1e/2s/2me 17:29 3605735975 PRvs Pace 97/87 lease print clearly. Application to Rent Ee eg fora pend of seven years! ui Name of Applicant: Last Fest Middle Home Phone { __) plicant: Social See. # 2 Date of Birth Drivers Lic. # Bus. Phone ( ‘Topased occupants. Total rumbor of oooupant___ Each proposed occupant that is 18 year or older must complete an Application to Rent Full Name (Fist, Middle, Last) Relationship Social Sec. # | Dato of Binh ‘Gecupation ds you hate sty pote? El veel] No! yon deestba, 22 OE SSS 1 a Re ‘ave you ever beon convieted of a criminal offense? ClYes CI No tyes desoine, {ve the following Information as to your last two places of residence. (Indicate fifo rent, O for own) Zomplat Address Svea oly Site, Zp [870 Ren Pav Landoed/ Mor.| — Phone [From Daa resent 5 Provous 1 lsiness references / Source of income, _(ncoat F for hl ino, P for pan ne, S tor sal-oneioyea, We ‘ar tua) Emploved By F/P/S] Access, Civ, Stato to. Gross S| Supervi cmt Dat) Preset H Previous ea. resent Gross Month Income § Otter Income jue wo local erect references. (Auto loans, deparnent sore, ced cards, cher oars_Do pot nlude pub ty companion) s Name Adress i Stale Phone Aes. NE Kez x cea ive one local reference. fae nares ow, Sato — | —Fotaionahip Fone Cm 2.you maintain a bank account? Clee E] No (ndaato GH for checking, or eavnga, 1 aoi-onployedilude bank salamere) Kame Branch Adtiess,_Ciy, Sie [Phone eat No [oHTS I cme 2you have fnancial obligations? LI Yes EI No Payments to ‘Address, Gly, Slate ‘Acct. No. [Monthly Payment] Total Owed. case of an emergency contact. Name Phon amlegapplicant (18 years or older) must fil out an Application to Rent and is boing charged a NON-REFUNDABLE FEE of$_____ 'g apafcant sereening, Screening may incluce a cred report, checking public records, caling employer, caling currant and fortnerTanGiowds, Seeing al information onthe application. By signing this pplication you authorize the screening process and acknowledge a copy of Fis 2FFICE USE: Anpication #___Report type L] CRD LJSUM EIFULCISEA C]EMP ental name or address Dontact Rape Phong Fax “hoto identification checked: [1 yes Ino Ci Approved CI isaoproved Date