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1247 S. Volusia Ave, Orange City, FL 32763 386-775-0252 Fax 386-775-7384 EMail realtyfinders@embarqmail.com |
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Unit Applying For
Length of Lease Desired
Move In Date Desired
Applicants Name: SS# Date of Birth Drivers License # Home Phone Work Phone Cell Phone E-Mail Address |
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CURRENT ADDRESS: Address City State Zip Rent Own How Long Current Payment $ Landlord City St Zip Ph |
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FORMER ADDRESSES: 1) Address City State Zip Rent Own Amount $ Landlord/Manager Name Phone# Phone# Length of Time at this Address: FROM TO Reason for Leaving 2) Address City State Zip Rent Own Amount $ Landlord/Manager Name Phone# Phone# Length of Time at this Address: FROM TO Reason for Leaving |
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Emergency/Personal Contacts/References: Name City State Phone Relationship Name City State Phone Relationship Name City State Phone Relationship Name City State Phone Relationship |
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TOTAL NUMBER of persons to occupy the premises (Including Yourself) Attach Additional Pages if needed.
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EMPLOYERS: Employer Supervisor Phone Address City State Zip Salary Hr Mth Year Length of Employment Position Employer Supervisor Phone Address City State Zip Salary Hr Mth Year Length of Employment Position Reason for Leaving | ||||||||||||||||||
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VEHICLES
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Pets: Dog(s) # Breed(s) lbs. Cat(s) # Inside/Outside Bird(s) # Caged Fish Other | ||||||||||||||||||
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Will you have any water filled furniture? If so, please specify |