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Rental Application
PLAZA ARMS RENTAL APPLICATION
Applicant Name:
Primary Phone:
Date of Birth:
Email Address:
Current Home Address:
City:
State:
Zip:
How Long at this Address:
Monthly Rent:
Landlord's Name:
Landlord's Primary Phone:
Reason for Leaving:
Previous Home Address:
City:
State:
Zip:
EMPLOYMENT INFORMATION
Employed by:
How Long:
Month started with Employeer:
Year started with Employeer:
Work Address:
City:
State:
Company Phone:
Position:
Immediate Supervisor:
Supervisor Phone:
Income: $
Per Week: $
Per Month: $
Additional Income (Describe All Sources):
Previous Employer:
How Long:
Address:
City:
State:
Position:
Company Phone:
Immediate Supervisor:
Supervisor Phone:
Income: $
Per Week: $
Per Month: $
How did you learn about this building:
Newspaper Ad-name of Paper:
Walk-by / Drive by:
Referral (by whom)
Agency (provide name)
Other:
EMERGENCY CONTACT INFORMATION
Name of Nearest Relative:
Address:
City:
State:
Home Telephone:
Cell Phone:
Your Relationship to Relative:
Their Employer:
Employer City:
Employer State:
AUTHORIZATION TO VERIFY INFORMATION
I authorize Landlord or Agents to process and verify the information completed on the Rental Application Form and obtain additional data regarding previous employment, wage garnishment, evictions, bad debts, criminal background, and crdit and landlord reports.
I AGREE
I understand and agree that there is a non-refundable application processing and background verification fee of $35.
I AGREE
There is absolutely NO REFUND of this fee for any reason and payment of the fee DOES NOT guarantee that I may secure a rental unit at these premises either now or in the future. I speak, read and understand English and I am signing this authorization form of my own free will.
I AGREE
