T1a B58 Working Copies Fbi Docs Fdr- Al-hazmi Al-mihdhar Rental Application- Omar Al-bayoumi As Friend And Credit Reference 232
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•• • • . • ; • ; • • '- : •-.-
• ":.•'.•:•; - • ; • - . ••' •
r-:S+-i-tj:^tt&£&*^<&$K&j&<£?i.
, ; • - • - • - -~ :*^K&&-•-• ••-^-m^mmm^m. . ^joitS^'V'.vv;;;^^,^-:;'^/Universal Case File Number Field Office Acquiring Evidence Serial # of Originating Document Date Received From
9/11 Law Enforcement
9/11 Law Enforcement
To Be Returned
Privacy
Privacy
D Yes
Receipt Given D Yes Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure D Yes Federal Taxpayer Information (FTI) D Yes
3042(Communication Enclosing Material)
Description:
EH
Original notes re interview of
APPLIC'TION TO RENT 1TJO >LEX
DATE
IT
CALLED TO
t
TIME IN
*
DATE BACK. TIME BACK
(JR.. SR.)
M.I.
PHOtJE NUMBER
Yes/No SOCIAL SECURITY f
DRIVERS LICENSE »
PECTTVE RESIDENTS
RELATIONSHIP
ARE YOU OVER 18
OVER 18 (or emancipated minor) Yes/No
SOCIAL SECURITY*
Yes/No
lENCES COMPLEX NAME
STATE
JS ADDRESS -
APT*
CfrY
ZIP
STATE
ZIP
MANAGER'S <
MANAGER'S <
COMPLEX NAME
YOU EVER BEEN DELINQUENT IN PAYMENT OF RENT? YOU EVER BEEN EVICTED FROM ANY PROPERTY? YES \REYOULEAV1NGPRESENTRESIDENCE? YOU GIVEN NOTICE YET?
NO ,_^—
HOW LONG
RENTS PAID
PLEASE EXPLAIN PLEASE EXPLAIN
OYMENT
WKMOYR YOURPOSmON
GROSS SALARY
1SOR-SNAME
YOUR POSmON
GROSS SALARY
ISOR'SNAME
YOUR POSITION
GROSS SALARY
ISOKSNAME
US EMPLOYER
WKMOYR
WKMOYR fOU RECEIVING CHILD SUPPORT? fOU RECEIVING A PENSION? tt ADDITIONAL INCOME: $ YOU PROVIDE PROOF OF THESE INCOMES? :E USE ONLY it Residence ng Party lany NSFs? lents: us Residence. ng Party iany NSFs? _ lents: it Employer _ ngParty_ e Paystubs? Yes_ yee Initials
How many Lates?.
How many Lates?.
No'
yee Initials.
COMPANY
Phone Number Called Position Thirty Day Notice Given?_ Date:
Length of Residency.. Rent/Mortgage per Month? J_ Employees Initials
Phone Number Called Position Thirty Day Notice Given?_ ' Date:
Length of Residency.. Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called _ Position of person that Verified. Tax Return (s)7 Yes_ No*
Length, of Employment Salary ? J_ New Employment 'Offer Letter" required? *_
WKMOYR
Date:
us Employer, "8 Partyu Paystubs? Yes_
HOW MUCH? $_ HOW MUCH? $_
Phone Number Called Position of person that Verified. Tax Return (s)7 Yes_ No-
No-
Date:
. Length of Employment Salary ?$_ New Employment 'Offer Letter" required?
WKMOYR
. ("Copies must be attached and must be equal to or greater than rental amount)
xial Income Sourc8_ Phone Number Called Length of employment. ng Party. Proof of Additional Income Attached? (bank statement showing direct deposit, court order of child support, iy or trust fund, copy of Sodal Security, Disability or Pension Statement, notarized letter of parental support Tax returns or Investment nents) Employee's Initials Date Comments
Credit References CHECKING ACCT. BANK
ADDRESS/BRANCH
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT.**
CREDrr REFERENCES
ADDRESS
TYPE ACCT.
