE, the application fee of $20 is to run your credit and to process your files. There is a 25% broker's fee that will be taken from your good faith deposit upon approval, and the remainder of the good faith will be given to the landlord toward your security. YOUR GOOD FAITH DEPOSIT IS ONLY REFUNDED IF YOU GET DENIED FOR SAID APARTMENT YOU ARE APPLYING FOR. DEPOSIT IS NOT REFUNDED IF YOU DECIDE TO BACKOUT UNDER ANY CIRCUMSTANCE. All refunds must be requested within 60 days from the date you are denied for the apartment, after 60 days the deposit will be forfeited. View Terms and Conditions: http://gypsy.house/terms-and-conditions/.... ► BY SIGNING THIS DOCUMENT YOU AGREE TO THE ABOVE REFERENCE TERMS AND CONDITIONS.