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M & E land Investment LLC TN PO Box 21179 Chattanooga, TN 37424-0179 423 894 6884 RENTAL APPLICATION PLEASE PRINT CLEARLY DATE: UNIT __________ 3204 REDDING RD 37415 X_________________|____________________|______________ «Last Name» «First Name» Phone #_« SS# Drivers license_________ ST:__ Birth date: / Make of Car_______________License____________________________YR.________ Spouse Name _______________________SS #_____________ Birth date: / / Drivers License__________ Make of Car_______ License_____________YR. Present Address with zipX_____________________________________________ _«Address Line 1» «Apt #» «City» «State» «ZIP Code»_ LANDLORD____________________PHONE#_________________ __How Long (please have your landlord call 423-894-6884 or fax 423 894 9343 your payment history.) Previous address:________________________________________ZIP__________ Previous address:________________________________________ZIP__________ PRESENT EMPLOYMENT_________________________PHONE:_______________ Position_____________________________ Monthly Gross Income_______________ Supervisor_____________________________Starting Date______________________ (please have your EMPLOYER call 423-894-6884 or fax 423 894 9343 TO VERIFY.) Spouse EMPLOYMENT_________________________PHONE:_______________ Position_____________________________ Monthly Gross Income_______________ Supervisor_____________________________Starting Date______________________ (please have your EMPLOYER call 423-894-6884 or fax 423 894 9343 TO VERIFY.) If more put on back of application or separate sheet of paper. Reference:Name:___________________________Phone#__________________ (Other than person living with you) Address:_________________________________________________Zip__________ Reference:Name:___________________________Phone#_______________________ (Other than person living with you) Address:_________________________________________________Zip__________ LIST Additional ADULTS AND CHILDREN WHO WILL LIVE WITH YOU. Name___________________ age_________ Name__________________age______ Name___________________ age_________ Name__________________age______ Name___________________ age_________ Name__________________age______ Emergency Contact: Name:__________________Relationship_____________Phone #_______________ Address________________City_______________ ____State_______Zip_________ Acceptance hereby authorizes verification of any or all information set forth on this Application including release of information by any bank or savings and loan. Employer (present and former) and any lender. All such information hereon, and released as authorized above, will be kept confidential. Applicant represents that the information set forth on this application is true and complete. Material misrepresentation of this Application will constitute a default under the lease or rental agreement between the parties. Credit Check charge: Applicant had submitted sum of $25.00 which is nonrefundable payment for a Credit Check and processing charge. Receipt of which is acknowledged by management. Such sum is not payment or deposit amount. In the event this application is approved or disapproved, this sum will be retained by management to cover the cost of processing application as furnished by applicant. Thus application must be signed before is can be processed my management. GOOD FAITH DEPOSIT: I hereby deposit $__$200.00_________with Management as a good faith deposit in connection with this rental application. If my application is accepted I understand the deposit can be applied toward payment of my security deposit of $200.00 when I take possession of the apartment. If for any reason management decides to decline any application the management will refund the good faith deposit to me in full.
Applicant Signature_________________Date__/__/___Signature______________________
Do you have a pet (ie: cat, dog, etc) __________
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