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RESIDENTIAL LEASE APPLICATION
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An Individual Application Is Required On Any Individual 18 Years Of Age Or Older
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Property Address:
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Anticipated Move-in Date:
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Monthly Rent:
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Security Deposit:
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Applicant Name (First, Middle, Last:
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Home Phone:
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Email Address:
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Pager:
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Work Phone:
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Mobile Phone:
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Drivers License Number:
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State:
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Social Security Number:
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Date Of Birth:
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Height:
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Weight:
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Eye Color:
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Country:
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Marital Status:
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Citizenship:
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Hair Color:
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Emergency Contact:
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Address:
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Phone:
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E-mail:
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Name all other persons who will occupy the Property:
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Age:
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Name:
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Relationship:
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Age:
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Relationship:
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Name:
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Age:
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Name:
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Relationship:
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Age:
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Relationship:
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Name:
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Apt. No.
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Applicants Current Address:
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City:
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Zip Code:
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State:
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Current Landlord's Name:
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Fax:
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Office Phone:
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Home Phone:
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Date Moved In:
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Rent $:
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Date Moved Out:
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Reason For Move:
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Applicant's Current Employer:
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Supervisors Name:
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Address:
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Employer Fax Number:
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City:
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State:
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Zip Code:
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Start Date With Employer:
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Current Employer Phone # :
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Gross Monthly Income:
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Position:
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If Co-applicant Is Applying - Press Submit To Process 1st Application
Then Complete Co-applicant Application And Submit 2nd Process
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By Clicking On I Agree, Signing and Submitting,
You Hereby Agree To Process This Application Online And Give Premier Realty Services Permission
To Contact Your Current And Past Landlords, Employers, Banking Institutions, Mortgage
Lenders,Etc To Verify The Information That Has Been Submitted By Yourself Regarding This
Application. You Also Agree To Allow Premier Realty Services To Process A Credit , Background And
Criminal Report Based On The Information That You Have Provided.
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Signed By:
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I Agree
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Disclosure
All advertising pages of this website are owned and maintained by Ron Adkins, A Texas
Licensed Real Estate Broker and Owner of Premier Realty Services
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