Number of Other People in Unit:
5.
Do you have any pets?
yes
no If yes,
what kind
If a pet is
allowed, an additional deposit WILL BE required.
6.
EMAIL ADDRESS
7.
TENANT’S PRESENT RESIDENCE
Current
Telephone #
Address
City
State
Zip
where I have lived for
years
and which
I
owned
rented
at $
per month.
Present
Landlord
Telephone
8.
APPLICANT’S CURRENT EMPLOYER OR OTHER INCOME
Telephone
Number
Address
City
State
Zip
Weekly Income Gross: $
OTHER INCOME IS:
Weekly Income Gross:
9. Have you ever been filed at a
District Magistrate’s Office for not paying rent or for being late in
paying rent to your landlord?yesno
If yes, Please explain.
10. Have you ever broken a lease
or been evicted for any type of housing?
yes
no
If yes, Please explain.
11. Do you currently owe a
Landlord (current or previous) money?
yes
no
If yes, Please explain.
