RENTAL APPLICATION DATE ...

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RENTAL APPLICATION DATE: _______________ ******************************HOUSING PREFERENCE INFORMATION*************************** # BDRMS________ RENT RANGE PREFERENCE $_________ # OF PERSONS TO OCCUPY RENTAL ? __________ # OVER AGE 18 _________ NAMES OF INDIVIDUALS TO LIVE THERE: 1)_____________Relationship ___________Age_____ 2)________Relationship___________Age____ ___ 3) Name_____________________ Relationship______________Age_______ 4) Name__________________Relationship______ ______Age____ Are you a US Citizen___yes___no Can you provide Proof________ # OF PETS ____________ DESCRIBE ________________________________ HOW DID YOU HEAR ABOUT DF&C? ____________________ HAVE HOME SEEKER OR CO-APPLICANT EVER BEEN CONVICTED OF A FELONY?

The undersigned warrants that the only individuals who shall occupy rental, if accepted as tenants, shall be as indicated above. The undersigned further