Tenant Application Form

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General Information

Section I. Applicant and Spouse

Applicant
Spouse
Name
SSN
Date of Birth
Drivers License #
State Issued
Best Phone Number
Email Address

Section II. Other Tenants to Occupy Property

Tenant 1
Tenant 2
Tenant 3
Tenant 4
Full name
Relationship to Applicant
SSN
Date of Birth

Section III. Pets

Pet #1
Pet #2
Pet #3
Pet #4
Type
Breed
Weight

Section IV. Residence History

Current Address
Previous Address
Spouse's Current Address
(If Different)
Spuuse's Previous Address
(If Different)
Address
Rent or Own
Monthly Payment
Move In Date
Move Out Date
Landlord/Mortgage Company
Phone

Section V. Employment History

Applicant's Present
Employer
Applicant's Prior
Employer
Spouse's Present
Employer
Spouse's Prior
Employer
Name
Address
Phone
Direct Supervisor
Start Date
End Date
Current Position
Monthly Gross Income
(Before Taxes)

Section VI. Additional Verifiable Sources of Income, if applicable

Applicant
Spouse
Source
Monthly Gross Amount

Section VII. Additional References, if applicable

Reference #1
Reference #2
Reference #3
Name
Relationship
Phone

Section VIII. Additional Information

Section IV. Agreement & Authorization

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that there is a non-refundable application fee of $35 for every individual 18 years of age or older who will be occupying the property. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

Section X. Submit

Return this application, along with a check for the application fee made payable to "Rocks Rehabs, LLC" ($35 for every individual 18 years of age or older who will be occupying the property). You will be notiļ¬ed of the status of your application within 2 weeks of its receipt.

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