South Dakota Rental Application Page 2
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1
2EMPLOYMENT INFORMATION
APPLICANT #1
Employed By
_How Long?
Employer’s Address
Telephone (
)
Position Held
Supervisor
_Salary/Wage $
_Per hr/wk/mo/yr
_
Previous employer (if at present employer less than six (6) months)
Previous Employer Phone #
How Long?
APPLICANT #2
Employed By
_How Long?
Employer’s Address
Telephone (
)
Position Held
Supervisor
_Salary/Wage $
_Per hr/wk/mo/yr
Previous employer (if at present employer less than six (6) months)
Previous Employer Phone #
How Long?
APPLICANT #3
Employed By
_How Long?
Employer’s Address
Telephone (
)
Position Held
Supervisor
_Salary/Wage $
_Per hr/wk/mo/yr
_
Previous employer (if at present employer less than six (6) months)
Previous Employer Phone #
How Long?
BANKING AND CREDIT REFERENCES
APPLICANT #1
Bank
Address
Credit Reference
Personal or Other Reference_
APPLICANT #2
Bank
Address
Credit Reference
Personal or Other Reference_
APPLICANT #3
Bank
Address
Credit Reference
Personal or Other Reference_
AUTOMOBILE INFORMATION
Make
_Model
Year
Tag No.
State
Make
_Model
Year
Tag No.
State
Make
_Model
Year
Tag No.
State
Owners/Managers affirm that they will not refuse rental housing to any prospective tenant(s) on the basis of race, color,
religion, sex, handicap, familial status or national origin. All decisions regarding qualification of the application will be
made in the sole judgment of the Owner/Manager based upon past rental history, employment history, credit history
and criminal history. Applicant hereby gives permission for Owner/Manager or the South Dakota Multi-‐Housing
Association permission to obtain a credit report and other information for use in processing this application.
APPLICANT’S SIGNATURE:
DATE:
CO-‐APPLICANT’S SIGNATURE:
DATE:
CO-‐APPLICANT’S SIGNATURE:
DATE:
OWNER/AGENT:
APPLICATION RECEIVED BY:
THIS APPLICATION IS VALID FOR THIRTY DAYS
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