Property Owner/Manager Name: _________________________________________________
Address of Rental Property: _______________________________ City:_________________
State:_________________________________________________ Zip Code: ____________
Available for Move-In Date: Lease Duration:
APPLICANT INFORMATION
| Name: | Date of Birth | |
| Social Security No.: | Driver’s License No: State: | |
| Phone: | Email address: | |
RENTAL HISTORY
|
Present |
|
| Address: ___________________________________ City:____________________
Province:________________________________ Postal Code:______________ |
|
| Duration renting at present address? | Current rent payment: $ |
| Landlord’s Name: __________________________ Landlord Phone: __________________
May we contact? q Yes q No |
|
| Reason for moving? | |
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