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ANDS Properties
P.O. Box 34786
Philadelphia, P.A. 19134
Website:
http://www.andsproperties.com
RENTAL APPLICATION
EQUAL HOUSING OPPORTUNITY
PLEASE PRINT ALL INFORMATION
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PLEASE TELL US ABOUT YOURSELF |
Full
Name__________________________________________________ Home Phone ( )
____________________
Date of Birth_________________________________
Email Address :__________________________________________( optional) Other
Phone ( ) ________________
Co-Applicant Name_________________________________________ Co-Applicant Date of
Birth__________________
Names of Dependents_______________________________________ Dependents Date of
Birth ________________
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PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) |
Current
Address_______________________________Apt#________ City__________________
State______ Zip______
Month/Year Moved In____________________ Reasons for
Leaving_______________________Rent $__________
Owner/Agent_________________________________________Phone ( )
____________________________
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PLEASE DESCRIBE YOUR CREDIT HISTORY |
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Have you declared bankruptcy in the past seven (7) years? |
Yes___________ No___________ |
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Have you ever been evicted from a rental residence? |
Yes___________ No___________ |
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Have you had two or more late rental payments in the past year? |
Yes___________ No___________ |
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Have you ever willfully or intentionally refused to pay rent when
due? |
Yes___________ No____________ |
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PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION |
Your Status:
_____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________________________
Dates employed__________________________ Employed
as____________________________________________
If using Housing
Voucher how many bedrooms are listed on that voucher?
___________________________
Where may we reach you to discuss this application?
Day Phone # ( ) ___________________________ Night Phone # (
)________________________
The above information, to the best of my knowledge, is true and correct.
Please sign: X__________________________________
__________________________________
Name of
Applicant Date
AUTHORIZATION
Release
of Information
I
authorize an investigation of my credit, tenant history, banking and employment
for the purposes of renting a house, apartment, or condominium from this
owner/manager.
_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature
Date
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