HAIS AND HARLZ REAL ESTATE AND RENOVATIONS RENTAL INQUIRY
Property Location
Date Interested In Moving In
Applicant #1
Full Name
Phone Number
Email
Applicant #2
Full Name
Phone Number
Email
List All Other Occupants
Pets?
Yes
No
What Kind?
Do You Smoke?
Yes
No
Are You OR Any Of The Possible Occupants A Sex Offender?
Yes
No
Ever Been Evicted?
Yes
No
Ever Been Convicted Of A Crime?
Yes
No
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type Of Property You Are Currently Residing In
Apartment
House
Rent Amount
How Long At This Address?
Lease Expiration Date
Reason For Moving
Landlord Name
Landlord Number
Applicant #1 Employment Information
Employer
Employer Address
Job Title
Supervisors Name
Supervisors Phone Number
How Long At Current Place Of Employment?
Monthly Income
Applicant #2 Employment Information
Employer
Employer Address
Job Title
Supervisors Name
Supervisors Phone Number
How Long At Current Place Of Employment?
Monthly Income
Any Additional Income?
Applicant #1 Signature
Applicant #2 Signature
Continue
Continue
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