Apartment Tenant Application Form

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• • RENTAL APPLICATION First Middle Last Each adult (18 or older) must fill out a separate application There is a non-refundable fee of 20/adult to apply Birth Date Any Other Names You’ve Used In The Past Social Security Home Phone All Other Proposed Occupants Driver’s License Cell Phone Birth Date Relationship To Applicant RENTAL/RESIDENCE HISTORY Current Residence Previous Residence Prior Residence From/To From/To From/To Street Address City State Zip Last Rent Amount Paid Owner/Manager and Phone Number Reason for leaving Is/Was rent paid in full Did you give notice Were you asked to move Name(s) in which your utilities are now billed: Dates of Residency EMPLOYMENT HISTORY Current Employment Previous Employment Prior Employment From/To From/To From/To Employed By Address Employer’s Phone Occupation Name of Supervisor Monthly Gross Pay Dates of Employment CREDIT HISTORY Bank/Institution Name Balance On Deposit or Balance Owed Savings Account Checking Account Credit Card Auto Loan VEHICLES (Include vehicles belonging to other proposed occupants also) Make PLEASE PRINT Model Color Year License Plate REV 9.1 REFERENCES EMERGENCY CONTACTS Doctor Lawyer Nearest Relative Living Elsewhere Name Street Address City State Zip Phone Number By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can’t locate you..  

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