RENTAL APPLICATION

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Instructions:
1) Fill all blanks in form including the propert address/location & unit type
2) Print it on your printer
3) Sign printed application <-- Important
5) Bring completed form and credit check fee to manager

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Your Name: Date

Current Address:

City: State: Zip:

Current Phone Work Phone e-mail

S.S.# Drivers License DL State

Date of Birth Name Additional Occupants

Employer: Monthly Salary: How Long?

Prev Address:

City: State: Zip:

Property Address/Location you wish to rent: Unit Type

Preferred Occupancy Date: 2nd choice

First Reference Current Landlord or Mortgage Holder:   Name: Address: Current Phone #

Second Reference Relationship to you: Name: Address: Current Phone #

I HEREBY GRANT PERMISSION FOR LANDLORDS OF WWW.UNIQUELARENTALS.COM TO CHECK MY REFERENCES AND/OR CREDIT HISTORY.

 

SIGNATURE: ________________________________________ DATE: ______________

Sign in ink above AFTER printing

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OFFICE USE ONLY - OFFICE USE ONLY - OFFICE USE ONLY - OFFICE USE ONLY -

First Reference   Phone ______ Letter _______   Rating ___________________ Comments:

Second Reference   Phone ______ Letter _______   Rating ___________________ Comments:

Information obtained will be used only for the purpose of determining whether
you qualify for consideration as a tenant and will not be used for any other purpose.