RENTAL APPLICATION (

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RENTAL APPLICATION (*If property is in university setting, parents should sign as co-tenant.) PERSONAL DATA Name Social Security #. Date of Birth Drivers Lic. No. Expir. Date Name of Co-Tenant Social Security #, Date of Birth Present Address Drivers Lic. No. Expir. Date City/State/Zip How long at present address Landlord: Previous Address Res. Or cell # Own or Rent Amount of payment Landlords phone # How long Own or Rent Bus. Phone Phone City/State/Zip Occupants Relationships: Pets? Ages: Email address: } PRESENT OCCUPATION* PRIOR OCCUPATION* CO-TENANT'S OCCUPATION Occupation Employer Self-employed, doing business as Business Address Business Phone Position held/ how long Name and Title of Supervisor Other income Monthly Gross Income Bank Reference Address: CREDIT REFERENCE ACCOUNT NO. ADDRESS HIGHEST AMOUNT OWED PURPOSE OF CREDIT ACCOUNT OPEN OR DATE CLOSED Phone: PERSONAL REFERENCE ADDRESS PHONE LENGTH OF ACQUAINTANCE OCCUPATION NEAREST RELATIVE ADDRESS PHONE CITY RELATIONSHIP Have you ever filed a petition for bankruptcy? _________________ Have you ever been evicted from any tenancy? _______________ Have you ever willfully and intentionally refused to pay any rent when due? ______________ I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, I AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORT. If paying a deposit to hold a property, deposit is forfeited if application is approved and Applicant decides not to take property. Applicant: Applicant: Dated: REFERENCES

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