Rhode Island Rental Application

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RHODE ISLAND RENTAL APPLICATION
Apartment Applying For:
Desired Date of Occupancy:
Term of Lease:
Do you have pets?
Yes
No
If so, please describe:
APPLICANT
Name:
Date of Birth:
Telephone:
Social Security #
Email Address:
Present Address:
Landlord Name:
Telephone:
Why are you Moving?
Former Address:
Landlord Name:
Telephone:
Employer:
Telephone:
Position:
Income:
Supervisor/Contact:
COAPPLICANT
Name:
Date of Birth:
Relationship to Applicant:
Telephone:
Social Security #
Email Address:
Present Address:
Landlord Name:
Telephone:
Why are you Moving?
Former Address:
Landlord Name:
Telephone:
Employer:
Telephone:
Position:
Income:
Supervisor/Contact:
Names of Other Occupants: _
I/We hereby certify that the name(s), social security number(s), and address(es) giver are true and correct to
the best of my (our) knowledge.
In making this application, I authorize _______________________ to make any consumer report and
investigation, whereby information in obtained through public records, personal or telephone interviews.
This inquiry may include information as to my character, general reputation, credit worthiness, credit
standing and credit capacity.
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