Rental Application Refund Request Form

1. Applicant Information

Full Legal Name *

Primary Phone Number *

Email Address *

Online User / Reference ID (Optional)

2. Transaction & Payment Information

Type of Payment Made *

Rental Application Fee (Screening / Processing) Holding Deposit / Security Deposit Platform Service / Listing Access Fee

Transaction / Receipt ID *

Amount Paid ($) *

Payment Method *

Payment Date *

3. Reason for Refund Request

Primary Reason *

Property Unavailable (Leased or withdrawn before processing) Duplicate Charge (Billed multiple times for same application) System Error / Technical Glitch during checkout Canceled within allowable cancellation window Other / Special Circumstances

Detailed Explanation *

4. Supporting Documentation

Select Included Documents:

Proof of Payment / Bank or Transaction Receipt Copy of Application Submission Confirmation Written Communication with Landlord / Property Manager

Upload File(s)

5. Terms & Acknowledgment

Notice on Processing & Policy: Standard application screening and background check fees are typically non-refundable once verification has commenced. Approved refunds are returned directly to the original method of payment within 5 to 10 business days.

Applicant Full Name (Digital Signature) *

Date *

I certify that the information provided above is true and accurate.

Rental Application & Fee Refund Request