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RENTAL/CREDIT APPLICATION

E-MAIL ADDRESS_______________________CELLPHONE__________________                                                        

                   NAME__________________________TELEPHONE_____________________

SOC. SEC. NO.____________________DRIVERS LICENSE NO.________________

 PRESENT ADDRESS____________________________________________________

 CITY_____________________________STATE______________ZIP______________

 PRIOR ADDRESS_______________________________________________________

 CITY_____________________________STATE______________ZIP______________

 HOW LONG HAVE YOU LIVED AT PRESENT ADDRESS___________________

 HOW LONG HAVE YOU LIVED AT PRIOR ADDRESS______________________

 WHEN ARE YOU LOOKING TO MOVE____________________

 NAME OF LANDLORD__________________________________________________

 TELEPHONE OF LANDLORD__________________________

 PRIOR LANDLORD_________________________________PHONE_____________

 BIRTH DATE_______________HOW MANY ADULTS_______CHILDREN______

 EMPLOYER__________________________________PETS_DOGS______CATS____

ADDRESS_____________________________________________________________

 POSITION___________________________MONTHLY SALARY_______________

 SUPERVISOR_____________________________PHONE______________________

SPOUSE/ROOMMATE  INFORMATION

NAME_______________________________SOC. SEC. NO_____________________

 BIRTH DATE____________________DRIVERS LICENSE NO._________________

 CELL______________________________

 EMPLOYER____________________________________________________________

 ADDRESS______________________________________________________________

 POSITION___________________________SUPERVISOR______________________

 PHONE___________________________MONTHLY SALARY__________________

 HOW LONG EMPLOYED______________________

VEHICLE INFORMATION

MAKE/MODEL______________YEAR_____COLOR___________TAG__________

MAKE/MODEL______________YEAR_____COLOR___________TAG__________

HAVE YOU EVER FILED FOR BANKRUPTCY_________________

BEEN SERVED AN EVICTION NOTICE______________________

BEEN ASKED TO VACATE A PROPERTY YOU WERE RENTING__________

WILLFULLY OR INTENTIONALLY REFUSED TO PAY RENT WHEN

DUE__________

DISCLOSURE

I/WE DECLARE THIS INFORMATION IS TRUE AND CORRECT, AND I/WE HEREBY AUTHORIZE YOU TO CONDUCT AN EMPLOYMENT CHECK AND TO VERIFY OUR REFERENCES AND  I/WE GIVE COLDWELL BANKER PERMISSION TO CONDUCT A CREDIT CHECK.

APPLICANTS SIGNIATURE_____________________________________DATE_________________

CO-APPLICANTS SIGNIATURE_____________________________________DATE____________