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Email:
City:
Zip:
Cell:
Relationship:
Contact Email:
Contact State:
Cell/ Phone:
Date of Birth
Will your parents or Emergency Contact co-sign the lease?
Most Recent Landlord Information
(If you live in campus dorms, provide head resident's name as landlord)
Date you resided there:
-
Prior Landlord Information
Date you reside there:
Miscellaneous Information
Do you own a vehicle which you wish to keep at the apartment?
Make:
Model:
Year:
Color:
Vehicle Registered to:
State:
Are you a Student Athlete?
Do you smoke?
Yes
No
Have you ever been convicted of a felony?
Have you ever filed for Bankruptcy?
Do you have a specific unit you wish to rent:
Additional Applicants
Will anyone else be living with you?
Each person living with you must submit a completed application. Provide the names of those who will be living with you:
Rental Disclosure Agreement
*Please check:
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