Please email the following to 4ts.xli@gmail.com
Name:
Email Address:
Spouse's Name:
Spouse's Email Address:
Present Address:
City/State/Zip:
Hm Phone:
Wk Phone:
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Current Landlord's Name:
Current Landlord's Phone:
Reason for moving:
How long at present address?
If less than 3 years, include last 2 landlords:
Previous Address:
City/State/Zip:
Previous Landlord's Name:
Previous Landlord's Phone:
How long at previous address?:
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Previous Address:
City/State/Zip:
Previous Landlord's Name:
Previous Landlord's Phone:
How long at previous address?:
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EMPLOYMENT
Current Employer:
Name of Supervisor:
Supervisor's Phone:
Monthly Gross Income:
How long with current employer?:
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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?
Do you smoke or drink?
Do you have any pets?
Other Information to be Considered:
BY SENDING THIS, I DECLARE THAT THE FORGOING INFORMATION IS TRUE AND CORRECT AND I AUTHORIZE ITS VERIFICATION. I ALSO AGREE THAT LANDLORD MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENT MADE ABOVE.
