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RENTAL APPLICATION FORM (1)
West Indian Hills Application Form
A non-refundable application fee of $35 per applicant is required.
P E R S O N A L
Applicant's Last Name
*
First Name
*
Full Middle Name (FULL Middle Name Required)
*
Date of Birth
*
+
SS#
*
Drivers License #
*
Drivers License State
*
Telephone # (Best number to reach you; preferably cell phone)
*
Primary Email Address
*
Co-Applicant's Personal Information
Co-Applicant's Last Name
Co-Applicant's First Name
Co-Applicant's Full Middle Name (Full middle name required)
Co-Applicant's Date of Birth
+
Co-Applicant's SS#
Co-Applicant's Driver's License #
Driver's License State
Co-Applicant's Telephone # (best number to reach you; preferably cell phone)
Co-Applicant's Email Address
A D D R E S S E S
Current Address
Present Street Address
*
City
*
State
*
Zip Code
*
Resided Since?
*
+
Rental Amt
*
Current Home Telephone #
*
Current Complex/Landlord Name
*
Landlord's Phone #
Is current rent paid?
*
Yes
No
Have you given notice?
*
Yes
No
Have you been asked to leave?
*
Yes
No
Previous Address
Previous Street Address
City
State
Zip Code
Resided Since?
+
Rental Amt
Previous Landlord
Landlord's Phone #
Was all rent paid?
Yes
No
Did you give notice?
Yes
No
Were you asked to leave?
Yes
No
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