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Rental Application for Superior Choice Properties, Inc
Applications must be completed by anyone 18 or older! Fees $45 per adult $70 per couple $20 Occupants 18 or older
Personal Information
Property Address
*E-Mail:
*First Name:
Middle Initial:
*Last Name:
*Social Security Number
*Date of Birth:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Home Phone:
Business Phone:
Cell Phone:
*Drivers License Number
E-Mail:
Co-Tenant First Name:
Middle Initial:
Last Name:
Social Security Number
Date of Birth:
Address Line 1:
City:
State:
Zip Code:
Home Phone:
Business Phone:
Cell Phone:
Drivers License Number
Vehicles
Car Make & Model:
Production Year:
Color:
License Plate Number:
Vehicles
Car Make & Model:
Production Year:
Color:
License Plate Number:
Rental History
*How long at current address?
*Landlord Name:
*Landlord Phone:
E-Mail:
*Current Rent:Numerals only please
*Rent Paid Through:Date only
Previous Address:
How long at previous address?
Landlord Name:
Landlord Phone:
Previous Rent:Numerals only please
Rent Paid Through:Date only
Employment
*Current Occupation:
*Employer or Business Name:
*Business Address:
*Type of Business:
*Position Held:
*Supervisor Name & Title:
*Supervisor Phone:
E-Mail:
*Start Date:Date only
*Monthly Income:Numerals only please
Character Reference
*Reference
*Telephone Number:
*Reference
*Telephone Number:
Other Occupants
List all other occupants, including names and relationships (include pets).
*
Question & Answer
*Ever Filed for Bankruptcy?
Yes
No
*Ever been evicted?
Yes
No
*Ever refused to pay rent?
Yes
No
*Ever been convicted of a crime
Yes
No
If yes explain
*Requested Move In Date:Date only
I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT.
I agree that the Landlord may terminate any agreement entered into in reliance on any misstatements made above.
*Dated:Date only
By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.
*Signature: Enter first & last name
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