MSR Rentals-River Falls & Hudson
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Duplex Application Form - 100 & 104 Jefferson Street
Personal Information
Name
Phone
Email Address
Date of Birth
Age
Social Security #
Driver License #
Vehicle color, year, make and model
License Plate #
Your Current Address
Reason for moving
Others who will occupy apartment with you
Name, Age, Relation
Name, Age, Relation
Name, Age, Relation
Name, Age, Relation
Employment and Financial Information
Current Employer
Address
Phone
Supervisor
Monthly Income
Bank Account Balance
Other Sources of Income and Amounts
References
Present Landlord name & address
Landlord Phone
Previous Landlord name & address
Landlord Phone
Previous Employer name & address
Employer Phone
I authorize any person or business listed above to be contacted and to provide requested information about myself and the contents of this application.
Yes
Have you ever been evicted
Yes
No
Have you ever been convicted of a crime
Yes
No
Have you ever failed to pay your rent
Yes
No
Do you have or plan to get a pet
Yes
No
If you answered YES to any of the above, please explain.
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Please fill out the fields marked with an asterisk.
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4 Bed HOUSE STUDENT APPLICATION FORM
4 Bed HOUSE FAMILY APPLICATION FORM
3 Bed RANCH APPLICATION FORM
2 Bed DUPLEX APPLICATION FORM
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MSR Rentals-River Falls & Hudson