ACCT.**
PHONE**
Personal References
BRANCH**
ACCT. **
^p- } "5 2.
NAME
ADDRESS
NAME
ADDRESS
HI'.
ota. "PHONfe **
RELATIONSHIP
PHONE**
RELATIONSHIP
In Case of Emergency NAME
ADDRESS
RfeXATIONSHIP
PHOF(E*f
Automobiles LICENSE**
MAKE
MODEL
YEAR
LICENSE*
MAKE
MODEL
YEAR
Other Vehicles:
PLEASE NOTE:
EVERY ITEM MUST BE FILLED IN AND COMPLETED IN ITS ENTIRETY. REVIEW YOUR APPLICATION BEFORE YOU TURN IT IN TO THE MANAGER.
THE APPLICANT REPRESENTS THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT AND HEREBY AUTHORIZES VERIFICATION OF INFORMATION CONCERNING SATO APPLICANT. IT IS UNDERSTOOD THE FEE OF S NOT A DEPOSIT AND WILL NOT BE REFUNDED IF APPLICANT IS DECLINED.
APPUCANT
DATE
APPUCANT
DATE
IS
APPLIC
TIONTOREN.
'LEX
DATE
T
CALLED TO TIME IN DATE BACK. TIME BACK
I/
(JR-. SR.)
;M.I.
SOCIAL SECURITY*
DRIVERS LICENSE*
'ECTTVE RESIDENTS
PHONE NUMBER
Yes/No
1
RELATIONSHIP
ARE YOU OVER <e
OVER 18 (or emancipated minor)
SOCIAL SECURITY #
Yes/No Yes/No
ENCES COMPLEX NAME
JS ADDRESS
APT*
CITY
STATE
ZIP
STATE
ZIP
MANAGER'S!
COMPLEX NAME
YOU EVER BEEN DELINQUENT IN PAYMENT OF RENT? YOU EVER BEEN EVICTED FROM ANY PROPERTY? YES \RE YOU LEAVING PRESENT RESIDENCE? YOU GIVEN NOTICE YET?
HOW LONG
RENT J PAID
PLEASE EXPLAIN PLEASE EXPLAIN
NO
3YMENT
WKMOYR YOUR POSITION
GROSS SALARY
YOUR POSITION
GROSS SALARY
YOUR POSITION
GROSS SALARY
US EMPLOYER
WKMOYR
US EMPLOYER
WKMOYR /ISOR'SNAME
fOU RECEIVING CHILD SUPPORT? VOL) RECEIVING A PENSION? :R ADDITIONAL INCOME: $
HOW MUCH? S HOW MUCH? $
COMPANY
YOU PROVIDE PROOF OF THESE INCOMES? :E USE ONLY nt Residence _ no. Party ;wnyNSFs?_ lents: xa Residence. ing Party rany NSFs? _ nents: nt Employer. ingParty_ rePaystubs? Yes >yee Initials
How many Lates?.
How many Lates? _
>yee Initials _
Length of Residency_ Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position Thirty Day Notice Given? Date: ~
Length of Residency.. Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position of person that Verified _ Tax Return (s)? Yes_ No-
No'
Length of Employment. Salary ? $_ New Employment 'Offer Letter* required?'_
WKMOYR
Date:.
jus Employer. ingParty_ rePaystubs? Yes
Phone Number Called Position Thirty Day Notice Given?_ Date:
. Phone Number Called No'_ Date:
Position of person that Verified. Tax Return (s)7 Yes_ No'
. Length of Employment , Salary ?$_ New Employment 'Offer Letter" required?
