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Tenant Screening Form

Personal Information

Name:_______________
Date of Birth:_______________
SSN (Last 4):_______________
Current Address:_______________
Phone:_______________
Email:_______________
Desired Move Date:_______________
Occupants:_______________
Pets:_______________

Employment History

EmployerPositionStart DateEnd DateMonthly IncomeActions

I authorize verification of the information provided and consent to background and credit checks.

_____________________Applicant Signature
_____________________Date

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