Application

Phone#______________________________

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EMPLOYMENT HISTORY

------------------------------------------------------------WHERE EMPLOYED

------------------------------------------------------------FULL ADDRESS OF EMPLOYER

------------------------------------------------------------DATES OF EMPLOYEMENT

-----------------------------------------------------------NAME & PHONE # OF SUPERVISOR

------------------------------------------------------------NET AMT. OF INCOME

------------------------------------------------------------DO YOU GET PD. WKLY, BIWKLY, OR MONTHLY

-----------------------------------------------------------LIST ALL CURRENT PAYMENTS YOU HAVE MONTHLY

NAME:---------------------------------------------------

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NAME:--------------------------------------------------

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CURRENT ADDRESS OF AT LEAST 6 MOS

-----------------------------------------------------------ROAD

----------------------------------------------------------CITY,STATE & ZIP CODE

BIRTHDATE:----------------------------------------

SOC. SEC. #----------------------------------------

RENTAL HISTORY: --------------------------------

-----------------------------------------------------------CURRENT LANDLORD NAME & PHONE #

HOW LONG AT THIS ADDRESS---------------

DID YOU GIVE NOTICE:--------------------------

DATES OF OCCUPANCY:-----------------------

AMT. OF RENT:--------------------------------------

DO YOU HAVE ANY FELONIES-----------------

DO YOU HAVE ANY JUDGEMENTS OR HAVE YOU EVER BEEN CONVICTED------------------------------------------

IF SO: EXPLAIN------------------------------------------------------------------------------------------------------------

BY SIGNING THIS APPLICATION PROSPECTIVE TENANT AGREES & UNDERSTANDS A $25.00 FEE PER APPLICANT IS REQUIRED TO DO A CREDIT REPORT & BACKGROUND CHECK ON EVERYONE AND THAT IT IS AN AUTOMATIC TURNDOWN TO HAVE ANY FELONIES OR JUDGEMENTS ON YOUR CREDIT REPORT.

------------------------------------------------------------SIGNATURE & DATE