South Dakota Rental Application Page 3
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3REFERENCES:
Bank References
Bank Name
Account Type
Account No.
Bank Name
Account Type
Account No.
Credit References
Name
Phone (
)
Name
Phone (
)
Name
Phone (
)
By my signature below, I represent that all of the information that I have disclosed in this South
Dakota Rental Application is true, accurate, and complete. I acknowledge that all of the
information I have disclosed is material and Landlord is relying on the information to decide
whether to grant or deny this Application.
NAME
DATE
NAME
DATE
AUTHORIZATION
I authorize Landlord to order and review my credit and criminal history and
investigate the accuracy of all information contained in this South Dakota Rental
Application. I further authorize all banks, employers, and creditors to provide
Landlord any and all information concerning my credit.
NAME _________________________________ DATE _______________________
NAME _________________________________ DATE _______________________
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