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Rental Application
Today's Date (MM/DD/YYYY)
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Type of unit desired:
**Furnished apartments are not pet-friendly**
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Furnished: 1 bed/1 bath
Furnished: 2 bed/2 bath
Unfurnished: 2 bed/2 bath
Other:
Other:
Desired Move-In Date (MM/DD/YYYY)
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Is this flexible?
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Yes
No
How did you hear about our rentals?
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Internet Search
Word of Mouth / Referral
Online Classifieds / Craigslist
Local Newspaper
Drove by Complex in Anthony, KS
Social Media (Facebook, Instagram, etc)
Social Media (Facebook, Instagram, etc)
If you were referred by someone else, please include their full name here so we can thank them!
Applicant Information
Applicant First Name:
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Applicant Last Name:
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Current Address:
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Phone:
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E-mail Address:
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May we use your email to contact you?
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Yes
No
Date of Birth:
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Social Security Number:
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Driver's License Number:
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State Issued
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License Expiration Date:
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Please upload a photo of your current driver's license:
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Current Landlord / Property Manager:
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Current Landlord Phone #
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Expiration Date of Current Lease:
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Rent Amount:
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