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TENANT´S PERSONAL AND CREDIT INFORMATION

(In the event of co-tenants, other than spouses, use separate application for each tenant.)

Name

Social Security No.*

Last Name

Drivers Lic. No.*

Name of Co-Tenant

Social Security No.

Present Address*

Drivers Lic. No.

City /State /Zip*

Res. Phone*

Bus. Phone*

How long at present address?*

Landlord or Agent*

Phone*

Previous Address

How long?*

Landlord or Agent*

Phone

City /State /Zip*

Animals?*

Occupants:*

Animals?

Care make*

Year*

Model*

Color*

License No.*

Care make

Year

Model

Color

License No.

OCCUPATION

empty

Present occupation*

Prior occupation*

Co-tenant´s occupation

Ocupation

Employer

Self-employed, d.b.a.

Bussiness Phone

Type of Business

Position held

Name and Title of superior

How long

Monthly gross income

REFERENCES

Personal Reference

Address

Phone

Length of Acquantance

Occupation

Address

Nearest Relative

Address

Phone

City

Relationship

Address

Proof of Employment*

Copy of ID*

Attach Credit Score

Maximum file size: 516MB

Please attach two of the following documents: two (2) Bank statements, two (2) paystubs, one (1) letter of employment confirmation

Have you ever filed a petition of bankruptcy?*

Yes

Have yoy ever been evicted from any tenancy or had an eviction notice served on you?*

Yes

Have you ever willfully and intentionally refused to pay any rent when due?*

Yes

I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT

I agree that the Landlord may terminate any agreement entered into in reliance in any misstatement made aboved.

DATED:*

Applicant*

Signature

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DRE #0196894

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