No pets This is a very nice house with central A/C, dishwasher, fenced in back yard, storage shed, and carport. All hardwood floors. Room dimensions: LR: 16 -10 X13 -3 Kitchen/dining: 20 -7 X9 -3 Bed1: 12 -6 X9 -4 Bed2: 11 -0 X10 -0 Bed3: 10 -7 X9 -4 Natural gas heat, stove, and water heater. Tenant is responsible for all utilities. Tenant provides washer, dryer, and fridge. References required (Job and previous rental history: 2 yrs) Maximum Occupancy: 4 people Autodraft (from a bank account) is required for rent payment. Do not send e-mail; phone calls only. RENTAL APPLICATION NAME _______________________________________ PH # _________________________ DOB:______________ SOC. SEC. #: ___________________________________ MARITIAL STATUS: married non-married HAVE YOU HAD ANY LATE RENT PAYMENTS OR EVICTIONS IN THE PAST 2 YEARS? _______________________ CURRENT ADDRESS: ______________________________________ DATES AT ADDRESS: ____-____ to ____-____ ______________________________________ CURRENT RENT ($/MO) _________________ CURRENT LANDLORD S NAME: ______________________________________________________ CURRENT LANDLORD S PHONE #: ________________________ PREVIOUS ADDRESS: _____________________________________ DATES AT ADDRESS: ____-____ to ____-____ ______________________________________ PREVIOUS RENT ($/MO) _________________ PREVIOUS LANDLORD S NAME: ______________________________________________________ PREVIOUS LANDLORD S PHONE #: ________________________ EMPLOYER: _________________________________________________ YEARS OF SERVICE: ___________ EMPLOYER S ADDRESS: ________________________________________ ________________________________________ POSITION: _________________________________________________ INCOME: ____________________ SUPERVISOR: ____________________________________ SUPERVISOR S OFFICE PHONE # (NO CELL PHONES): _____________________ DO YOU HAVE A CHECKING ACCOUNT? yes no NAME OF BANK______________________________________ DO YOU HAVE A SAVINGS ACCOUNT? yes no NAME OF BANK______________________________________ DEPENDENTS/OTHERS WHO WILL LIVE WITH APPLICCANT (list name, age and relation) Name Age Relation (son, daughter, etc.) ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ VEHICLES: MAKE _____________ MODEL _____________ YR. _____ LISC. # _________________ MAKE _____________ MODEL _____________ YR. _____ LISC. # _________________ MAKE _____________ MODEL _____________ YR. _____ LISC. # _________________
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