220 Magnolia Greenwood, SC 29646 (864) 223-8128 |
apartments. Please complete all requested information on this form. |
Desired Date of Occupancy: ________________________________________________________ |
APPLICANT'S FULL NAME: _________________________________________________________ |
Date of Birth: _____________________________________________________ |
Other Residents | ||
Do You Own Furniture? ____________ Pets? _________________________________________ |
Other Remarks: __________________________________________________________________ |
PRESENT ADDRESS: _____________________________________________________________ |
Present Telephone: _______________________ Length of Time at Present Address: ____________ |
Present Landlord or Mortgage Holder: ___________________________ Telephone: _____________ |
Amount of Rent $_________________ Reason for Moving: _________________________________ |
PREVIOUS ADDRESS: _____________________________________________________________ |
Lenth of Time at Previous Address: ____________________________________________________ |
Previous Landlord or Mortgage Holder: __________________________ Telephone: _____________ |
Amount of Rent $_________________ Reason for Moving: _________________________________ |
EMPLOYED BY: ______________________________________________ How Long? ___________ |
Employer's Address: _________________________________________ Telephone: _____________ |
Position Held _____________________________________________________________________ |
Social Security No. ________________________________ Supervisor: _______________________ |
CO-RESIDENT'S EMPLOYER ____________________________________ How Long? ___________ |
Employer's Address: _________________________________________ Telephone: _____________ |
Position Held _____________________________________________________________________ |
Social Security No. ________________________________ Supervisor: _______________________ |
Number of Automobiles (including Company Cars) _______ Driver's License No. __________________ |
Make: __________________ Year ______ Color ______ Tag No. _________________ State ________ |
Make: __________________ Year ______ Color ______ Tag No. _________________ State ________ |
Make: __________________ Year ______ Color ______ Tag No. _________________ State ________ |
Household Income $_______________ Per ________________ |
Other Remarks: _____________________________________________________________________ |
__________________________________________________________________________________ |
In Case of Personal Emergency, Notify: ______________________________ Relationship: __________ |
Address: ___________________________________________ Telephone: ______________________ |
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APPLICANT'S SIGNATURE ___________________________ CO-SIGNED: ______________________________________ DATE SIGNED: ____________________________________ |
Date Application Received ___________________ | Received By _______________________________ | |||||||||||||||||||||||||||||||||||||||
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Date: _____________________________________ |