Indiana Rental Application Form Page 2
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1
2
3DO YOU HAVE PETS?
_____ HOW
MANY? ____
(NO MORE THAN 2 INSIDE
PETS ONLY DOG OR CAT-
AND, IF IT IS A DOG - 30 POUNDS OR LESS FUl.LY GROWN. A
ONE
TIME
NONREFUNDABLE
PET FEE
OF $
REQUIRED.)
REFERENCES· PREVIOUS LANDLORD(S)
-
NOT RELATIVES OR
FRIENDS:
NAME:
______________________________________________________________________________________
ADDRESS: _________________________________________________________________PH: ______________
YOUR ADDRESS AT THIS
LOCATION:
__________________________________________________________
ZIP
CODE:
____________________________________
DATE LIVED
AT
THIS LOCATION •
FROM:
____________ TO: _______________
NAME:
______________________________________________________________________________________
ADDRESS: _________________________________________________________________PH: ______________
YOUR ADDRESS AT THIS
LOCATION:
__________________________________________________________
ZIP
CODE:
____________________________________
DATE LIVED
AT
THIS LOCATION •
FROM:
____________ TO: _______________
IF ACCEPTED AS RESIDENT, RESIDENT TS RESPONSll3LE
FOR NOTIFYING
MANAGEMENT
OF
ANY
OF ABOVE INFORMATION
CHANGES,
IF
APPLICANT
TURNS IN
AN
APPLICATION,
AND CANNOT
BE REACHED
BY
PHONE, AT
THE
PHONE
NUMBER PROVIDED ON THE APPLICATION, AFTER TWENTY-FOUR(24) HOURS, THE APPLICATION
WILL BE CONSIDERED
VOID.
THE UNIT APPLICANT IS
APPLYING FOR
WILL BECOME
AVAILABLE
FOR
RENT TO
OTHER APPLICANTS.
APPLICANT HAS TWENTY-FOUR (24) HOURS, AFTER
HAS
NOTIFIED
THEM
THAT APPLICATION HAS BEEN APPROVED TO PAY THE SECURITY DEPOSIT TO HOLD
THE
UNIT
AVAILABLE.
IF DEPOSIT
IS NOT
PAID TO
WITHIN
THAT
TIME,
THE
APPLICATION
IS CONSIDERED VOID.
IF
APPLICANT AT
ANY
TIME PUTS DOWN A SECURITY
DEPOSIT,
APPLICATION
IS
APPROVED, AND
THE APPLICANT
CHANGES
HIS/HER MIND FOR ANY REASON, THE
SECURITY DEPOSIT
WILL
NOT
BE RETURNED,
BUT WILL BE
KEPT
BY
IN COMPLIANCE WITH THE INDIANA FAIR
HOUSING
ACT,
DOES
NOT
DENY
ANYONE
HOUSING BECAUSE OF
RACE,
RELIGION COLOR, SEX, DISABILITY, NATIONAL
ORIGIN, OR
FAMILIAL
STATUS.
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