South Carolina Rental Application Form Page 2
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3EMPLOYMENT INFORMATION:
Applicant's present employer:
Immediate supervisor:
How long?
Date hired?
Address:
Telephone:
Employed as:
Monthly net income: $
If employed less than one year by present employer, previous employer:
How long?
Date hired?
Immediate supervisor:
Address:
Telephone:
Employed as:
Monthly net income: $
Other sources of income to be considered (Applicant need not disclose alimony, child support, or separate maintenance
income or its source, unless Applicant wishes to be considered for the purpose of this application for lease):
Other income: $
Source:
Other income: $
Source:
Other income: $
Source:
Name of nearest relative (other than spouse):
Relationship:
Address:
Telephone:
SPOUSE:
Spouse name:
Telephone:
Social Security No.:
Address:
Date of birth:
Work telephone:
Driver's license no. and State of issue:
Other name(s) of Spouse (maiden name) used within last 3 years
SPOUSE'S EMPLOYMENT INFORMATION:
Spouse's present employer:
Immediate supervisor:
How long?
Date hired?
Address:
Telephone:
Employed as:
Monthly net income: $
If employed less than one year by present employer, previous employer:
How long?
Date hired?
Immediate supervisor:
Address:
Telephone:
Employed as:
Monthly net income: $
Other sources of income to be considered (Spouse need not disclose alimony, child support, or separate maintenance
income or its source, unless Applicant wishes to be considered for the purpose of this rental application.) :
Other income: $
Source:
Other income: $
Source:
Other income: $
Source:
Name of nearest relative (other than spouse):
Relationship:
Address:
Telephone:
APPLICANT
[
] APPLICANT
[
] LANDLORD HAVE READ THIS PAGE
Form 460
PAGE 2 OF 3
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