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Lease Application Template 1

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Lease Application Template 1 Page 2
Lease Application Template 1
NAME RELATIONSHIP ADDRESS CITY/STATE/ZIP PHONE
NAME RELATIONSHIP ADDRESS CITY/STATE/ZIP PHONE
YEAR MAKE MODEL COLOR PLATE #
TYPE BREED SEX COLOR SIZE
List names and birthdates of all additional occupants 18 years and older:
List names and birthdates of all dependents 18 years or younger:
_______________________________
Applicant Signature Date
NOTIFY IN CASE OF EMERGENCY
____________________________________________________
I warrant that all statements contained in this application are true and accurate and that I have not knowingly
withheld any information which would, if disclosed, affect my application unfavorably. I hereby provide the owner or its
authorized agent with my consent to communicate with my current and former landlords, as well as my current
employer(s) for the purpose of, among other things, verifying the information listed herein. I am aware that a credit
history, eviction search, and criminal background check may be conducted in conjunction with my application.
Any person or firm is authorized to release information pertaining to my credit history or suitability as a tenant upon
presentation of this form or a photocopy of this form.
It is understood that any processing fee associated with this application is non-refundable, but that any security deposit
received from me will be refunded if my application is not approved.
PETS
OTHER OCCUPANTS
VEHICLE INFORMATION
residential lease application l 2
Lease Application Template 1
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