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RENTAL APPLICATION
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First
Middle
Last
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Birth
Date
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Social
Security
#
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Driver’s
License
#
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All Other
Proposed
Occupants
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Birth
Date
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Relationship To
Applicant
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RENTAL/RESIDENCE
HISTORY
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Current
Residence
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Previous
Residence
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Prior
Residence
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Street
Address
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City
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State
&
Zip
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Last Rent
Amount
Paid
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Owner/Manager
&
Phone
Number
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Is/Was
rent paid in
full?
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Did you
give
notice?
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Were you
asked to
move?
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Name(s) in
which you
Utilities
are now
billed:
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From/To
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From/To
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From/To
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Dates of
Residency
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EMPLOYMENT
HISTORY
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Current
Employment
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Previous
Employment
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Prior
Employment
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Employed
By
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Address
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Employer’s
Phone
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Occupation
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Name of
supervisor
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Monthly
Gross
Pay
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From/To
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From/To
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From/To
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Dates of
Employment
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CREDIT
HISTORY
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Bank/Institution
Name
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Balance On
Deposit or Balance
Owed
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Savings
Account
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Checking
Account
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Credit
Card
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Auto
Loan
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VEHICLES(Include
vehicles belonging to other proposed occupants
also)
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Make
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Model
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Color
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Year
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License
Plate
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REFERENCES & EMERGENCY
CONTACTS
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Doctor
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Lawyer
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Nearest
Relative Living
Elsewhere
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Name
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Street
Address
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City
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State
&
Zip
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Phone
Number
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By signing the application
you grant us permission to communicate with all
the contacts listed in this section in the
event we can’t locate you. Furthermore, if you
abandon the apartment for any reason then you
grant us permission to allow your relative
listed above to remove all contents of the
dwelling on your
behalf.
GENERAL
INFORMATION
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Have you
ever been served a
late
rent
notice?
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Do any of
the people who would
be
living in
the apartment
smoke?
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How long
do you think you
would
be renting
from
us?
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Have you
ever filed for
bankruptcy?
If so,
when?
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When would
you be able to move
in?
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Have you
ever been convicted of
a
felony?
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Have you
ever been served an eviction
notice?
If so,
when?
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How many
pets do you
have
(list
Type, Breed, approx Weight
&
Age)?
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Have you
had any reoccurring problems
with your current apartment or
landlord? If yes, please
explain:
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Why are
you moving from your current
address?
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List any
verifiable sources and amounts
of income you wish to have
considered
(optional):
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If you
were to run into financial
difficulty in the future and
couldn’t come up with the money
to pay the rent, do you know
someone that would loan you the
money? If so, provide the
person’s name, address, &
phone # so that we can use them
as a reference for
you.
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Have you
been a party to a lawsuit in
the past? If yes, please
explain
why:
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We may run
a credit check and a criminal
background check. Is there
anything negative we will find
that you want to comment
on?
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How did
you hear about this
apartment?
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Do you
have an e-mail address we can
reach you
at?
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Do you
know of anybody else looking
for an apartment? Please
provide their name and number.
If you refer a friend and you
each end up renting separate
apartments from us then we will
pay you a referral
reward.
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Agreement &
Authorization
Signature
I believe that the
statements I have made are true and correct. I
hereby authorize a credit and background check
to be made, verification of information I
provided and communication with any and all
names listed on this application. I understand
that any discrepancy or lack of information may
result in the rejection of this application. I
understand this is an application for an
apartment and does not constitute a rental or
lease agreement in whole or part. An up to date
credit report from Equifax, Experian, and
Transunion must accompany this application. Any
questions regarding rejected applications must
be submitted in writing and accompanied by a
self-addressed stamped envelope.
Signature:
____________________________________________
Date:
_______________________________
State of:
________________________________________
County:
___________________________________
Subscribed and sworn to
before me this __________ day of
______________________________,
2009
Notary Public:
______________________________________________________________________________
My Commission Expires:
_____________________________________________________________________
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