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Casa Brentwood
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Ed Mar
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Application Fees:$35 for 1st & 2nd applicants
Referred By:
Application Information
First Name:
Last Name:
Middle initial:
DL or ID Number:
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Social Security Number:
Birth Date:
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Phone Number:
(111-111-1111)
My Email Address:
Total Number of Occupants:
Address information
Present Home Address:
City:
State:
Zip Code:
How Long Lived at:
(Numbers Only)
Reason for Moving:
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Reloacation
Management
Maintenance
Property Location
Proof staff
Land Lord Name:
Land Lord Phone Number:
(111-111-1111)
Current Rent:
Occupation information
Present Occupation:
Employer Name:
Year on the Job:
(Numbers Only)
Income Per Month:
Name of Supervisor:
Employer Phone Number:
(111-111-1111)
I hereby authorize Apartment Management Services.LLC. to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I hereby expressly release Apartment Management Services, LLC., and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies.
I have Read and Understand the above Disclaimer
Your Name or Signature:
Date Signed:
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