I/We understand this application does not constitute an agreement on the part of The Lighthouse Supported Living Inc. to provide me/us with accommodation.
I/We hereby authorize The Lighthouse Supported Living Inc. to investigate any or all of the
statements made herein being fully aware that discovery of any false statements shall
cancel further consideration of my/our application.
I/We further acknowledge the right of The Lighthouse Supported Living Inc. at anytime prior to the
execution of a tenant agreement to withdraw, revoke or cancel, without penalty or liability for
damages or otherwise, any acceptance or approval of this application made or given.
I/We acknowledge and hereby authorize The Lighthouse Supported Living Inc. to investigate and/or
make any inquiries regarding references from past to present landlords, employers and those
personal references identified on this application.
I/We acknowledge that this application becomes the property of The Lighthouse Supported Living Inc.
upon delivery to it or its agent.
I/We agree and consent that credit/reference inquiries may be made and credit/reference reports
obtained and/or prepared at anytime in connection with the housing hereby applied for.
I/We hereby declare the information provided on this application is true, correct, and complete.