Blank Residential Lease Application

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Applicant’s Previous Employer: Address: Supervisor’s Name: E-mail: Employed from to (street, city, state, zip) Fax: Phone: Gross Monthly Income: Position: Describe other income Applicant wants considered: List all vehicles to be parked on the Property: Type Year Make Model License/State List all pets to be kept on the Property (dogs, cats, birds, reptiles, fish, and other pets): Type Breed Name Color Weight Age Gender Neutered Declawed Rabies Shots Current yes no yes no yes no yes no yes no yes no Yes No Will any waterbeds or water-filled furniture be on the Property Does anyone who will occupy the Property smoke Will Applicant maintain renter’s insurance Is Applicant or Applicant’s spouse, even if separated, in military If yes, is the military person serving under orders limiting the military person’s stay to one year or less Has Applicant ever: been evicted been asked to move out by a landlord breached a lease or rental agreement filed for bankruptcy lost property in a foreclosure had any credit problems, slow-pays or delinquencies been convicted of a crime Is any occupant a registered sex offender Are there any criminal matters pending against any occupant Is there additional information Applicant wants considered (TAR-2003) 1-1-12 Mo.Pymnt..

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