Half Moon Harbour - Applicant Information/Consent to Credit Check

Applicant’s Name: _________________________ Address: ______________________________ City/State/Zip: ______________________________ Social Security Number: ________-______-________ Date of Birth: ______/______/______ Home Phone: (      ) _____-______ Work Phone: (      ) _____-______ Occupation: __________________________ Monthly Income: $_______________ Employer's Name: _________________________ Employer's Address: ______________________________

Co-Applicant’s Name: _________________________ Address: ______________________________ City/State/Zip: ______________________________ Social Security Number: ________-______-________ Date of Birth: ______/______/______ Home Phone: (      ) _____-______ Work Phone: (      ) _____-______ Occupation: __________________________ Monthly Income: $_______________ Employer's Name: _________________________ Employer's Address: ______________________________

Persons to live in unit: Adults:____ Children:____    PETS: Dogs:____ Cats:____ Total:____    AUTOS:   1    2    3

Applicant Interests:  ONE BEDROOM   TWO BEDROOM   THREE BEDROOM

Price Range:  $1,500–$1,750   $1,750–$2,000   $2,000–$2,500   $2,500–$3,000   $3,000–$3,500   $3,500–$4,500

Have you ever been evicted?   Yes   No    Have you ever filed personal bankruptcy?  YES - year:________   NO

Do you currently own or rent?   Own   Rent        Current monthly expenses rent/mortgage: $____________DATE: ____/____/____    SIGNATURE: Applicant: ____________________  Co-Applicant: ____________________

responding to:  sign  advertisement  referral  cooperating broker  internet  banner  walk-in  other:____________

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