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Personal Information
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*First Name
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Middle Name
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*Last Name
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*Birth Date (mmddyyyy)
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*Social Security #
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*Drivers License #
\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("
*License State
 
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*License Expiration
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*Email Address
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*Verify Email Address
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*Contact Number:
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() -
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Current Residence
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*Current Address
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Apt. #
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*City
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*State
 
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*Zip
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*Landlords Name
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*Landlords Phone #
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*Landlords Company Name
\"Type
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*How long at this address
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*Reason for leaving
Previous Residence
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*Previous Address
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Apt. #
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*City
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*State
 
\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("
*Zip
\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("
*Landlords Name
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*Landlords Phone #
\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("
*Landlords Company Name
\"Type
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*How long at this address
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*Reason for leaving
Vehicle Information
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*Auto Year
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*Make
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*Model
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*State:
 
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*License Plate #
Employment
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*Present Employer
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Employer Address
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*City
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*State
 
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*Zip
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*Monthly Income
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Other Income
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*Position
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*How long at job
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*Employer Phone
Financial Information
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*Name of Bank
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*Account Type
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*Name of Bank
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*Account Type
Personal References
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*Name
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*Years Known
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*Relationship
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*Phone #
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Name
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Years Known
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Relationship
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Phone #
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Name
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Years Known
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Relationship
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Phone #
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*Emergency Contact
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*Years Known
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*Relationship
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*Phone #
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*Total number of persons over 18 that will be living with you -
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*Total number of persons under 18 that will be living with you -
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*Names and relations to all other applicants
Other Information
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Number & type of pets
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*Do you Smoke?
 
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Have you ever filed bankruptcy?
 
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*Have you been asked to leave or been evicted?
 
Billing Information
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*Name as shown on Card
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*Address
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*City
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*State:
 
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*Zip
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*Billing Phone
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*Card Type
 
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*Expiration Month
 
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*Expiration Year
 
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*CVV2
\"3
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*Credit Card #
Rental Information\n"); document.write("
*The date you plan to start your rental: *The unit you wish to rent

I CERTIFY that answers given herein are true \n"); document.write("and complete to the best of my knowledge. I authorize investigation of all \n"); document.write("statements contained in this application for tenant screening as may be \n"); document.write("necessary in arriving at a tenant decision. I understand that the landlord may \n"); document.write("terminate any rental agreement entered into for any misrepresentation made \n"); document.write("above. I also authorize a one time non refundable $40.00 fee for screening \n"); document.write("services to be charged to the credit card entered above. You must accept these \n"); document.write("terms to proceed with this application. You will be sent an email after your \n"); document.write("application has been processed.

\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("\n"); document.write("
*Terms:
\n"); document.write("
Yes, I agree to the terms and conditions.
\n"); document.write("
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*Date:
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*Contact Number:
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() -
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