Rasmussenville Apartment Rentals- Best Apartment and Home Rentals in York, NE
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Rental Application
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Residency Application
*
Indicates required field
Name
*
First
Last
Phone Number
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Date of Birth
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Email
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Current Address
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Line 1
Line 2
City
State
Zip Code
Country
Landlord (Name & Address)
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Landlord Phone Number
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Rent Payment
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How long have you lived here?
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Reason for Moving
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Previous Address
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Line 1
Line 2
City
State
Zip Code
Country
Landlord Name & Address
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Landlord Phone Number
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Rent Payment
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How long did you live here?
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Reason for Moving
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Have you ever been charged with or convicted of a felony?
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No
Yes
If yes, please explain:
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Have you ever filed for bankruptcy?
*
No
Yes
Option 3
If yes, what was the date?
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Employment:
Present Employer
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Address
*
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Line 2
City
State
Zip Code
Country
Phone Number
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Length of Employment
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Monthly Take-Home Pay
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Other Income
*
References:
Personal References (No Relatives)
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Nearest Relative & Their Relationship to You
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Address
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Line 2
City
State
Zip Code
Country
Phone Number
*
In Case of Emergency, Please Notify
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Address
*
Line 1
Line 2
City
State
Zip Code
Country
Please list Names of All Persons who will Occupy these Premises
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Phone Number
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Automobile
Make
*
Color
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Model/Year
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License State & Number
*
*Additional information may be required by the Landlord.
I hearby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I authorize Rex/Maggie Rasmussen to verify the above information. A credit report and background check will be obtained on all applicants. If I should cancel this application after 2 days from the date of the application, the ENTIRE deposit will be retained as termination charges. I also understand that PETS ARE NOT ALLOWED.
I agree to the terms above
*
I agree
Submit
Home
Margarita Place Apartments
Margarita Place Photo Gallery
Hazelwood Apartments
Hazelwood Photo Gallery
Garage Mahal
Photo Gallery
Building the Garage Mahal
>
April 2013 Photo Gallery
December 2012 Photo Gallery
November 2012 Photo Gallery
October 2012 Photo Gallery
Rental Application
Contact