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Places4Rent

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Rental Application Form

Please complete all sections of the form as completely as possible to avoid delays with your application. Thoroughly completed applications will be given priority. If a section does not apply to you, please enter N/A.

Rental Application Form
Location of rental property in question.

Applicant Information arrowup6

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Name of Applicant:
Name of Applicant:
First
Last

Current/Previous Residence Information arrowup6

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Current Landlord Name:
Current Landlord Name:
First
Last
Months
Previous Landlord Name:
Previous Landlord Name:
First
Last
Months

Applicant Employment Information arrowup6

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Months
Months

Applicant Banking and Vehicle Information arrowup6

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Used for rent payments

Applicant Reference Information arrowup6

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Name of Personal Reference 1 (not a family member):
Name of Personal Reference 1 (not a family member):
First
Last
Name of Personal Reference 2 (not a family member):
Name of Personal Reference 2 (not a family member):
First
Last
Name of Personal Reference 3 (not a family member):
Name of Personal Reference 3 (not a family member):
First
Last
Name of Emergency Contact:
Name of Emergency Contact:
First
Last

Applicant Historical Information arrowup6

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Have you ever filed for bankruptcy? *
Have you ever been evicted? *
Have you ever refused to pay rent when due? *

Pets arrowup6

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Do you or other occupants have any pets? *
If you answered “NO”, do you plan to have a pet?

Our Policy does not allow dogs, cats, or any other pets.

I(we) certify the above information is correct and I(we) understand this application may be revoked if any information furnished upon this application is found to be incorrect.

In this connection, I(we) authorize and consent to the Lessor obtaining further information about me(us) and checking the information I(we) have given here and exchanging information about me(us) with credit bureaus and or other creditors as permitted by law.

I(we) understand that the submission of this completed application and the application deposit constitutes a commitment to rent the said unit.

I(we) understand that if we cancel this application after approval by the Lessor and/or related companies my(our) deposit is non-refundable.

The above information, to the best of my knowledge, is true and correct.

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