3. Applicant's previous residence
Address (full street address) ________________________________________ How long? __________ Rent/mortgage $___________
Address (city, state, ZIP) __________________________________________ Landlord’s name: ______________________________
Reason for moving:_________________________________ Landlord’s phone/email:_______________________________________
4. Applicant’s present employment
Company ______________________________________________________ How long? ________Position____________________
Address (full street address) _______________________________________ Salary $_______________ per_____________
Address (city, state, ZIP) __________________________________________
If Armed Services: Branch/Rank/Years
Supervisor’s name: __________________________ Title:________________________
_________________________________
Phone: (_____)______________________ Email: ________________________________
5. Applicant’s previous employment
Company _______________________________________________________ How long? _________Position___________________
Address (full street address) ________________________________________ Salary $_______________ per_____________
Address (city, state, ZIP) ___________________________________________
Supervisor’s name:________________________________ Title:_______________ Phone/email:______________________________
6. Spouse (If not spouse, a separate App must be submitted)
Date of birth: _________/_________/_________
Name (full name incl. any suffix) _______________________________________ Social security #:__________________________
Cell phone: (____)_______________________ Work: (____)_______________________ Email:______________________________
7. Spouse’s previous residence
Address (full street address) _________________________________________ How Long? __________Rent/Mortgage $_________
Address (city, state, ZIP) ____________________________________________ Landlord’s name: ____________________________
Reason for moving:______________________________________ Landlord’s phone/email:__________________________________
8. Spouse’s employment
Company _______________________________________________________ How long? _________ Position:_________________
Address (full street address) ________________________________________
Salary $______________ per___________
Address (city, state, ZIP) ___________________________________________
If Armed Services: Branch/Rank/Years
Supervisor’s name:_____________________________ Title:_______________________
_________________________________
Phone: (_____)_________________________ Email:_______________________________
9. Spouse’s previous employment
Company _______________________________________________________
How long? _________ Position:_______________
Address (full street address) ________________________________________
Salary $_____________ per___________
Address (city, state, ZIP) ___________________________________________
Supervisor’s name:______________________________ Title:_______________ Phone/email:________________________________
10. Other occupants
Name
Age
Relationship
_________________________________
___________
__________________________
_________________________________
___________
__________________________
_________________________________
___________
__________________________
_________________________________
___________
__________________________
11. Pets
Number _______ Description (type, sex, breed, age, weight, name) ____________________________________________
12. Hobbies Applicant _________________________________________________________
Spouse ___________________________________________________________
13. Water beds Do you own or plan to purchase a water bed? Yes _______ No _______
14. Smoking
Does Applicant or any other prospective occupant of Premises smoke? Yes _______ No _______
15. Automobiles, campers, vans, trailers, trucks, commercial vehicles, boats, pwc, etc.
Year
Make
Model
Color
License number
State
_________________ ____________ ________________ ____________ _____________________ ________________
_________________ ____________ ________________ ____________ _____________________ ________________
_________________ ____________ ________________ ____________ _____________________ ________________
_________________ ____________ ________________ ____________ _____________________ ________________
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