Twin Oaks Rental Application Page 2

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TWIN OAKS RENTAL APPLICATION
EMPLOYMENT HISTORY
Your Status: Full Time_____ Part Time_____ Student_____ Retired______ Disabled______ Unemployed______
Employer_________________________________________________________________________________________
Dates Employed_______________________________ Title/Position__________________________________________
Supervisor Name_________________________________________________ Phone (
)______________________
Salary $_________________per month.
If employed less than 12 months, provide previous:
Employer/School _________________________________________________ Phone (
)______________________
List any verifiable sources and other amounts of income you wish to have considered (optional): Amount $____________
Income Source______________________________ Contact Name: __________________________________________
Phone (
)______________________
BANKING ACCOUNTS
Name___________________ Account Type______________ Account #______________________ Balance $________
Name___________________ Account Type______________ Account #______________________ Balance $________
REFERENCES & EMERGENCY CONTACTS
Name_______________________________________________________________ Phone (
) _________________
Address_________________________________________________________________ Relationship ______________
Name_______________________________________________________________ Phone (
) _________________
Address_________________________________________________________________ Relationship ______________
HOW DID YOU HEAR ABOUT TWIN OAKS?
Referral – Please provide name so we can thank them _____________________________________________________
Internet Website_____ Drive-by saw signs_____ Craigslist_____ Word of Mouth_____ Other_______________________
AUTHORIZATION & RELEASE OF INFORMATION
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be
made, verification of information I provided and communication with any and all names listed on this application. I will
provide proof of income (copies of my pay stubs for the last two months). I understand than any discrepancy or lack of
information may result in the rejection of this application. I understand that this is an application for renting a home and
does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to
cover the cost of processing my application. Any questions regarding rejected applications must be submitted in writing
and accompanied by a self-addressed stamped envelope.
_____________________________________________
Name (please print)
_______________________________________________________________________ Date__________________
Signature
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