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Rental Application for Cool Spring road property
Name______________________________________________________ Phone______________ Work Phone_____________
Social Security No._____________Drivers Lic. No._____________ Birth______________
Present Address_____________________________________________________________________________________
How long at this address?______ Rent $______ Reason for moving_________________________________________________
Owner/Manager______________________________ Phone__________________
Previous Address________________________________________________________________________________________
How long at this
address?______ Rent $______ Reason for moving______________________
Owner/Manager______________________________ Phone__________________
Present
Occupation_____________ Employer__________________ Phone___________
How long with this
employer?____________ Supervisor__________________ Phone___________
Previous
Occupation_____________ Employer__________________ Phone___________
How long with this
employer?____________ Supervisor__________________ Phone___________
Current Gross Income Per Month (before deductions) $_______________
List sources of income (other than present employment listed above)
___________________________________________________________________
HAVE YOU
ever filed bankruptcy?______ ever been evicted?______ or ever been
convicted of a felony?______ Explain any "yes" answers on back.
Vehicle(s)
Make(s)___________ Model(s)_______ Year(s)_______ License(s)_______
Personal
Reference______________ Address___________________ Phone___________
Contact in
Emergency______________ Address___________________ Phone___________
I declare that the statements above are true and correct. I
authorize verification of my references and credit as they relate
to my tenancy AND to future rent collections.
Date_____________ Signed___________________________________________
Verified: SSN___DL/ID___CurTen___Prev___Credit___Inc___Refs___By___
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contact:Don