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Application to Rent
Page 1 of 5
Processing/credit report fee
$___.00(single applicant) / $____.00(double applicant, same unit)payable to:
____________ Separate applications to rent are required for each applicant 18 years or over.
Application to rent property at (“premises”)
Desired move-in date
Soc.Sec.#.Drivers lic.#.State Expires
Phone# Home Work Cell #
Date of Birth
How much rent are you paying
How long at current address
Name of Landlord/manager
Phone# of Landlord/manager
Reason for leaving
How much rent were you paying
Name of landlord/manager
Phone # of landlord/manager
How long at this address
Reason for leaving
Have you ever been evicted YesNo
Have you ever broken a lease Yes No . If yes, please explain
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