DEPOSIT RECEIPT

[Pages:1]7853 E ArapahBouesinCeosusr:t(,3S0u3it)e417210-408,8C5en/teDnnirieacltC: O(30830)141271-4886 / Fax: (303) 327-7214 Business: (303) 471-4885 / Direct: (303) 471-4886 / Fax: (303) 327-7214

DEPOSIT RECEIPT

FROM:______________________________________________________________________________________ Prospective Tenant.

Premier Realty, LLC, a Colorado limited liability company (Lessor), is accepting $

, in the form of

____________________________________, which is being held as earnest money to hold the premises known as:

(Street Address)

, in

in the

* County of

, State of Colorado.

Prospective Tenant(s) agree that the rental price being quoted and agreed to is $__________.

Prospective Tenant(s) further agree that if Tenant(s) have pet(s), only the pets mentioned in the Rental Application may be accepted by Lessor, and a non-refundable pet fee of $_________along with a signed Pet Rider will be used to grant Tenant(s) the right to keep pet(s) on the premises.

The Lessor hereby warrants that the above named property is being held by the also named prospective Tenant(s), for rental and / or other purposes, by the above-specified tender. This receipt of deposit in no way guarantees the below signors a Tenancy Agreement until proper credit / criminal and verification of employment have been established. The property may still be shown to other Prospective Tenants, but notice of any such Deposit being held must be disclosed hereafter. After credit approval, this Deposit will be applied toward the Security Deposit, minus the $25.00 cost of completing a credit check. A credit check can be completed on all non-minor applicants in which residency is being applied for. If for any reason credit is denied, this Deposit will be refunded minus the $25.00 cost of the completed credit check(s).

If a credit check(s) is completed and credit is granted, but the undersigned changes their mind(s), the Deposit paid and accounted for within this Receipt will be kept by Lessor as payment for holding the said property named herein.

LESSOR: Premier Realty, LLC, a Colorado limited liability company

by: _______________________ its: Manager or Agent of the Manager

PROSPECTIVE TENANT:

Dated

Prospective Tenant

Dated

Prospective Tenant

Dated

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