Address of Property
MOVE IN DATE:
HOW LONG? AMT.
LENGTH OF LEASE:
DRV. LICENSE #:
Have you ever been evicted?
If yes, please explain
How many members in your household?:
Do you or anyone on your household smoke?:
Do you have any pets (dogs, cats, fish, birds, rodents, snakes, etc.)?
MY NAME BELOW I
DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE ITS
VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORTS.
I agree that the Landlord may terminate
any agreement entered into in reliance on any misstatement made above. An
application fee of $_____ has been submitted with this application and shall be
applied towards the security deposit if the Landlord and Applicant enter into a
lease agreement on above property. The application fee will be refunded if
Landlord determines this application unacceptable. In the event that the
Landlord determines the application to be acceptable and the Applicant does not
enter into a lease agreement with the Landlord, the application fee is
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Box 1311, Greeley, CO 80632 Phone: 970-352-3536 Fax:
All information is
deemed reliable but is not guaranteed. Prices are subject to change.