| Full Name: |
Home/Cell Phone#:
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Current Address:
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Email: |
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Date of Birth: |
[mm/dd/ccyy] Drivers License#:
(DL
or ID required)
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Family Members: |
Adults:
Children:
Smoker(s):
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| Auto(s): |
Work Truck(s):
(some locations may restrict company autos) |
Employer
Information: |
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Total Income: |
/month
Current Rent:
/month
(Rent shouuld be less than one third of total income amount) |
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Current Landlord: |
Phone Number:
(current landlord must not be a relative) |
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Moving Information: |
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| Pets: |
Dog(s) under 20pounds:
Dog(s) over 20pounds:
Cat(s):
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| Have you ever been evicted: |
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| Have you declared bankruptcy: |
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| Have you ever been arrested for a criminal act: |
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| Have you ever been incarcerated: |
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| Are you on probation: |
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| Have you entered a plea of no contest or had prosecution
deferred: |
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Special Requests: |
|
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This information was submitted by myself, and all is true and correct. I
understand that false or misleading information in my application
will be considered as cause for denial of tenancy. I understand that I am to
abide by all rules and regulations of the property. The
property has my authorization to thoroughly investigate my business and personal
history. I understand that the information supplied by
me regarding my personal history, credit history, criminal history, motor
vegicle records, residence history and references will be utilized
as part of the processing procedures. A background check will be conducted to
verify the varacity of the information submitted and will
be utilized to develop information concerning my character, general reputation,
personal characteristics, and business experience. I will
hold no person liable for giving or receiving information in this
investigation. I hereby authorize the landlord or agent to make a thorough
check of my past employment, personal and business activities. I release from
liability all persons, companies and corporations supplying
that information. I realize and indemnify the landlord and agents against any
liability that might result from making such background
checks. A copy of this form is as valid as the original. Submitting this
application does not guarantee occupancy or reserve any property.
After your application is evaluated terms for reserving a property may be
negotiated. |