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Lease Application

"*" indicates required fields

Proposed Move-in Date*

Building Applying to*

Unit #*

個人情報

First Name ...*

Last Name ...*

電子メールアドレス ...*

電話*

Social Security Number*

Date of Birth*

Drivers License Number:

Issue State:

Reason for Moving:*

Current and Previous Residence

Current Address*

Landlord Name:

Landlord Phone:

Current Rent

Move in Date

Reason for moving out

Previous Address

Landlord Name:

Landlord Phone:

Employment

Current Employer*

Position*

Supervisor Name*

Supervisor Phone:*

Monthly Salary:*

Start Date:*

End Date:

Previous Employer*

Position*

Supervisor Name*

Supervisor Phone:*

Monthly Salary:*

Start Date:*

End Date:*

Do you have pets?

はい

いいえ

How Many?

Kind

None

Dogs

Cats

他の

Breed?

Describe

Do you smoke?

Vehicle Information

Auto Make:

Auto Model:

Auto Color:

Auto Year

Personal References

First Name ...

Last Name ...

電話

Relationship

First Name ...

Last Name ...

電話

Relationship

Additional Information

Please include any additional information and comments here:

By checking this box and entering name below, the applicant acknowleges that he/she has read, understood and agrees to the following: **

Applicant represents that all information given on this application is true and correct and hereby authorizes verification of all references and facts, including but not limited to obtain unlawful detainer and credit reports applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information. An application fee of $50.00 is required for the credit check and processing of this application.

Enter your Name here - This serves as your official signature **

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