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A&A Properties, London, KY 40743 • Troy Smith • Ph: (606) 682-4084 • Fax: (606) 864-3345 • Email: CFISCHERKY@yahoo.com
MOVE IN INFO
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1 Bedroom
2 Bedroom
APPLICANT INFO
First Name
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Last Name
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Birth Date
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Phone
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Cell Phone
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Put None if not applicable
Email Address
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Smoker?
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Yes
No
CO-APPLICANT INFO
First Name
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Put None if only one applicant
Last Name
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Put None if only one applicant
Birth Date
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Put None if only one applicant
Phone
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Put None if only one applicant
Cell Phone
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Put None if only one applicant
Smoker?
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Yes
No
Check No if only one applicant
OTHERS WHO WILL BE LIVING IN THE APARTMENT
Name
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Put None if not applicable
Relationship
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Put None if not applicable
Age
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Put None if not applicable
Name
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Put None if not applicable
Relationship
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Put None if not applicable
Age
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Put None if not applicable
CURRENT ADDRESS
Address
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City
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State
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Zip
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Manager
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Phone
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Start Date
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End Date
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Reason for Leaving
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PAST RENTAL HISTORY
Address
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Put None if not applicable
City
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Put None if not applicable
State
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Put None if not applicable
Zip
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Put None if not applicable
Manager
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Put None if not applicable
Phone
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Put None if not applicable
Start Date
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Put None if not applicable
End Date
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Put None if not applicable
Reason for Leaving
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Put None if not applicable
EMPLOYMENT HISTORY
Company
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Manager
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Put None if not applicable
Phone
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Address
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City
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State
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Zip
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Length of Employment
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Monthly Pay
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CO-APPLICANT EMPLOYMENT HISTORY
Company
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Put None if only one applicant
Manager
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Put None if only one applicant
Phone
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Put None if only one applicant
Address
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Put None if only one applicant
City
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Put None if only one applicant
State
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Put None if only one applicant
Zip
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Put None if only one applicant
Length of Employment
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Put None if only one applicant
Monthly Pay
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Put None if only one applicant
ADDITIONAL INCOME
Income Source
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Put None not applicable
Amount
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Put None not applicable
Verify with
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Put None not applicable
Phone
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Put None not applicable
PERSONAL REFERENCES (3)
Name
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Phone
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Relationship
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Name
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Phone
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Relationship
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Name
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Phone
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Relationship
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AUTOMOBILE INFORMATION
Make
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Model
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Plate #
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Make
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If only one vehicle, put none
Model
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If only one vehicle, put none
Plate #
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If only one vehicle, put none
PET INFORMATION
A&A Properties is not a pet friendly facility. No pets of any kind are allowed in units at anytime. Please indicate you agree to these terms by checking button.
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I agree to no pets at any time.
ADDITIONAL INFORMATION
Have you ever been convicted of a crime?
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Yes
No
If yes, Describe and Date of each one.
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Put none if you answered No
Have you ever been evicted, declared bankruptcy or had a judgement?
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Yes
No
If yes, Describe and Date each one.
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Put none if you answered No
ADDITIONAL INFORMATION CON'T
I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction.
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I agree to this statement.
I understand that the information provided might be used by Landlord to determine whether to accept this application. I authorize Landlord to verify all the information given in this application, including past rental information, personal references and employment information provided. I authorize the Landlord to obtain a current credit and criminal background check.
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I agree to this statement.
I understand that this application is not a rental agreement and that this application does not create any obligation on the Landlord The undersigned represent that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction.
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I agree to this statement.
Submitting this form electronically constitutes an actual signature if the following signature field is completed with your name.
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I agree with this statement.
Full Name
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Date
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Full Name
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Put none if just one applicant
Date
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Put in date anyway since it is a required field.
Security Code:
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