RENTAL APPLICATION - Application and Rental Form Name of Applicant_________________________________Telephone____________ Present Address________________________________________________________ City, State, Zip Code__________________________________________________ Social Sec. No.______________________Driver's Lic. No._________________ Spouse's Social Sec. No._____________Spouses Driver's Lic. No._________ Birthdate________________ Spouse's Birthdate_____________ How many in your family? Adults____ Children_____ Pets?_______ How long have you lived at the present address?________________________ Name of Landlord_________________________________Telephone_____________ Prior Landlord___________________________________Telephone_____________ Employer_____________________________________Position__________________ How long?________________________________________Telephone_____________ Salary_________________________________________________________________ Name of Bank___________________________________________________________ _____Checking Account No.___________________________ _____Savings Account No.___________________________ Additional Personal/Credit References Name Relationship Telephone ________________________ ______________________________ _____________ ________________________ ______________________________ _____________ ________________________ ______________________________ _____________ I represent that the information provided in this application is true to the best of my knowledge. You are hereby authorized to verify my credit and employment references in connection with the processing of this application. I acknowledge receipt of a copy of this application. Dated: _______________________________________ Applicant

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