Client Registration Form

Each Applicant over the age of 18 must complete their own application form
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Employment History

Employer 1
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Employer 2
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VEHICLES

PERSONAL REFERENCES

CREDIT INFORMATION

Please list all your financial obligations

Credit Accounts

GENERAL INFORMATION

Do you smoke? *
Do you have any pets? *
Do you have any musical instruments? *
Do you have any water-filled furniture or do you intend to use water filled furniture in the apartment? *
Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime? *
Have you ever been evicted for nonpayment of rent or any other reason? *
Have you ever filed for bankruptcy? *
Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and
facts, including but not limited to current and property location and employers, and personal references. Applicant hereby authorizes owner/agent
to obtain Unlawful Detainer, Property details ,Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish
additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the
application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability
any person providing or obtaining said verification or additional information.
Signature *
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