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Captain Ed's Rent to Own Form
Renter Info
Name
*
Phone
*
Email Address
*
Social Security Number
*
Date of Birth
*
Address
*
City
*
How long?
*
Employer
*
Employer Phone
*
How long?
*
Hourly Wage
*
Pay Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Pay Day Frequency
*
Weekly
Bi-weekly
Monthly
Other Income Type
Other Income Type Amount
Please attach a picture or copy of your current pay stub.
*
Please attach a picture of your photo ID.
*