Manassas Meadows Rental Application
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1
2
3RENTAL APPLICATION
MANASSAS MEADOWS
Manassas, Virginia 20110
(703) 369-6898
Notice: Co-Applicant must complete a separate Rental Application Form
Application is hereby made to rent Apartment No. ________ at_______________________________________. The following
information is true and accurate and you may rely thereon. The premises shall be used only as a residence and shall be occupied
only by the following named persons:____________________________________________________________and, in any case,
by not more than ______ persons. No pets will be permitted.
Lease begins on the _____ day of _______________, 20____. Monthly rental of $________ shall be payable in advance on the
first of each month.
Move-in date_____________________________ Security Deposit $__________________Type of Apt._____________________
PLEASE TELL US ABOUT YOURSELF
FULL NAME____________________________________________________________ Phone (
)_____________________
Date of Birth_________________________________Social Security No._____________________________________________
Name of Co-Applicant______________________________________________________________________________________
Number of Dependents (excluding Co-Applicant)_________________________________________________________________
Other Occupants___________________________________________________________________________________________
PLEASE GIVE YOUR RESIDENCE HISTORY FOR THE PAST 3 YEARS (Beginning with the most current)
CURRENT ADDRESS______________________________________________________________________________________
Month & Year Moved In_______________________Reason for Leaving____________________________________________
Owner or Agent_______________________________________________________Phone (
)________________________
PREVIOUS ADDRESS (If within 3 years)_______________________________________________________________________
Month & Year Moved In ______________Moved Out_______________Reason for Leaving_____________________________
Owner or Agent_______________________________________________________Phone (
)_________________________
PREVIOUS ADDRESS (If within 3 years)_______________________________________________________________________
Month & Year Moved In_____________Moved Out________________Reason for Leaving_____________________________
Owner or Agent__________________________________________________________________________________________
PLEASE GIVE YOUR EMPLOYMENT INFORMATION
YOUR STATUS:
__ Employed Full-Time
__ Employed Part-Time
__ Student
__ Retired
__ Unemployed
Current ____
EMPLOYER
Previous____
_________________________________________________________________________________________________
Date(s) Employed______________________________Employed as_________________________________________________
Supervisor__________________________________________Supervisor’s Phone (
)________________________________
Address_________________________________________________________________________________________________
Salary $_________________ Per _______________ If employed at above less than 6 months, give name and address of Previous
Employer or School________________________________________________________________________________________
If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, etc.) who we could contact
for confirmation. You do NOT have to reveal alimony, child support or spouse’s annual income unless you want us to consider it in this application.
Amount $_____________________________ Source_______________________________________________________________
EQUAL HOUSING OPPORTUNITY
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