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Randy Partin Construction, Inc.
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Rental Application - Housing
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Name
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First
Last
Name Co-Applicant
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First
Last
Please enter name of co-applicant/spouse if applicable.
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Cell Phone Number
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Email
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Have you previously rented property?
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Yes
No
May we contact your previous landlords?
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Yes
No
Never Rented Before
Have you ever been evicted or requested to leave a former residence?
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Yes (please give details below)
No
If yes above, please give details:
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List your previous addresses and landlords and their phone number(s):
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Please list the following information - Location, City/State, Dates, Name of Landlord, Contact Phone # for the past ten years.
Are you currently employed?
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Yes
No
Employment:
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Please provide your current and previous employer(s), phone numbers, kind of work, dates of employment, and name of supervisor.
Have you ever been convicted of any crime other than a minor traffic violation?
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Yes (please give details below)
No
If yes above, please give details:
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References:
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Please list at least 3 references below with at least one being a previous lessor (if applicable). The others may be individuals such as family members or co-workers. List name, their position or relationship to you, mailing address, and phone number.
I am looking to rent ....
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Please provide information as to which properties we have that you are interested in and/or specifics like 2 bedroom, 3 bedroom, location, etc. We will contact you soon!
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