Rental Application Form

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Application Fee $45.00
PD. By MO/ Check #_____
PD. By Cash: _______
Application For Rent
(Please Print Clearly and Fill Out Application Entirely)
Name:________________________________
SSN:_________--_______--_________ Birth Date:________
:
Phone Number
___________________________
Email_________________________________________
Drivers License #:____________________________ State:____________
Home Mailing Address:______________________________________________________________________
Street
City
State
Zip
Parent Guardian Information
Fathers Name:________________________________
Mothers Name:________________________________
Cell Phone #:_________________________________
Cell Phone #:_________________________________
Home Phone:_________________________________
Home Phone:_________________________________
Email:_____________________________________
Email:_____________________________________
Home Address:________________________________
Home Address:________________________________
_________________________________________
_________________________________________
Current Rental Information
Present Residents:____________________________________________________ Lease Dates______________
Street
City
State
Zip
Rent Per Month:___________ Landlord:_________________________________ Phone#____________________
Employment Information (If Applicable)
Present Employer:__________________________________________ Phone#_________________________
Position:__________________________________
Length Of Employment: ___________________________
Present Income:______________________________
Other Income:_________________________________
Housing Options
(New Residents Only)
st
nd
rd
1
Choice
2
Choice
3
Choice
Unit Address:
Unit Address:
Unit Address:
Monthly Rent:
Monthly Rent:
Monthly Rent:
Your chosen group leader:_____________________________________________________________
Name
Phone#
E-Mail Address
How Did You Hear About Us?
¨
¨
¨ Daily Collegian
¨ Family/Friends
¨ Facebook
¨ Search Engine
¨ Flyers
¨ Other ____________________

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