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Belmont Properties, Inc.  Application for Tenancy ($35.00)

What Apartment are you applying for? Rent   Desired Start Date Desired End Date

PERSONAL INFO

First Name Middle Name Last Name

Social Sec # DOB
Cell / Home Phone Work Phone# E-mail

CURRENT ADDRESS

Street City State Zip Code
Landlord's Name Landlord Phone# Why leaving? How long have you lived there?

PREVIOUS ADDRESS

Street City State Zip Code

EMPLOYMENT/ EDUCATION

(All tenants must work or go to school for a minimum of 35 hours per week)
Are you a Student? School Class hours/week?
Where are you Employed? Position Work hours/week? Gross Pay/ Month
Start Date Supervisor

Supervisor's Phone

PERSONAL INFO

Will anyone else be residing with you for more than 21 days per year?
Who should we contact in case of an Emergency? Relationship? Phone #
Have you ever been Arrested?    explain

 
Have you ever filed for Bankruptcy? When?
Have you ever been Evicted or threatened w/Eviction?      
Do you have any Pets? Do you plan on having Renters Insurance?
Reference (1) Relationship Phone    
Reference (2) Relationship Phone    
Reference (3) Relationship Phone