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NT RENT: DATES OF CURRENT OCCUPANCY: PRESENT LANDLORD: PHONE #: PREVIOUS ADDRESS: CITY STATE ZIP: PREVIOUS RENT: DATES OF PREVIOUS OCCUPANCY: PREVIOUS LANDLORD: PHONE #: CURRENT EMPLOYER: COMPLETE ADDRESS: PHONE NUMBER: DATES EMPLOYED: OCCUPATION: SALARY: OTHER INCOME/INVESTMENTS ETC: BANK: CHECKING OR SAVINGS? CAR MAKE, MODEL, YEAR, REG. STATE/NO: DO YOU OWN OR LEASE? IF LEASED, FROM WHERE? IN CASE OF EMERGENCY NOTIFY: RELATIONSHIP: EMAIL: PHONE NUMBER: NAMES OF ALL CO-TENANTS:.

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