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Residence History

Current Employment

List Other Persons Who Will Occupy the Apartment With You

List Automobiles

Two Personal References

List Animals

Emergency Contact

I represent that the above statements are true and authorize Landlord to verify the information given by making inquiries through criminal background reporting agencies, credit bureaus, employers, landlords, and other references supplied on this application. I understand that regardless of the outcome of my application, the application fee will not be refunded. I UNDERSTAND THIS PARAGRAPH COMPLETELY. I hereby apply to lease the above-described premises for the term and upon the conditions set forth above.