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Property address
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Length of lease
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Desired occupancy date
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Applicant
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Co-Applicant
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Name(s) of other occupants
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Pets- (If yes, specify type. If cats or dogs, include
ages and weights)
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Do any of the applicants or other occupants
smoke?
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No
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Yes
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Present address
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Home phone #
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Work phone #
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Cell phone #
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Applicant's email address
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Present landlord/mortgage company
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Previous address (if less than 2 years ago)
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Previous landlord/mortgage company
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Applicant's employer
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Co-Applicant's employer
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Have you ever been evicted from any leased
property?
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No
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Yes
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Reason for eviction
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Nearest relative:
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Security Deposit Agreement
Applicant agrees to pay a security deposit, receipt of which is acknowledged as an interest bearing
deposit and not as a rental payment. This deposit will be applied as a security deposit if the rental
agreement is executed, or retained by the property manager to cover the cost of taking and processing
the application should, through no fault of the property manager, the applicant fail or refuse to occupy
the premises on the agreed upon date of occupancy. In the event this application is not approved or for
any reason the rental agreement is not executed, this deposit will be refunded. However, if costs are
incurred in checking out-of-town references, this cost will be deducted from the deposit. Where pets
are permitted, a deposit shall be paid by the applicant which is non-refundable.
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Agree
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Disagree
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Credit Check
WE HEREBY AUTHORIZE HENRY PROPERTY MANAGEMENT AND/OR A THIRD PARTY TO
CONTACT THE CREDIT BUREAU FOR VERIFICATION OF OUR CREDIT HISTORY. There is a
non-refundable application fee of $60. This fee can be paid by credit card, either by phone or
online by filling out the fields below.
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Name as it appears on your credit card
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Billing address
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Credit card type
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Credit card number
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Expiration date
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This application is made with the understanding that it is subject to acceptance and execution of
the rental agreement covering said premises.
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Agree
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Disagree
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