To Be Completed Seperately By Every Adult Tenant
BACKGROUND INFORMATION AND HISTORY
Date Of Birth
Name(s) and Relationship(s)
Type of Pet?
Any Water Furniture?
I Have Filed Bankruptcy?
I Have Been Sued?
I Have Been Evicted?
Name(s) of anyone authorized to enter premise in your absence
I certify that all the information given above is true and correct. I authorized the Owner/Manager of the property listed above to verify any and all of the information and references provided and to obtain all relevant credit background information pertaining to me. I instruct you to contact any employer or credit bureau concerning this application. I/We are paying a non-refundable holding deposit of $
, this is to hold the apartment known as
, AR. I/We acknowledge that the Manager is holding an apartment. I/We forfeit all rights to the holding deposit listed above and could be liable for rent until apartment is re-rented. I/We understand that
is an Agent of the Landlord and is a Representative of the Landlord. I/We acknowledge that this written notice was received before I/We received a lease agreement.
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