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RENTAL APPLICATION DATE ...

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? YES ____NO _____ **HOME SEEKERS INFORMATION** HOME SEEKERS NAME: _____AGE ___ DOB _____ LAST FIRST MIDDLE TELEPHONE: HOME_____ WORK_____ CELLULAR_____ EMAIL _____ SOCIAL SECURITY #_____ DRIVERS LIC.

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

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