WKMOYR
. ('Copies must be attached and must be equal to or greater than rental amount)
Phone Number Called onal Income Source_ Length of employment. ing Party. Proof of Additional Income Attached? (bank statement showing direct deposit, court order of child support. ny or trust fund, copy of Social Security. Disability or Pension Statement, notarized letter of parental support. Tax returns or Investment nents) Employee's Initials Date Comments
Credit References CHECKING ACCT. BANK
ADDRESS/BRANCH
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT. #
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT.*
PHONE #
BRANCH #
ACCT. »
Personal References
PM^LKAl-^V^^l X?^3M644 NAME
• A D D R E S S
PHOhJF t f
RELATIONSHIP
NAME
ADDRESS
PHONE »
RELATIONSHIP
'
?z?^fr&?>
In Case of Emergency NAME
ADDRESS
TIONSHIP
PHONE #
Automobiles
JCENSE *
MAKE
MODEL
YEAR
-ICENSE »
MAKE
MODEL
YEAR
Dther Vehicles:
'LEASE NOTE:
EVERY ITEM MUST BE FILLED IN AND COMPLETED IN ITS ENTIRETY. REVIEW YOUR APPLICATION BEFORE YOU TURN IT IN TO THE MANAGER.
HE APPLICANT REPRESENTS THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT AND HEREBY AUTHORIZES 'ERfflCATION OF INFORMATION CONCERNING SATO APPLICANT. IT IS UNDERSTOOD THE FEE OF S IOT A DEPOSIT AND WILL NOT BE REFUNDED IF APPLICANT IS DECLINED.
PPLICANT
DATE'
PPUCANT
DATE
IS
APPLIC
-HON TO REN".
LEX •fcxCCioogCy
DATE
V-
CALLED TO TIME IN
I S>Q
DATE BACK
~77fS
TIME BACK
]
^ .
- - _ .
l—TfRST
' ''
" ~ ~ " . M . I . '
(JR.. SR.)
PHONE NUMBER
Yes/No SOCIAL SECURITY«
DRIVERS LICENSE *
r
'ECTIVE RESIDENTS
RELATIONSHIP
ARE YOU OVER 1«
OVER 18 (or emancipated minor) Yes/No
SOCIAL SECURITY #
Yes/No
ENCES COUP LEX NAME
MANAGER'S *
JS ADDRESS
*^
APT«
CrTY
STATE
ZIP
MANAGER'S*
COMPLEX NAME
YOU EVER BEEN DELINQUENT IN PAYMENT OF RENT? YOU EVER BEEN EVICTED FROM ANY PROPERTY? YES \RE YOU LEAVING PRESENT RESIDENCE? YOU GIVEN NOTICE YET? OYMENT
HOW LONG
RENT! PAID
PLEASE EXPLAIN PLEASE EXPLAIN
NO
i i
(_
(—XjixiflJ^i^Jh Rns
)
IT EMPLOYER
WKMOYR YOUR POSITION
GROSS SALARY
/ISOR'SNAUE
YOUR POSITION
GROSS SALARY
.1SOIVS NAME
YOUR POSITION
GROSS SALARY
US EMPLOYER
WKMOYR
WKMOYR YOU RECEIVING CHILD SUPPORT? rOU RECBVING A PENSION? ^ADDITIONALINCOME: $ YOU PROVIDE PROOF OF THESE INCOMES? :E USE ONLY nt Residence ng Party nany NSFs? tents: us Residence ing Party nany NSFs? lents: nt Employer ng Party re Paystubs? Yes lyee Initials
How many Lates?
How many Lates?
No*
lyee Initials
COMPANY
Phone Number Called. Position Thirty Day Notice Given? Date:
Length of Residency_ Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position Thirty Day Notice Given? Date:
Length of Residency Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position of person that Verified Tax Return (s)? Yes No*
Length of Employment Salary ? $ New Employment 'Offer Letter" required? *
WK MO YR
Date:
>us Employer ing Party re Paystubs? Yes
HOW MUCH? $ HOW MUCH? $
Phone Number Called Position of person that Verified Tax Return (s)? Yes No*
No* Date:
Length of Employment Salary ? $ New Employment "Offer Letter* required?
