| Are you looking for: | Rental Lease to Own | ||||
| Rental property you are applying for: | |||||
Personal Information: |
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| Your Name | Co-applicant / Spouse | ||||
| Telephone # | Alternative Phone | ||||
| Present Address: | |||||
| Prior Address: | |||||
| How Long have you lived at present address? | How Long have you lived at previous address? | ||||
| Name of Current Landlord | Telephone | ||||
| Prior Landlord | Telephone | ||||
| How Many will be living in this unit? | Adults | Children | Pets | ||
Employment |
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| Your Employer | Telephone | ||||
| Position | How Long | Monthly Income | |||
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Supervisor's name |
Supervisor's Telephone |
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| Your Spouse's Employer | Telephone | ||||
| Position | How Long | Monthly Income | |||
|
Supervisor's name |
Supervisor's Telephone |
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HAVE YOU EVER: |
Filed for Bankruptcy | Yes | No | ||
| Been served with eviction notice or been asked to vacate a property you were renting | Yes | No | |||
| Willfully or intentionally refused to pay rent when due | Yes | No | |||
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If answered "Yes" to any of the previous questions, please explain: |
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| How were you referred to us? | |||||
PERSONAL REFERENCES (provide at least THREE personal references) |
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| Name | Relationship | Telephone | |||
| Name | Relationship | Telephone | |||
| Name | Relationship | Telephone | |||
| Your E-Mail | When do you need to move in: | ||||