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Rent Application

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APPLICANT INFORMATION
CURRENT ADDRESS
ADDRESS
OTHER OCCUPANTS
PETS
EMPLOYMENT & INCOME INFORMATION
EMERGENCY CONTACT
PERSONAL REFERENCES
BACKGROUND INFORMATION
HAVE YOU EVER:
FILED FOR BANKKRUPTCY 
WILL FULLY OR INTENTIONALLY REFUSED TO PAY RENT WHEN DUE?
DO YOU SMOKE? 
BEEN EVICTED FROM A TENANCY OR LEFT OWING MONEY? IF YES, PLEASE PROVIDE PROPERTY NAME, CITY, STATE, AND LANDLORD NAME. 
BEEN CONVICTED OF A CRIME? IF YES, PLEASE PROVIDE TYPE OF OFFENSE, COUNTY, AND STATE. 
VEHICLE INFORMATION
OTHER INFORMATION

I hereby apply to lease the above described premises for the term and upon the conditions above set forth and agree that the rental is to be payable the 1st day of each month in advance. I warrant that all statements above set forth are true.

I hereby give my permission to communicate with my current and former landlord or property manager for the purpose of discussing any and all of the facts and circumstances of my current or former tenancy, as well as the other information listed above. I also give my permission to communicate with my current employer(s) and/or supervisor(s) for the purpose of verifying the employment information listed above. I understand there are no limitations or restrictions regarding what may be discussed or revealed. I am aware that a credit history, eviction search and criminal background check will be done in conjunction with my application. I understand that I may have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation.