Case File
efta-efta01245908DOJ Data Set 9Otherettiwaid
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Unknown
Source
DOJ Data Set 9
Reference
efta-efta01245908
Pages
1
Persons
0
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ettiwaid
Rental Application for Residents and Occupants
Each mapplicani and each occupant over 18 years old must submit a separate application.
Spouses may submit a single application.
Date when hied out: CA /c2? 10 1
Pik
NATIONAL
APARTMENT
ASSOCIATION
A 0
' '
gout ID cane
5ydui2,s
sa4 Pull name:
Former last names (maiden and married
Spouse's Social Security tr:
Driver's license I and state
OR govt. photoIDcard1k
Binhdate:
Height:
Weight:
Sec
Eye color:
Hair color;
Are you a U.S. dawn? O Yes O No
Present employer
Address:
City/Stoic/Zip:
Work phone (
Position:
Date began job:
Cross monthly income Mover. $
Supervisors name and phone:
Your street address (as
non • r dawn Manse cr
ernmenf ID co
Current have address (where you now live)
your spouse, or any occupant listed In this Application over O been evided or'
asked to move we? O moved out et a dwelling before the end of the leow learn
without the owners consent? O declared bankruptcy? O keensun:I foe feral la been
rued foe property damage? O beencharged, detained, or arrested for a felony or sex
airne that wee resolved by convkron, pabadan, deferred ailitulication, ccort-
ordered communuy saaperrision, or pretrial diversion? U beer. charged, detained. or
arrested fora felony or sexcebted crime that has not been resolved by any method?
Fleas* indicate below the year, loath* and type of 'each felony and sex crime other'
than those resolved by dismissal or acquittal We may need to discuss more
before making a derision. You ?resentMe wait is 'no' fo any New not elsectedeboot
Celiel2briSi Names of all persons under 18 and other adults who will
py the sent/ without signing the Leese Continue on scarf:leper if more Iran Often
Relationship:
Sex:
DL or govt. IDcard / and stale:
Birthclate:
Social S
acne.
Sex:
OL Or VA ward it and state:
DirCridate:
Social Securilyt •
amt.
Relationship:
Ser.
IX or govt. ID card And Mate:
Birtindate.
,
•
• •Sodal Security =
URNERIetal LW elibekickioeumfor opnakdby yok, your gonna W anY 'CPIS/ IS
indrAngors, Ireeb, macaw:ten trealernAc.1.Cositaueoes up freepost Yeuperappallffer
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46 6143669
C3 I-
ear.
•
•
License Oa
+O
le; FneLsi I tier
.
fake and color of whide:
Stale:
ear.
License./:
• State
AfiggikesiniliV Were you referred? O Yes CG
by mho=
acne of locator or rental agency:
awe of individual locates or agestt
of Meador either
=
*
find us on
oven?
Yes 0 No yr s ,ftt btinfrotatio. Wow:
on the Internet
Stopped by O Newspaper (namek
Rental publican=
Other
Neaten
Address:
City/State/
Work phone:
Relithanhipc
PO1O Lakes 'par
on
,
to WOOreports fromconsumer reporting agencies before. during, and after tenancy
on matter' relating balms. by =taboo owner to aware! to verify, by ell amiable
means, the inforavallen in Mb application, Including Income history and Other
informationreported by employer(s) to any state employment security agency. Work
Wary Information maybe used Only for Oa Rental Application. Authority to
obtain work history infornution expires 36.5 days ham* date °Ohs Applloatiars
ApPlionis signature
SpOUMS signature
Applicant must also sign on the next page of this Application.
02006, National Apartment Association, Inc • 5 / 2X6
CONFIDENTIAL
05042007027300111,05120504 '
Pagel oft
MM14-MANILA FOLDER 01-000035
3501.067-003
Page 1 of 1
EFTA 00060356
EFTA01245908
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Phone
5120504Phone
6143669Phone
7027300111Forum Discussions
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