Hossam Zekry

Zip I hereby authorize Complete Screening, Inc, its employees and agents, to take any and all actions necessary to verify the contents of this application. I understand that such actions may include but are not limited to, a credit report, verification of employment, past rental history, police and criminal records. I will hold Complete Screening, Inc., its employees and agents harmless from liability for the accurate reporting of such information to the management and/or owners. I certify that all information provided by me is true, correct, and complete and I understand that any misrepresentation or omission is cause for the management and/or owners to reject or decline this application and/or terminate any lease based on this application. IMPORTANT NOTICE: It is understood and agreed that the security deposit will be FORFEITED if I/we cancel this application after 48 hours of signing. Zip Code NOIn connection with my application for a rental/lease (the "Landlord") may request background records on me from Complete Screening Inc (CSI). I understand that these reports may include social security trace, credit bureau reports, criminal background searches, department of motor vehicle records, sex offender registries and other governmental public record sources. By signing below I give my consent and authorization to this landlord and any agency contacted in connection with this application to obtain the investigative reports as listed above. I release and hold harmless any individual, corporation, or private or public entity from any and all causes of action that might arise from furnishing to the Landlord and/or Complete Screening Inc information that they may request pursuant to this release. A photo or faxed copy of this release will act as the original and shall be valid for this and any future reports or updates that may be requested by the Landlord in connection with my application.

• Today's Date
• PERSONAL
• RESIDENCE
• EMPLOYMENT
• GENERAL INFORMATION
• 915 Brown Dr A4 MurfreesboroMurfree
• Applicant's Name Hossam Zekry
• Social Security No.
• Co-Applicant's Name
• Social Security No.
• Names, ages and relationship of anyone else who will occupy the apartment:
• No
• () Rent () Own () Live with family or friend () Other
• Apartment or Landlord's Name:
• Apartment or Landlord's Phone:
• Former Address
• Applicant's Employer
• Employer's Address/Location.

• If so, where did the arrest/conviction take place? Please provide details regarding the arrest and/or conviction: Yes No
• Rent () Own () Live with family or friend () Other_ Apartment or Landlord's Name: Apartment or Landlord's Phone: Co-Applicant's Employer.
• Address/Location, Position Held