ADDRESS FOR APPLICATION

NAME    CURRENT ADDRESS  

BIRTHDAY     CELL PHONE GRADUATION DATE 

EMPLOYER      EMPLOYER PHONE     SUPERVISOR

EMPLOYER ADDRESS     DATE HIRED

SSN#     DRIVERS LIC. & STATE     CAR MAKE

LIC#     STATE

 

PREVIOUS LANDLORD     ADDRESS

PHONE

CREDIT REFERENCE     ADDRESS

PHONE

NOTE: PERSONAL REFERENCE CAN NOT BE A STUDENT OR FAMILY MEMBER.

PERSONAL REFERENCE     ADDRESS

PHONE

PARENT/GUARDIAN     ADDRESS

PHONE

TOTAL RENT FOR THIS PROPERTY     TOTAL DEPOSIT

OCCUPANCY DATE      END DATE  

HAVE YOU EVER BEEN EVICTED, ASKED TO VACATE, OR OTHERWISE VACATED A RENTAL PROPERTY UNDER CIRCUMSTANCES OTHER THAN ORDINARY EXPIRATION?

YES     NO

IF YES PLEASE EXPLAIN

 

IN CASE OF EMERGENCY PLEASE NOTIFY:

NAME     ADDRESS

PHONE

Understand if this application is approved, it is subject to the following terms: 
1) I affirm and warrant that the above information is true and correct. 
2) I have read and understand the lease and agree to sign same for rental term and abide by the same. 
3) NO PERSON OTHER THAN THOSE ON THE LEASE SHALL OCCUPY THE PREMISES.
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