Application To Rent Form Page 3

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Please Type or Print Neatly in Blue or Black Ink
Each Proposed Tenant Must Fill Out a Separate Application
HOLLISTER APARTMENTS
APPLICATION TO RENT
Name ____________________________________________ Social Security No. _____ - ____ - _____
First
Middle
Last
Driver’s License or I.D. # _________________________ Phone # (______)_____________________
Date of Birth
_____/_____/________ Gender __________ Race _________________
(MM/DD/YYYY)
PRIOR RESIDENCES / LIVING SITUATION
CURRENT ADDRESS
_____________________________________________________________________________________
Street Address and Apartment Number
City
Zip
_____/_____/_____ _____/_____/_____ __________________________ (_______)____________
From (MM/DD/YY)
To (MM/DD/YY)
Landlord/Manager Name
Phone
PREVIOUS ADDRESS
_____________________________________________________________________________________
Street Address and Apartment Number
City
Zip
_____/_____/_____ _____/_____/_____ __________________________ (_______)____________
From (MM/DD/YY)
To (MM/DD/YY)
Landlord/Manager Name
Phone
_____________________________________________________________________________________
Reason for Leaving
NEXT PREVIOUS ADDRESS
_____________________________________________________________________________________
Street Address and Apartment Number
City
Zip
_____/_____/_____ _____/_____/_____ __________________________ (_______)____________
From (MM/DD/YY)
To (MM/DD/YY)
Landlord/Manager Name
Phone
_____________________________________________________________________________________
Reason for Leaving
EMPLOYMENT HISTORY
CURRENT EMPLOYMENT
_____/_____/_____ _____/_____/_____ __________________________ (_______)____________
From (MM/DD/YY)
To (MM/DD/YY)
Employer Name
Phone
_____________________________________________________________________________________
Street Address
City
Zip
__________________________________________ _________________________________________
Occupation/Job Title
Name and Title of Supervisor
 Full-Time or  Part-Time # of hours/week ______ Salary or Hourly Wage $ ________
hr/wk/mo
PREVIOUS EMPLOYMENT
_____/_____/_____ _____/_____/_____ __________________________ (_______)____________
From (MM/DD/YY)
To (MM/DD/YY)
Employer Name
Phone
_____________________________________________________________________________________
Street Address
City
Zip
__________________________________________ _________________________________________
Occupation/Job Title
Name and Title of Supervisor
 Full-Time or  Part-Time # of hours/week ______ Salary or Hourly Wage $ ________
hr/wk/mo
Hollister Apartments Rental Application, rev. 1/2016
Application Page 1 of 4

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