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RENTAL APPLICATION - Screening Services

RENTAL APPLICATION . (ONE PERSON PER APPLICATION ). Name: _____ Phone: _____. Email: _____ Former Names: _____. SSN: _____ _____ _____- _____ _____ - _____ _____ _____ _____ DOB: _____ / _____ / _____. Has your driver's license ever been suspended, privileges limited or revoked? Yes No If so, when and why? _____. Current address, including ZIP CODE: _____. Name, address and telephone no. of Landlord: _____. _____. Length of stay: _____ Rent: $ _____ Amt. of utilities paid by tenant: $ _____. Reason for leaving: _____. When does your lease expire? _____ Have you given notice? Yes No When would you like to take occupancy? _____. Former address, including ZIP CODE: _____.

RENTAL APPLICATION (ONE PERSON PER APPLICATION) Page 2 FORM PROVIDED BY SCREENING SERVICES INC. CALL 440.230.2929 OR 855-OK2RENT. Personal reference: (List name, address, telephone number and relationship) _____

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  Applications, Telephone, Screening, Rental, Rental application

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