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Online Application - Step 3 |
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Select Print on your web browser to print this page.
If a field below does not apply to you, simply leave it blank. This will not diminish your chances of obtaining tenancy as long as you are honest.
Personal |
Tenant |
Cotenant |
Cotenant |
| Name | |||
| Phone | |||
| e-Mail Address | |||
| SS Number (optional) | |||
| Description (circle) | Adult |
Adult Student Child |
Adult Student Child |
| Current Address | |||
| Landlord Name | |||
| Current Monthly Rent |
Income/Expenses |
Tenant |
Cotenant |
Cotenant |
| Employer | |||
| Time on job | |||
| Monthly gross income | |||
| Work Phone |
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| Car Description | |||
Monthly car payment |
References |
Tenant |
Cotenant |
Cotenant |
| Reference #1 (non-related) | |||
| phone number | |||
| Reference #2 (non-related) | |||
| phone number |
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| Emergency Contact Name | |||
Address |
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Phone |
Housing Needs |
Tenant |
| Number of tenants | 1 2 3 4 5 |
| Number of bedrooms desired | 1 2 3 4 5 |
| BNI Property interested in |
Misc |
Tenant |
Cotenant |
Cotenant |
| Do you have a checking account? | Yes No |
Yes No |
Yes No |
| Do you have a savings account? | Yes No |
Yes No |
Yes No |
| Have you ever filed bankruptcy? | Yes No |
Yes No |
Yes No |
| Have you ever been evicted? | Yes No |
Yes No |
Yes No |
| Do you have pets? | Yes No |
Yes No |
Yes No |
By signing below I declare that I have read the Application Policy and I declare the foregoing to be true under the penalty of perjury, and I agree that it may terminate any agreement entered into in reliance on any misstatements made above.
______________________ |
______________________ | ______________________ | |
| Tenant Signature | Cotenant Signature | Cotenant Signature |
Mail Application to:
