This will acknowledge receipt of the sum of $ _____ by _____________________ (“Landlord”) from_____________________ (“Applicant”) as a holding deposit to hold vacant the rental property at _____________________, until _____________________ at _____________________. The property will be rented to Applicant on a _____________________ basis at a rent of $_____per month, if Applicant signs Landlord's written _____________________and pays Landlord the first month's rent and a $ _____ security deposit on or before that date, in which event the holding deposit will be applied to the first month's rent.
This Agreement depends upon Landlord receiving a satisfactory report of Applicant's references and credit history. Landlord and Applicant agree that if Applicant fails to sign the Agreement and pay the remaining rent and security deposit, Landlord may retain of this holding deposit a sum equal to the prorated daily rent of $ ____per day plus a $ ____charge to compensate Landlord for the inconvenience.
Date ____________________
Applicant __________________
Date ____________________
Landlord __________________