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Form preview Winn rental application form Winn Residential Rental Application Co-Applicant must file separate application Please Print PERSONAL Date Please complete for those who will occupy the apartment Applicant/Co-applicant/Children/Other 1. Last First M. I. D. O. B. Applicant SS Relationship Present Address Street City State Zip Code Former Address Present Phone Residence No* of Autos Reg* of Auto No* 1 Reg* of Auto No* 2 No* of Pets Type In Case of Emergency Notify Name Address Phone Are there any special accommodations that the household will require in order to enjoy equal opportunity to use and enjoy the apartment e*g* unit for mobility impaired/unit for visually impaired/unit for hearing impaired/grab bars Check One YES NO If yes you will be required to complete a Request for Reasonable Accommodation* RESIDENCY EMPLOYMENT Own Date of Current Occupancy from To Rent Date of Current Occupancy from To Month Year Monthly Mortgage Payments Monthly Rental Payments If Rents Present Landlord Name Address Phone Former Landlord Name Currently Employed by Occupation Length of Employment Supervisor Phone Annual Gross Salary Other Comm/Bonus Other Source of Income i*e* social security/retirement fund/disability/workmans compensation/pension/alimony or child support/investments/etc* Type Amount Type Amount Former Employer Occupation Supervisor Phone BANKING INFORMATION Bank Checking Account Branch Address Checking Account No* Bank Savings Account Branch Address Savings Account No* Bank Cert. of Dep* Branch Address C. D. Account No* APPLICANTS TERMS Applicant Read Carefully This application is for Apartment No* or similar type of occupancy on date. The Applicant warrants and represents that all statements herein are true and promises to execute upon presentation a lease in the usual form and on the terms and conditions stated therein* Furthermore applicant understands that an investigative consumer report will be obtained which may include information about personal character and criminal records. Applicant agrees that the information set for on the application is true and complete and any misrepresentation on this application will constitute a default under the lease or Rental Agreement between the parties. The deposit taken with this application is to be applied to the Security Deposit. If the applicant fails to execute a lease then the deposit shall be retained by the owner as liquidated damages. However the owner will refund the deposit if he rejects this A breach of the above warranty regarding the veracity of any statements made herein releases the owner from all obligations and liabilities arising from either this agreement or a subsequent lease. This application and deposit are taken subject to previous applications and shall be acted upon within 10 days. The rental agent is only authorized to show the apartment for rent and has no authority to make any representations concerning the premises. Last First M. I. D. O. B. Applicant SS Relationship Present Address Street City State Zip Code Former Address Present Phone Residence No* of Autos Reg* of Auto No* 1 Reg* of Auto No* 2 No* of Pets Type In Case of Emergency Notify Name Address Phone Are there any special accommodations that the household will require in order to enjoy equal opportunity to use and enjoy the apartment e*g* unit for mobility impaired/unit for visually impaired/unit for hearing impaired/grab bars Check One YES NO If yes you will be required to complete a Request for Reasonable Accommodation* RESIDENCY EMPLOYMENT Own Date of Current Occupancy from To Rent Date of Current Occupancy from To Month Year Monthly Mortgage Payments Monthly Rental Payments If Rents Present Landlord Name Address Phone Former Landlord Name Currently Employed by Occupation Length of Employment Supervisor Phone Annual Gross Salary Other Comm/Bonus Other Source of Income i*e* social security/retirement fund/disability/workmans compensation/pension/alimony or child support/investments/etc* Type Amount Type Amount Former Employer Occupation Supervisor Phone BANKING INFORMATION Bank Checking Account Branch Address Checking Account No* Bank Savings Account Branch Address Savings Account No* Bank Cert. of Dep* Branch Address C. D. Account No* APPLICANTS TERMS Applicant Read Carefully This application is for Apartment No* or similar type of occupancy on date.

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