Applicant has herewith, or will within 30 days deposit the sum of $30, receipt of which is hereby acknowledged as a non-interest bearing deposit, and not as a rental payment. Provided, however, that in the event the application is approved, and applicant fails or refuses to enter into the contemplated lease with the owner, then applicant agrees to forfeit the said deposit as liquidated damages to cover the cost of taking and of processing this application, reservation and preparation of the apartment, and the loss of rental income to owners. If, however, in the event this lease agreement is not consummated, is disapproved or for any other reason for which owner is responsible, the deposit will be returned to applicant. This application is made with the understanding that it is subject to acceptance by the owner and subject to execution by said company and delivery of a lease covering said premises. No other persons than those listed will be authorized to occupy this apartment without the consent of the owner and an appropriate adjustment in the rent. Keys will not be given until lease is signed, rent & security deposit is paid, all applicable utilities are in tenant’s name and apartment is ready for occupancy. The undersigned represents that all information statements are true and complete, and does authorize verification of information and references given. If any of the answers are found to be deliberately incorrect, any rental agreement becomes void and will be sufficient reason for eviction and loss of security deposit. The undersigned also authorizes verification of credit history and criminal records.