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Please fill out the form below.

Applicant's Name*
Birth Date* Soc. Sec. No.*
Current Address* 
Apt. City*  State*  Zip*
Phone Number*
 Cell   Email*  
How Long?
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Current Landlord*
Address Apt. City  State  Zip
Phone Number*
Previous Address
 Apt. City  State  Zip
How Long?
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Previous Landlord
Address Apt. City  State  Zip
Phone Number
Employer
Address City  State  Zip
Phone Number
Occupation Monthly Income $* How Long?*
Supervisor's Name
Spouse's Name  
Birth Date Soc. Sec. No.
Spouse Employer
Address City  State  Zip
Phone Number
Occupation Monthly Income $ How Long?
Supervisor's Name
Persons Other than Applicant to Occupy Apartment

Name Relationship Birth Date

Name Relationship Birth Date

 
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School Advisor's Name Phone Number
Person to Notify in* Case of Emergency
Address City  State  Zip
Phone Number*
Relationship
 
What size Apartment are you interested in?
 
When would you like to move in?
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IT IS UNDERSTOOD AND AGREED THAT:
A deposit equal to one month's rent is necessary to take the apartment off the market. The deposit will be forfeited if the applicant decides not to move into the property AFTER the apartment is taken off the market. The applicant hereby authorizes Renaissance Investment Co., Inc., to verify any statement made herein and to obtain a credit report from any credit reporting agency, and to interview third parties, such as family members, business associates, financial sources, friends and neighbors. This inquiry includes information as to character, general reputation and mode of living.