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APPLICATION |
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PERSONAL INFORMATION
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Date_______
Name of Applicant__________________________________________ Telephone________________
Social Sec. ______________________
Driver's License No.__________________________
Present Address______________________________________________
City______________________State___________ Zip Code__________
Prior Address_________________________________________________
City_____________________ State___________ Zip Code___________
How long have you been at your present address?___________
Prior address?_____________________
Name of Landlord____________________________________ Telephone________________________
Birth Date________
How many in your family? Adults_____ Children_____ Pets_____
Employer________________________________________ Position_______________________
How Long?__________ Telephone____________________________________
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SPOUSE INFORMATION
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Name________________________
Birth Date_______
Social Sec. No._____________________________
Driver's License No.__________________________ Employer__________________________________
Position____________________________________
How Long?_____Telephone___________________
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BANK INFORMATION
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Bank
Name__________________________ Telephone_____________________
Address__________________________________________________________
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ADDITIONAL PERSONAL REFERENCES
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NAME
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RELATIONSHIP
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TELEPHONE
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_____________ |
________________ |
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________________ |
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OTHER INFORMATION
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Vehicles:
Make/Model___________________Year_____Color_____
Tag No.____________State________ Make/Model___________________Year_____Color_____
Tag No.____________State________
Have you ever Filed for Bankruptcy YES/NO
If yes, when?__________________.Have you ever been served an
eviction notice or been asked to vacate a property you were
renting? YES/NO have you ever willfully or intentionally
refused to pay rent when due? YES/NO If yes, when?_____________
How were you referred to us?
Newspaper (name)_____________________ Realtor _________________
Other_____________
Rental Unit Applied For______________________________________
Commencement Date_____Term_________Rent/Month__________
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