WK MO YR
fCopies must be attached and must be equal to or greater than rental amount)
xial Income Source Phone Number Called Length of employment ng Party Proof of Additional Income Attached? (bank statement showing direct deposit, court order of child support. ly or trust iund, copy of Sodal Security, Disability or Pension Statement, notarized letter of parental support. Tax returns or Investment nents) Employee's Initials Date Comments ______^_
Credit References CHECKING ACCT. BANK
ADDRESS/BRANCH"
PHONE *
BRANCH #
ACCT. » *
r
r-*
CREDFT REFERENCES
ADDRESS
•• TYPE ACCT.
ACCT. #
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT. #
Personal References
M fc NAME
ADDRESS
PHONES
NAME
ADDRESS
PHONE*
RELATII
.
RELATIONSHIP
In Case of Emergency 1 NAME
'kDDRESS
Cr^l*\
PHONES ~"
RELATIONSHIP
7 "7 7
-7.
'
;
f
11 "^ ^
Automobiles LICENSE #
MAKE
MODEL
YEAR
LICENSE *
MAKE
MODEL
YEAR
Other Vehicles:
PLEASE NOTE:
EVERY ITEM MUST BE FILLED IN AND COMPLETED IN ITS ENTIRETY. REVIEW YOUR APPLICATION BEFORE YOU TURN IT IN TO THE MANAGER.
THE APPUCANT REPRESENTS THAT THE ABOVE STATEMENTS. ARE TRUE AND CORRECT AND HEREBY AUTHORIZES VERIFICATION OF INFORMATION CONCERNING SAID APPLICANT. IT IS UNDERSTOOD THE FEE OF $ NOT A DEPOSIT AND WILL NOT RFEEFUMTBn IF APP1IPMJT IS DECLINED.
2.
APPLICANT
DATE
APPLICANT
DATE
*
'
IS
• ":.•'.•:•; - • ; • - . ••' •
r-:S+-i-tj:^tt&£&*^<&$K&j&<£?i.
, ; • - • - • - -~ :*^K&&-•-• ••-^-m^mmm^m. . ^joitS^'V'.vv;;;^^,^-:;'^/Universal Case File Number Field Office Acquiring Evidence Serial # of Originating Document Date Received From
9/11 Law Enforcement
9/11 Law Enforcement
To Be Returned
Privacy
Privacy
D Yes
Receipt Given D Yes Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure D Yes Federal Taxpayer Information (FTI) D Yes
3042(Communication Enclosing Material)
Description:
EH
Original notes re interview of
APPLIC'TION TO RENT 1TJO >LEX
DATE
IT
CALLED TO
t
TIME IN
*
DATE BACK. TIME BACK
(JR.. SR.)
M.I.
PHOtJE NUMBER
Yes/No SOCIAL SECURITY f
DRIVERS LICENSE »
PECTTVE RESIDENTS
RELATIONSHIP
ARE YOU OVER 18
OVER 18 (or emancipated minor) Yes/No
SOCIAL SECURITY*
Yes/No
lENCES COMPLEX NAME
STATE
JS ADDRESS -
APT*
CfrY
ZIP
STATE
ZIP
MANAGER'S <
MANAGER'S <
COMPLEX NAME
YOU EVER BEEN DELINQUENT IN PAYMENT OF RENT? YOU EVER BEEN EVICTED FROM ANY PROPERTY? YES \REYOULEAV1NGPRESENTRESIDENCE? YOU GIVEN NOTICE YET?
