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Property
to be leased
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Date
of Application
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Lease
Terms
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Applicant’s
Name (please include middle initial)
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Applicant’s
Date of Birth
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Phone
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Spouse’s
Name (please include middle initial)
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Spouse’s
Date of Birth
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Alt.
Phone
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Applicant’s
SS#
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Applicant’s
Driver’s License #
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Spouse
SS#
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Spouse
Driver’s License #
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Applicants
e-mail address
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Current
Address, Town, Zip, Apt. Number
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Current
Monthly Rent
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Current
Landlord
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Landlord’s
Phone
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If
sharing, with whom
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Years
at Current Address
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Reason for
Moving
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Previous
Address
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Previous
Monthly Rent
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Previous
Landlord
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Previous
Landlord’s Phone
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Employer
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Employer’s
Phone
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Employer’s
Address, Town, Zip
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How
Long with Employer?
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Position
with Employer
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Supervisor’s
Name
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Annual
Income
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Spouse’s
Employer
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Spouse’s
Employer’s Phone
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Spouse’s
Employer’s Address, Town, Zip
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How
Long with Employer?
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Spouse’s
Position with Employer
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Spouse’s
Supervisor
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Spouse’s
Annual Income
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Other
Income Source
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Other
Income Amount
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Other
Income Frequency
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If Less
than TWO years with Current Employer, give Previous Employer
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Previous
Employer’s Phone
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Previous
Employer’s Address, Town, Zip
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Previous
Annual Income
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Who will
Occupy the Premises?
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Do you have any pets? If so what
kind?
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Nearest
Relative’s Name
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Relative’s
Address, Town, Zip
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Relative’s
Phone
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Checking
Account Bank and Account Number
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Savings
Account Bank and Account Number
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Credit
References – List ALL – Use Reverse of Form if needed
|
Address
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Account
Number
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Balance
Due
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Monthly
Payments
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A Credit
Application/Processing FEE is due with this application.
The Application will not be processed without the fee.
THE APPLICATION/PROCESSING FEE IS NONREFUNDABLE.
THE SECURITY DEPOSIT IS NONREFUNDABLE UPON APPROVAL OF THIS
APPLICATION.
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Application
Fee Collected
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Security
Deposit Collected
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Have you
ever had any evictions, suits, judgments, bankruptcies, or foreclosures?
If
YES provide details on Reverse of Application
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Have you
ever been convicted of a felony or are you a wanted fugitive?
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I certify
that I have read the above application; that the information contained
therein is true and correct. I
understand that this application shall be incorporated in and become a
part of the lease for the premises sought and if incorrect or untrue
shall be grounds for cancellation of the lease.
I understand that an investigation may be made whereby
information is obtained through interviews with my landlord(s),
references, or others with whom I am acquainted.
This inquiry may include information as to my character, general
reputation, personal characteristics, and mode of living.
A credit report from a computer-based credit bureau may be
obtained and may include criminal background and wanted fugitive checks.
I understand I have the right to make a written request within a
reasonable period to receive additional, detailed information about the
nature and scope of this investigation.
A copy of our selection criteria is available upon request.
I understand that only those persons indicated on the lease may
occupy the premises except for short-term visits and NO PETS are allowed
unless specific written authorization is given in writing by landlord.
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Signature
of Applicant
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Signature
of Spouse
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