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APPLICANT INFO

RENTAL HISTORY (Verifiable, no relatives)

CURRENT RESIDENCE

PREVIOUS RESIDENCE

EMPLOYMENT HISTORY

Current Employer

PREVIOUS EMPLOYER

Previous Employer

CREDIT HISTORY

Checking Account Bank/Institution Balance on deposit or balanced owed:

Savings Account Bank/Institution Balance on deposit or balanced owed:

Credit Card Bank/Institution Balance on deposit or balanced owed:

Auto Bank/Institution Balance on deposit or balanced owed:

Additional Debt Bank/Institution Balance on deposit or balanced owed:

References (no relatives)

GENERAL INFORMATION

Have you ever been evicted, late or delinquent on rent? yesno

Have you ever been a party to a lawsuit? yesno

Do you smoke? yesno

Do you have any pets? yesno

If yes, list type, breed, weight, age, inside or outside? yesno

If yes to any of the above, please explain why:yesno

Rental Application fee: $20.00 per person over 18. Paid yesno

AGREEMENT AUTHORIZATION

By sending this application, I verify that the statements in this application are true and correct. I authorize the use of the information and contacts provided to complete a credit, reference and/or background check. I understand that false or lack of information may result in the rejection of this application.

If no verifiable rental history, first and last months’ rent due upon taking possession.

NO EXCEPTIONS, PLEASE DO NOT ASK.

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