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RENTAL
APPLICATION
- 9425 State Line
Neatly
complete all information below. All
applicants over the age of 18 must complete and sign their own application.
Applicants full
name___________________________________Phone #________________DOB______________
Social Security #______________________Drivers License
#___________________State_______Exp._________
Current
Address________________________________City___________________State_______Zip_________
How long at this address_____________Reason for
leaving_____________________________________________
Previous
Address_______________________________City___________________State________Zip__________
How long at this address___________Reason for
leaving_____________________________________________
Auto
Yr________Make_______________Model___________________State/License Plate
#__________________
Present
Employer_____________________________Position___________________Mo.
Income______________
Phone #__________________How long at job_____________Other
income/source__________________________
Employers
Address______________________________________City____________________State___________
Co-Applicants full Name_______________________________Phone#___________________DOB____________
Social Security #____________________Drivers License
#_____________________State_______Exp._________
Auto
Yr_______Make________________Model__________________License Plate
#/State__________________
Present
Employer____________________________Position___________________Mo.
Income_______________
Employers
Address_______________________________________City/State_______________________________
Phone#__________________How long at this
job________________Other income.source____________________
Number and type of Pets____________________Have
either of you ever been party to an eviction?
[ ] Yes [ ] No
Smoker: [ ] Yes
[ ] No
Waterbed: [ ] Yes
[] No
Desired date of occupancy: _____________________
Desired length of occupancy: _______________________
Personal References
Name__________________________Yrs.
Known_____Relationship__________________Phone #_____________
Name__________________________Yrs.
Known_____Relationship__________________Phone #_____________
Name__________________________Yrs.
Known_____Relationship__________________Phone #_____________
Total number of adults____________Total number of
children living with you under the age of 18,even if on a temporary basis
______________
Names and relations of all other
applicants__________________________________________________________
____________________________________________________________________________________________
I CERTIFY that answers given herein are true and complete
to the best of my knowledge. I
authorize investigation of all statements contained in this
application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the
landlord may terminate any rental agreement entered into for any misrepresentation made above.
A credit report fee of $25.00 is due with this application.
You must include a copy of your latest
paycheck stub with the application!
Applicant_______________________________________________________Date_______________________
Co-applicant_____________________________________________________Date_______________________
Received from applicant (s) the non-refundable sum of
$______ dollars to pay for a credit check to verify the Applicant’s credit
references and credit history in connection with the processing of the Rental
Application.
APPLICANT
DISCLOSURE FORM
APPLICANT COMPLETE AND SIGN !
Applicants
Name_______________________________________________
Address____________________________________________________
City/State/Zip________________________________________________
Social Security
Number_____________________________________
Date of Birth___________
Drivers License #/State_____________________
I authorize PHIL and PAT
LYON to obtain my consumer credit report and public records and to investigate
any personal information on me necessary to arrive at an applicant decision.
Signature_______________________________Date____/____/_____
After
completing, please fax to 662-895-3112 or call 662-895-3116 if you do not have
access to a fax machine.
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