BEFORE YOU FILL OUT THIS FORM PLEASE NOTE THE FOLLOWING: ALL FIELDS ARE REQUIRED TO BE FILLED IN. WE DO NOT ALLOW PETS. FIRST MONTH'S RENT AND SECURITY DEPOSIT ARE REQUIRED.

TODAY'S DATE

APPLYING FOR

MAX. AMT. YOU CAN PAY?

HOW MANY OCCUPANTS WILL BE LIVING IN UNIT?

ADULTS

CHILDREN

APPLICANTS INFORMATION

NAME

ADDRESS

* SS NUMBER

PHONE #

# OF VEHICLES

BIRTH DATE

MARITAL STATUS

CURRENT EMPLOYER

EMPLOYER ADDRESS

EMPLOYER PHONE No.

HOW LONG EMPLOYED

MONTHLY INCOME

CO-APPLICANTS INFORMATION

NAME

ADDRESS

SS NUMBER

PHONE #

# OF VEHICLES

BIRTH DATE

MARITAL STATUS

CURRENT EMPLOYER

EMPLOYER ADDRESS

EMPLOYER PHONE No.

HOW LONG EMPLOYED

MONTHLY INCOME

CURRENT/PREVIOUS LANDLORD INFORMATION

NAME & Phone Number

How long living there?

PLEASE LIST ALL PERSONS LIVING WITH YOU

NAME

RELATIONSHIP - AGE

NAME

RELATIONSHIP - AGE

NAME

RELATIONSHIP - AGE

PLEASE LIST TWO (2) CHARACTER and TWO (2) FINANCIAL REFERENCES (Please do not list relatives)

NAME and CONTACT NUMBER

PLEASE NOTE: CONSUMER CREDIT REPORTS MAY BE OBTAINED IN CONNECTION WITH THIS APPLICATION.

YOU ARE FILING THIS FORM ELECTRONICALLY. ALL INFORMATION SUBMITTED IS CONFIDENTIAL AND NOT USED IN ANY WAY OTHER THAN OBTAINING INFORMATION TO PROCESS YOUR RENTAL APPLICATION. NO INFORMATION IS STORED. IF YOU HAVE ANY QUESTIONS OR HAVE DIFFICULTY FILLING OUT THIS FORM PLEASE EMAIL KAREN@BOGGSHOMES.COM. AFTER CAREFUL REVIEW AND CONSIDERATION YOU WILL BE CONTACTED.

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CO-APPLICANT DIGITAL SIGNATURE

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