CARR PROPERTIES RENTAL APPLICATION
PO Box 1215 * Marshall, MN 56258 * Phone (507) 532-2291 * Fax (507) 532-2631
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Notice: co-Applicant must complete a separate Rental Application FormThe undersigned hereby makes application to rent unit number ____________________ located at ___________________________beginning on ______________________________ at a monthly rental of $______________________________________
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PLEASE TELL US ABOUT YOURSELF:
FULL NAME: _________________________________ Phone (___)-_________________
Social Security No. __________________________________________________________
Name of Co-Applicant________________________________________________________
No. of Dependents (excluding Co-Applicant) ________ Ages:________________________
Other Occupants and Their Relationship:_________________________________________
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PLEASE GIVE YOUR RESIDENCE HISTORY FOR THE PAST 3 YEARS
(most current first)
Current Address: (Street address, city, state, zip):________________________________________________________
Month and Year Moved in: ___________________________ Reason for Leaving:_______________
Owner or Agent:____________________________________ Phone: (____)-___________________
Previous Address: (Street address, city, state, zip):_______________________________________________________
Month and Year Moved in: ___________________________ Reason for Leaving:_______________
Owner or Agent:____________________________________ Phone: (____)-___________________
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PLEASE GIVE YOUR INCOME INFORMATION
Your Status: __ Full-time __ Part-time __ Student __ Retired __Unemployed
Employer Name: ___________________________________________________________________________
Employer Address (city, state, zip):____________________________________________________________
Date(s) Employed:____________________________________ Employed as:__________________________
Supervisor:__________________________________________ Supervisor’s Phone: (____)-______________
If employed by above less than 6 months, give name and address of Previous employer or school: _________________________________________________________________________________________
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PLEASE LIST YOUR BANK AND CREDIT REFERENCES
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Your Driver’s License Number:__________________________________________ State:________________
Your Vehicle Make/Model:_________________ Year:______________ Tag No._____________ State:______
Second Vehicle Make/Model:_______________ Year:______________ Tag No._____________ State:______
Other Vehicle(s) Make/Model:______________ Year:______________ Tag No._____________ State:______
HAVE YOU EVER…
Filed for Bankruptcy? ____Yes ____No
Been evicted from tenancy? ____Yes ____No
Willfully or intentionally refused to pay rent when due? ____Yes ____No
Any false or misleading information may result in eviction.
Signature:_________________________________________________________________________________