North Dakota Lease Application
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1
2North Dakota Lease Application
Full Name:
Birthdate:
/
/
(First)
(Middle)
(Last)
Present Street Address:
City:
State:
Zip:
Telephone:
Email:
Expected Move in Date:
Reason for Leaving:
Rent per month:$
Years There:
Social Security Number:
Drivers License Number:
Previous Street Address:
Years There:
City:
State:
Zip:
Telephone:
Reason for Leaving:
Rent per month:$
Landlord & Telephone:
Present Employer:
Years There:
Telephone:
Position or Title:
Name of Supervisor:
Employer’s Address:
Previous Employer:
Years There:
Previous Employer’s Address:
Present Net Income/Month: $
Number of Hours worked:
/ Week
/ Month
Number of occupants that will be occupying the unit:
Co-
APPLICANT
Full Name:
Birthdate:
/
/
(First)
(Middle)
(Last)
Present Street Address:
City:
State:
Zip:
Telephone:
Email:
Expected Move in Date:
Reason for Leaving:
Rent per month:$
Years There:
Social Security Number:
Drivers License Number:
Present Employer:
Years There:
Telephone:
Position or Title:
Name of Supervisor:
Employer’s Address:
Present Net Income/Month: $
Number of Hours worked:
/ Week
/ Month
NOTE: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered
as a basis for paying this obligation.
Other income: $
per
. Sources of other income:
Is any income listed in this section likely to be reduced in the next two years? q Yes q No If Yes, please explain:
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Parent category: Legal