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 Rental Application
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What Vershire Listing are you applying for?

 *
Required
First Name *
Last Name
Email *
Cell Phone *
Social Security Number *
Vehicle Make-Model-Color *
License Plate Number/State *
Drivers License Number/State *
Additional Occupants and Relationship to Applicant *
Current Address *
Years at current address *
+
Landlord/Manager Name and Cell *
Rent Amount *
Reason For Leaving *
Name & Address of Current Employer *
Position or Title *
Name of Supervisor and Cell Phone *
Your Gross Monthly Income *
Average monthly amounts of other income *
Gross Monthly Income of additional applicant *
Total of combined incomes *
Credit Card Balances and Monthly Payments *
Loans and other Financial obligations *
Describe the number of pet(s) you want to have *
Do you intend to have water filled furniture *
Have you ever filed for bankruptcy *
Have you ever been sued *
Have you ever sued someone *
Have you ever been evicted *
Have you ever been convicted of a crime *
If answered yes to previous 6 questions please explain? *
Contact in Emergency and Cell *
Where did you learn of this vacancy *
Start and End Dates of Stay Needed *
Applicant Signature *
Date Signed *
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