NO ,_^—
HOW LONG
RENTS PAID
PLEASE EXPLAIN PLEASE EXPLAIN
OYMENT
WKMOYR YOURPOSmON
GROSS SALARY
1SOR-SNAME
YOUR POSmON
GROSS SALARY
ISOR'SNAME
YOUR POSITION
GROSS SALARY
ISOKSNAME
US EMPLOYER
WKMOYR
WKMOYR fOU RECEIVING CHILD SUPPORT? fOU RECEIVING A PENSION? tt ADDITIONAL INCOME: $ YOU PROVIDE PROOF OF THESE INCOMES? :E USE ONLY it Residence ng Party lany NSFs? lents: us Residence. ng Party iany NSFs? _ lents: it Employer _ ngParty_ e Paystubs? Yes_ yee Initials
How many Lates?.
How many Lates?.
No'
yee Initials.
COMPANY
Phone Number Called Position Thirty Day Notice Given?_ Date:
Length of Residency.. Rent/Mortgage per Month? J_ Employees Initials
Phone Number Called Position Thirty Day Notice Given?_ ' Date:
Length of Residency.. Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called _ Position of person that Verified. Tax Return (s)7 Yes_ No*
Length, of Employment Salary ? J_ New Employment 'Offer Letter" required? *_
WKMOYR
Date:
us Employer, "8 Partyu Paystubs? Yes_
HOW MUCH? $_ HOW MUCH? $_
Phone Number Called Position of person that Verified. Tax Return (s)7 Yes_ No-
No-
Date:
. Length of Employment Salary ?$_ New Employment 'Offer Letter" required?
WKMOYR
. ("Copies must be attached and must be equal to or greater than rental amount)
xial Income Sourc8_ Phone Number Called Length of employment. ng Party. Proof of Additional Income Attached? (bank statement showing direct deposit, court order of child support, iy or trust fund, copy of Sodal Security, Disability or Pension Statement, notarized letter of parental support Tax returns or Investment nents) Employee's Initials Date Comments
Credit References CHECKING ACCT. BANK
ADDRESS/BRANCH
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT.**
CREDrr REFERENCES
ADDRESS
TYPE ACCT.
ACCT.**
PHONE**
Personal References
BRANCH**
ACCT. **
^p- } "5 2.
NAME
ADDRESS
NAME
ADDRESS
HI'.
ota. "PHONfe **
RELATIONSHIP
PHONE**
RELATIONSHIP
In Case of Emergency NAME
ADDRESS
RfeXATIONSHIP
PHOF(E*f
Automobiles LICENSE**
MAKE
MODEL
YEAR
LICENSE*
MAKE
MODEL
YEAR
Other Vehicles:
PLEASE NOTE:
EVERY ITEM MUST BE FILLED IN AND COMPLETED IN ITS ENTIRETY. REVIEW YOUR APPLICATION BEFORE YOU TURN IT IN TO THE MANAGER.
THE APPLICANT REPRESENTS THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT AND HEREBY AUTHORIZES VERIFICATION OF INFORMATION CONCERNING SATO APPLICANT. IT IS UNDERSTOOD THE FEE OF S NOT A DEPOSIT AND WILL NOT BE REFUNDED IF APPLICANT IS DECLINED.
APPUCANT
DATE
APPUCANT
DATE
IS
APPLIC
TIONTOREN.
'LEX
DATE
T
CALLED TO TIME IN DATE BACK. TIME BACK
I/
(JR-. SR.)
;M.I.
SOCIAL SECURITY*
DRIVERS LICENSE*
'ECTTVE RESIDENTS
PHONE NUMBER
Yes/No
1
RELATIONSHIP
ARE YOU OVER <e
OVER 18 (or emancipated minor)
SOCIAL SECURITY #
Yes/No Yes/No
ENCES COMPLEX NAME
JS ADDRESS
APT*
CITY
STATE
ZIP
STATE
ZIP
MANAGER'S!
COMPLEX NAME
YOU EVER BEEN DELINQUENT IN PAYMENT OF RENT? YOU EVER BEEN EVICTED FROM ANY PROPERTY? YES \RE YOU LEAVING PRESENT RESIDENCE? YOU GIVEN NOTICE YET?
