Upon completion of this form you will
be redirected to PayPal.com
in order to make a secure payment of $40 per applicant. |
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What Property are you interested in?: |
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What leasingtobuy rep have you been working with?: |
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Applicant 1 |
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First Name: |
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Last Name: |
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D.O.B.: |
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VA Eligible: |
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SSN: |
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Driver's License Number: |
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Driver's License State: |
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Cell Phone 1:: |
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Cell Phone 2: |
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Email Address: |
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Present Physical Address: |
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City: |
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State: |
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Zip Code: |
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How Long: |
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Own or Rent?: |
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Current monthly rent or house payment: |
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If Renting, Landlord's Name: |
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Landlord's Phone Number: |
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If less than two years, previous address: |
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If less than two years, previous city: |
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If less than two years, previous state: |
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If less than two years, previous zip code: |
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How long at previous address: |
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Own or Rent?: |
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If Rented, Landlord's Name: |
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Landlord's Phone Number: |
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Present Employer: |
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Employer's Address: |
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City: |
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State: |
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Zip Code: |
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Employer's Phone Number: |
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Employment Type: |
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Self Employed: |
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Your Position: |
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Gross Monthly Income: |
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How Long?: |
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If less than two years, previous employer: |
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Do you have any pets? |
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If Yes, what kind and how many? |
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Applicant 2 |
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(NOTE! If more than one person over the
age of 18 will be living in
the property, please complete all applicant information. Otherwise, leave
blank.) |
First Name: |
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Last Name: |
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D.O.B.: |
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VA Eligible: |
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SSN: |
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Driver's License Number: |
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Driver's License State: |
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Present Employer: |
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Employer's Address: |
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City: |
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State: |
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Zip Code: |
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Employer's Phone Number: |
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Your Position: |
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Gross Monthly Income: |
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How Long?: |
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If less than two years, previous employer: |
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Do you have any pets? |
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If Yes, what kind and how many? |
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I declare that all of the above
information is accurate and correct. I authorize complete verification of this
lease application and the obtaining of credit reports of all applicants. I agree
to pay a nonrefundable application fee of $40 per person. I further
agree that the landlord or his agent may terminate any agreement entered into
based on any misinformation contained in this lease application. |
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