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

APPLICANT NAME

ADDRESS

TOWN

ZIP CODE

SS NUMBER

PHONE #

# OF VEHICLES

BIRTH DATE

MARITAL STATUS

CURRENT EMPLOYER

EMPLOYER ADDRESS

EMPLOYER TOWN

ZIP CODE

EMPLOYER PHONE #

HOW LONG EMPLOYED

MONTHLY INCOME

CO-APPLICANTS INFORMATION

CO-APPLICANT NAME

ADDRESS

TOWN

ZIP CODE

SS NUMBER

PHONE #

# OF VEHICLES

BIRTH DATE

MARITAL STATUS

CURRENT EMPLOYER

EMPLOYER ADDRESS

EMPLOYER TOWN

ZIP CODE

EMPLOYER PHONE #

HOW LONG EMPLOYED

MONTHLY INCOME

PLEASE READ THE FOLLOWING VERY CAREFULLY

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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