HOW LONG
RENT J PAID
PLEASE EXPLAIN PLEASE EXPLAIN
NO
3YMENT
WKMOYR YOUR POSITION
GROSS SALARY
YOUR POSITION
GROSS SALARY
YOUR POSITION
GROSS SALARY
US EMPLOYER
WKMOYR
US EMPLOYER
WKMOYR /ISOR'SNAME
fOU RECEIVING CHILD SUPPORT? VOL) RECEIVING A PENSION? :R ADDITIONAL INCOME: $
HOW MUCH? S HOW MUCH? $
COMPANY
YOU PROVIDE PROOF OF THESE INCOMES? :E USE ONLY nt Residence _ no. Party ;wnyNSFs?_ lents: xa Residence. ing Party rany NSFs? _ nents: nt Employer. ingParty_ rePaystubs? Yes >yee Initials
How many Lates?.
How many Lates? _
>yee Initials _
Length of Residency_ Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position Thirty Day Notice Given? Date: ~
Length of Residency.. Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position of person that Verified _ Tax Return (s)? Yes_ No-
No'
Length of Employment. Salary ? $_ New Employment 'Offer Letter* required?'_
WKMOYR
Date:.
jus Employer. ingParty_ rePaystubs? Yes
Phone Number Called Position Thirty Day Notice Given?_ Date:
. Phone Number Called No'_ Date:
Position of person that Verified. Tax Return (s)7 Yes_ No'
. Length of Employment , Salary ?$_ New Employment 'Offer Letter" required?
WKMOYR
. ('Copies must be attached and must be equal to or greater than rental amount)
Phone Number Called onal Income Source_ Length of employment. ing Party. Proof of Additional Income Attached? (bank statement showing direct deposit, court order of child support. ny or trust fund, copy of Social Security. Disability or Pension Statement, notarized letter of parental support. Tax returns or Investment nents) Employee's Initials Date Comments
Credit References CHECKING ACCT. BANK
ADDRESS/BRANCH
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT. #
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT.*
PHONE #
BRANCH #
ACCT. »
Personal References
PM^LKAl-^V^^l X?^3M644 NAME
• A D D R E S S
PHOhJF t f
RELATIONSHIP
NAME
ADDRESS
PHONE »
RELATIONSHIP
'
?z?^fr&?>
In Case of Emergency NAME
ADDRESS
TIONSHIP
PHONE #
Automobiles
JCENSE *
MAKE
MODEL
YEAR
-ICENSE »
MAKE
MODEL
YEAR
Dther Vehicles:
'LEASE NOTE:
EVERY ITEM MUST BE FILLED IN AND COMPLETED IN ITS ENTIRETY. REVIEW YOUR APPLICATION BEFORE YOU TURN IT IN TO THE MANAGER.
HE APPLICANT REPRESENTS THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT AND HEREBY AUTHORIZES 'ERfflCATION OF INFORMATION CONCERNING SATO APPLICANT. IT IS UNDERSTOOD THE FEE OF S IOT A DEPOSIT AND WILL NOT BE REFUNDED IF APPLICANT IS DECLINED.
PPLICANT
DATE'
PPUCANT
DATE
IS
APPLIC
-HON TO REN".
LEX •fcxCCioogCy
DATE
V-
CALLED TO TIME IN
I S>Q
DATE BACK
~77fS
TIME BACK
]
^ .
- - _ .
l—TfRST
' ''
" ~ ~ " . M . I . '
(JR.. SR.)
