Please Fill Out This Form and Click the
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Please answer the questions in this form as completely as possible.
name:
phone:
# occupants
current address
current landlord
current landlord phone:
current landlord address:
date occupied
Are you related to your landlord?
Yes
No
previous address
previous landlord
previous landlord phone:
previous landlord address:
Employer:
Employer Address:
Employer Contact Information
wages
length of employment
Please be advised that if you have an arrest record,
it does not necessarily mean that we will not rent to you.
Unless, of course, you answer "No" and do have one...
Have you ever been arrested?
no
yes
Anything else we should know?