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\f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\tab \tab        This Application Must Be Complete
\par \tab \tab        
\par Applicant ___________________________________________   SSN _______________
\par  Address ____________________________________________   Phone _____________
\par  City/State/Zip _____________________________________   Birth Date ________
\par 
\par  Employer ___________________________________________   Net Income ________
\par  Supervisor _________________________________________   Phone _____________
\par  Employer Address ___________________________________   Position __________
\par  City/State/Zip _____________________________________   How Long __________
\par 
\par Spouse/Co-Applicant _________________________________   SSN _______________
\par  Maiden or Previous Married Name_____________________   Phone _____________
\par  Address ____________________________________________   Birth Date ________
\par  City/State/Zip _____________________________________
\par 
\par  Employer ___________________________________________   Net Income ________
\par  Supervisor _________________________________________   Phone _____________
\par  Employer Address ___________________________________   Position __________
\par  City/State/Zip _____________________________________   How Long __________
\par 
\par Names of Children and Ages ________________________________________________
\par How Many Persons Will Occupy This House/Apartment? ________________________
\par 
\par Present Landlord ____________________________________   Phone _____________
\par How Long Have You Lived There?_______________________   Rent ______________
\par Reason For Moving ___________________________________
\par 
\par Previous Address ____________________________________   How Long __________
\par City/State/Zip ______________________________________   Rent ______________
\par Previous Landlord ___________________________________   Phone _____________
\par 
\par Make of Car _________________________________________   License # _________
\par Do You Have a Trailer, Truck or Boat? _______________
\par If So, Where do You Propose to Park It? _____________
\par 
\par Please List Two Personal References
\par Name ________________________________________________   Phone _____________
\par Address _____________________________________________
\par Name ________________________________________________   Phone _____________
\par Address _____________________________________________
\par 
\par Please List Three Credit References and or Checking/Savings Accounts
\par Name of Company _____________________________________   Act # _____________
\par Address _____________________________________________
\par Name of Company _____________________________________   Act # _____________
\par Address _____________________________________________
\par Name of Company _____________________________________   Act # _____________
\par Address _____________________________________________
\par 
\par I understand that my deposit may be applied toward any rent loss,
\par advertising costs, re-rental fees, etc., if this application is approved and
\par I am unable to fulfill the conditions of occupancy.  The deposit will be
\par returned promptly if this application is not approved, providing all the above
\par questions are answered correctly and truthfully.  A charge of $25.00 pe
r single, $30 for married couples for processing your application is to be paid for the purpose of verifying the information included on this application.  I understand this charge is not, under any circumstances, to be returned to me.
\par 
\par I hereby give you permission to verify the validity of all the above
\par statements.
\par 
\par I also understand that this application does not constitute any written and/or
\par verbal commitment on the part of the Owner and/or Owner's agent.  This lease
\par not effective until checked through the Credit Bureau of Columbus and/or The
\par Federal Adjustment Bureau, Inc. and approved by Company officers.
\par 
\par 
\par _________________________________________  Date _________
\par 
\par _________________________________________  Date _________
\par 
\par Applicant and Spouse/Co-Applicant each must sign and date.
\par I.D. Must be shown to rental agent!
\par }}