PHONE NUMBER
Yes/No SOCIAL SECURITY«
DRIVERS LICENSE *
r
'ECTIVE RESIDENTS
RELATIONSHIP
ARE YOU OVER 1«
OVER 18 (or emancipated minor) Yes/No
SOCIAL SECURITY #
Yes/No
ENCES COUP LEX NAME
MANAGER'S *
JS ADDRESS
*^
APT«
CrTY
STATE
ZIP
MANAGER'S*
COMPLEX NAME
YOU EVER BEEN DELINQUENT IN PAYMENT OF RENT? YOU EVER BEEN EVICTED FROM ANY PROPERTY? YES \RE YOU LEAVING PRESENT RESIDENCE? YOU GIVEN NOTICE YET? OYMENT
HOW LONG
RENT! PAID
PLEASE EXPLAIN PLEASE EXPLAIN
NO
i i
(_
(—XjixiflJ^i^Jh Rns
)
IT EMPLOYER
WKMOYR YOUR POSITION
GROSS SALARY
/ISOR'SNAUE
YOUR POSITION
GROSS SALARY
.1SOIVS NAME
YOUR POSITION
GROSS SALARY
US EMPLOYER
WKMOYR
WKMOYR YOU RECEIVING CHILD SUPPORT? rOU RECBVING A PENSION? ^ADDITIONALINCOME: $ YOU PROVIDE PROOF OF THESE INCOMES? :E USE ONLY nt Residence ng Party nany NSFs? tents: us Residence ing Party nany NSFs? lents: nt Employer ng Party re Paystubs? Yes lyee Initials
How many Lates?
How many Lates?
No*
lyee Initials
COMPANY
Phone Number Called. Position Thirty Day Notice Given? Date:
Length of Residency_ Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position Thirty Day Notice Given? Date:
Length of Residency Rent/Mortgage per Month? $_ Employees Initials
Phone Number Called Position of person that Verified Tax Return (s)? Yes No*
Length of Employment Salary ? $ New Employment 'Offer Letter" required? *
WK MO YR
Date:
>us Employer ing Party re Paystubs? Yes
HOW MUCH? $ HOW MUCH? $
Phone Number Called Position of person that Verified Tax Return (s)? Yes No*
No* Date:
Length of Employment Salary ? $ New Employment "Offer Letter* required?
WK MO YR
fCopies must be attached and must be equal to or greater than rental amount)
xial Income Source Phone Number Called Length of employment ng Party Proof of Additional Income Attached? (bank statement showing direct deposit, court order of child support. ly or trust iund, copy of Sodal Security, Disability or Pension Statement, notarized letter of parental support. Tax returns or Investment nents) Employee's Initials Date Comments ______^_
Credit References CHECKING ACCT. BANK
ADDRESS/BRANCH"
PHONE *
BRANCH #
ACCT. » *
r
r-*
CREDFT REFERENCES
ADDRESS
•• TYPE ACCT.
ACCT. #
CREDIT REFERENCES
ADDRESS
TYPE ACCT.
ACCT. #
Personal References
M fc NAME
ADDRESS
PHONES
NAME
ADDRESS
PHONE*
RELATII
.
RELATIONSHIP
In Case of Emergency 1 NAME
'kDDRESS
Cr^l*\
PHONES ~"
RELATIONSHIP
7 "7 7
-7.
'
;
f
11 "^ ^
Automobiles LICENSE #
MAKE
MODEL
YEAR
LICENSE *
MAKE
MODEL
YEAR
Other Vehicles:
PLEASE NOTE:
EVERY ITEM MUST BE FILLED IN AND COMPLETED IN ITS ENTIRETY. REVIEW YOUR APPLICATION BEFORE YOU TURN IT IN TO THE MANAGER.
THE APPUCANT REPRESENTS THAT THE ABOVE STATEMENTS. ARE TRUE AND CORRECT AND HEREBY AUTHORIZES VERIFICATION OF INFORMATION CONCERNING SAID APPLICANT. IT IS UNDERSTOOD THE FEE OF $ NOT A DEPOSIT AND WILL NOT RFEEFUMTBn IF APP1IPMJT IS DECLINED.
2.
APPLICANT
DATE
APPLICANT
DATE
*
'
IS
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