Missouri Rental Application Template Page 3

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Where did you see or hear about
Properties?
What is most attractive about the apartment you are applying for?
(mark all that apply)
S pe cia l Fe a ture s - If so, what?
P rice
Loca tion
Facebook
Frie nd/P a s t Te na nt
Thrifty Nickel
_____________________________________________________
P rope rty S igna ge
Cra igs lis
Referral
Flye r or P os te r
Oth e r_______________________________________________
Othe r__________________________________________
OTHER INFORMATION
IN CASE OF EMERGENCY, NOTIFY:________________________________________ Relationship_______________________
Address________________________________ City__________________________ State___________ Zip__________
Home Phone (
)______________________Work Phone (
)__________________________________________
I hereby certify that the answers I have given in this application are true to the best of my knowledge. I understand that any false answers or statements
made by me will be sufficient grounds for eviction and loss of any security deposit. I agree to a credit check if deemed necessary. I agree that my present
and former landlords may release information related to my tenancy with them, to
. I agree that my present employer may release
information related to my current income status to
. It is understood that I will not be discriminated against based on race, color, sex,
religion, or national origin.
DATE
APPLICANT’S SIGNATURE_______________________________________________
_________________________________
PRINT NAME

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