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Personal info
First Name*:
Last Name*:
Martial Status*: SingleMarried
Maried since:
Birth Date*:
Drivers License:
State Issued by:
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Present Address Info
Present Address*:
City*:
State*:
Zip*:
Since*:
Rent per Month:
Phone Number* () 
Present Landlord:
Their Address:
City:
State:
Zip
Phone: () 
Was rent up to date: YesNo
Notice given: YesNo
Have you been asked to leave: YesNo
Previous Address Info
Previous Address:
City:
State:
Zip:
Since:
Rent per Month:
Phone Number () 
Previous Landlord:
Their Address:
City:
State:
Zip
Phone: () 
Was rent up to date: YesNo
Notice given: YesNo
Had you been asked to leave: YesNo
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Please fill in the number of occupants and their info
Occupants
Number To occupy*:
Occupant 1's Name*:
Occupant 1's Relationship*:
Occupant 1's BirthDate*:
Occupant 2's Name:
Occupant 2's Relationship:
Occupant 2's BirthDate:
Occupant 3's Name:
Occupant 3's Relationship:
Occupant 3's BirthDate:
No Pets: Exception only for service dogs
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Go Back to Occupants | Continue to Employment
Please fill in all of your vehicle information and
for another occupants vehicle if you have one.
Vehicles
Vehicle 1's Make*:
Vehicle 1's model*:
Vehicle 1's color*:
Vehicle 1's License Plate*:
Vehicle 1's Lien Holder*:
Vehicle 2's Make:
Vehicle 2's model:
Vehicle 2's color:
Vehicle 2's License Plate:
Vehicle 2's Lien Holder:
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Go Back to Vehicles | Continue to Income
All Fields marked with a * must be filled in
Employment
Employer*:
Employer's Phone*: ()
Employed Since*:
Employer Address*:
Employer City*:
Employer State*:
Employer Zip*:
Job Description*:
Supervisor*:
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Please fill in atleast one source of income marked by *
Income
Current Income*:
Source*:
Current Income:
Source:
Current Income:
Source:
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Go Back to Incomes |Continue to Final Questions
All Fields marked with a * must be filled in
References
Relative*:
Relationship*:
Address*:
City*:
State*:
Zip*:
Relative Phone*: ()
Non-Relative*:
Address*:
City*:
State*:
Zip*:
Non-relative Phone*: ()
Emergency contact Info
Emergency Contact*:
Address*:
City*:
State*:
Zip*:
emergency Phone*: ()
Go Back to Incomes |Continue to Final Questions
Final Questions
*Has any signer ever been sued for bills? YesNo
*Has any signer ever been bankrupt? YesNo
*Has any signer ever broken a lease? YesNo
*Has any signer ever been sued for eviction? YesNo
*Has any signer ever been guilty of a felony? YesNo
*Is the total move-in amount available now(rent and deposit)? YesNo
Explay any yes answers here!
Applicant authorizes the owner and/or On Target Property Management LLC to contact past and present landlords, employers, creditors, credit bureau, neighbors and any other sources deemed necessary to investigate applicant. All the information is true, accurate and complete to the best of applicant's knowledge. Owner reserves the right to disqualify tenant if information is not as represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
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The Hillside :: On Target Property Management :: 125 Talus Lane :: Christiansburg, Va :: 540.239.5295