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RESIDENTIAL RENTAL APPLICATION

Equal Housing Oppertunity

Application Date: *
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APPLICANT INFORMATION

LEGAL NAME OF APPLICANT FIRST *
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Last *
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MIDDLE *
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SS# *
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Date Of Birth *
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CURRENT ADDRESS *
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CITY *
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STATE AND ZIP *
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OCCUPATION And Full or Part Time *
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YEARLY INCOME *
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HOME PHONE
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CELL PHONE *
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EMPLOYER *
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EMPLOYER ADDRESS
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LENGTH OF EMPLOYMENT
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IN CASE OF EMERGENCY NOTIFY *
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CURRENT LANDLORD *
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LANDLORD PHONE *
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LEASE EXPIRATION DATE
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CURRENT RENT
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DO YOU OR ANYONE WHO WILL TAKE RESIDENCE HERE SMOKE? *
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DO YOU HAVE PETS? *
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HOW MANY, WHAT KIND, AND SIZE? *
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CO - APPLICANT INFORMATION

Is there a CO-Applicant? *
  • - select a option -
  • Yes
  • No
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APPLICANT INFORMATION

LEGAL NAME OF APPLICANT FIRST *
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Last *
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MIDDLE *
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SS# *
Field is required!
Date Of Birth *
Field is required!
CURRENT ADDRESS *
Field is required!
CITY *
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STATE AND ZIP *
Field is required!
OCCUPATION And Full or Part Time *
Field is required!
YEARLY INCOME *
Field is required!
HOME PHONE
Field is required!
CELL PHONE *
Field is required!
EMPLOYER *
Field is required!
EMPLOYER ADDRESS
Field is required!
LENGTH OF EMPLOYMENT
Field is required!
IN CASE OF EMERGENCY NOTIFY *
Field is required!
CURRENT LANDLORD *
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LANDLORD PHONE *
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LEASE EXPIRATION DATE
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CURRENT RENT
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DO YOU OR ANYONE WHO WILL TAKE RESIDENCE HERE SMOKE? *
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DO YOU HAVE PETS? *
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HOW MANY, WHAT KIND, AND SIZE? *
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References

APPLICANT’S REFERENCES (OTHER THAN RELATIVES)

Name
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Phone Number
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Address
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Relationship
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APPLICANT’S REFERENCES (OTHER THAN RELATIVES)

Name
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Phone Number
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Address
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Relationship
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APPLICANT’S BANK REFERENCES

Bank
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Credit
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YOUR CREDIT HISTORY

Have you declared bankruptcy the past seven (7) years? *
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Have you ever been evicted from a rental residence? *
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Have you had two or more late rental payments in the past year? *
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ADDITIONAL SOURCES OF INCOME

If you have other sources of income for us to consider, please list income, source, and person (banker, employer, etc who we may contact. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.
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ADDITIONAL INFORMATION:

Please give us any additional information that might help the owner/management to evaluate your application.
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NOTICES:

I/We hereby warrant that all representations set forth above are true. To verify the above statements, I/We direct those persons named in this application to ask questions about me or us. I/We waive all rights of actions for consequences as a result of such information. I/We agree and authorize and give permission to the management company , owner or servicing company to perform a credit on me/us.
I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living as permitted by state law.

AUTHORIZATION

Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner, manager, brokerage, finder, agent or leasing company
Name *
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Signature
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Date *
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