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APPLICANT: |
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**Full Name:
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**E-mail:
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Date of Birth:
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CO-APPLICANT: |
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Full Name:
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E-mail:
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Date of Birth:
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APPLICANT
CONTACT INFORMATION: |
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Home Phone:
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Work Phone:
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Cell Phone:
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Fax:
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CO-APPLICANT
CONTACT INFORMATION: |
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Home Phone:
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Work Phone:
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Cell Phone:
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Fax:
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OTHER OCCUPANTS: |
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Occupant #1 Name:
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DOB:
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Relationship:
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Occupant #2 Name:
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DOB:
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Relationship:
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Occupant #3 Name:
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DOB:
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Relationship:
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Applicant
Marital Status:
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Have you ever leased from
Sexton Associates, Inc. ?:
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If yes, when?:
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Does anyone who will be
occupying the home Smoke?:
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Do you have any pets?:
How many?:
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If yes, what breed, weight,
and age?:
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What is the pet(s) name?
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Are they inside
pets?
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CURRENT ADDRESS: |
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Street Name:
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House or Duplex#:
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City:
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Zip Code:
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Rent or Mortgage Payment: $
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How Long:
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Phone:
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Date Moved Out:
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Landlord Name:
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Landlord Phone:
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PREVIOUS ADDRESS: |
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Street Name:
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House or Duplex#:
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City:
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Zip Code:
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Rent or Mortgage Payment: $
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How Long:
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Phone:
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Date Moved Out:
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Landlord Name:
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Landlord Phone:
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ANNUAL INCOME: |
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ANNUAL INCOME OF APPLICANT:
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ANNUAL INCOME OF CO-APPLICANT: :
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APPLICANT'S EMPLOYER:
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Employment Type:
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Employer Name:
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Address:
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How Long:
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Phone:
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Person to call to verify
employment?
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CO-APPLICANT'S EMPLOYER:
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Employment Type:
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Employer Name:
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Address:
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How Long:
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Phone:
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Person to call to verify
employment?
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BANKING INFORMATION: |
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Checking Account |
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Bank Name:
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Address:
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City/State/Zip:
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Savings Account |
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Bank Name:
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Address:
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City/State/Zip:
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PERSONAL
REFERENCES: |
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Reference #1 Name:
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Relationship:
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Address:
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City/State/Zip:
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Phone:
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Reference #2 Name:
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Relationship:
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Address:
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City/State/Zip:
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Phone:
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Reference #3 Name:
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Relationship:
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Address:
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City/State/Zip:
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Phone:
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DRIVERS LICENSE
INFORMATION: |
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Applicant Driver's License#:
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State:
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Expires:
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Co-Applicant Driver's
License#:
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State:
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Expires:
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VEHICLE
INFORMATION: |
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Vehicle #1 |
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Make:
Year:
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License/Tag#:
State:
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Vehicle #2 |
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Make:
Year:
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License/Tag#:
State:
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HAVE YOU EVER? |
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Have you ever filed
bankruptcy?: |
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Have you ever been evicted?:
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Have you ever refused to pay
rental payments when due?
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Have you ever been late
making rental payments?
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Have you ever damaged any of
your landlord's property while renting?
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Have you ever broken a lease
agreement for any reason?
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Have you ever been convicted
of a felony, sexual, or violent offence?
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| If you answered YES to any
of the above, Please EXPLAIN: |
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