RESIDENTIAL - COMMERCIAL - INVESTMENTS - DEVELOPMENT - CONSTRUCTION
PRELIMINARY RENTAL APPLICATION

NAME---------------------
LAST: FIRST: MI:
BIRTHDATE:
DRIVERS LICENSE #: SSN:

SPOUSE'S NAME-------------------
LAST: FIRST: MI:

NAMES & AGES OF ALL OTHER OCCUPENTS:


BREED, AGE, AND WEIGHT OF PET(S):


APPLICANT ADDRESS:
CITY: STATE: ZIP CODE:
HOME PHONE: CELL PHONE:
WORK PHONE: FAX:
E-MAIL:

CURRENT LANDLORD / MORTGAGE CO.--------------------

ADDRESS:
CITY: STATE: ZIP CODE:
PHONE:


EMPLOYMENT HISTORY--------------------
EMPLOYER:
POSITION:
HOW LONG?: MONTHLY INCOME:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE:
SUPERVISOR: PHONE:


CREDIT HISTORY--------------------
CURRENT DEBT: WHAT KIND?:
HOW MUCH?:
EVER HAD A DEBT SENT TO COLLECTIONS? YES NO
IF YES, EXPLAIN


EVER HAD A CREDIT CARD CANCELLED? YES NO
IF YES, EXPLAIN


EVER FILED BANKRUPTCY? YES NO
WHEN?:

EVER HAD A REPOSSESSION OR FORECLOSURE? YES NO
IF YES, EXPLAIN


EVER BEEN EVICTED? YES NO
IF YES, EXPLAIN


EVER HAD A COURT JUDGEMENT AGAINST YOU? YES NO
IF YES, EXPLAIN


EVER PLED GUILTY TO, BEEN CONVICTED OF, OR HAVE PENDING AGAINST YOU, A CRIMINAL CHARGE? YES NO
IF YES, EXPLAIN
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