Blank Residential Lease Application



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Applicant’s Previous Employer: Address: Supervisor’s Name: E-mail: Employed from to (street, city, state, zip) Fax: Phone: Gross Monthly Income: Position: Describe other income Applicant wants considered: List all vehicles to be parked on the Property: Type Year Make Model License/State List all pets to be kept on the Property (dogs, cats, birds, reptiles, fish, and other pets): Type Breed Name Color Weight Age Gender Neutered Declawed Rabies Shots Current  yes  no  yes  no  yes  no  yes  no  yes  no  yes  no Yes No Will any waterbeds or water-filled furniture be on the Property  Does anyone who will occupy the Property smoke  Will Applicant maintain renter’s insurance  Is Applicant or Applicant’s spouse, even if separated, in military  If yes, is the military person serving under orders limiting the military person’s stay to one year or less  Has Applicant ever: been evicted  been asked to move out by a landlord  breached a lease or rental agreement  filed for bankruptcy  lost property in a foreclosure  had any credit problems, slow-pays or delinquencies  been convicted of a crime  Is any occupant a registered sex offender  Are there any criminal matters pending against any occupant  Is there additional information Applicant wants considered      (TAR-2003) 1-1-12 Mo.Pymnt..




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