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SROLORD OR APART NAN | URDLERGS TELEPHONE MEER oa 7° i
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\VE YOU EVER BEEN EVICTED FROM RENTAL HOUSING?
‘YOU CURRENTLY HAVE UNSETTLED DEBTS TO A LANOLORE?
YE YOU EVER BEEN CHARGED WITH A CRM IN/CEYING DRUGS, DESTRUCTION OF PROPERTY, WOLENT BEHAVIOR, WEAPONS, DOMESTIC VIOLENCE, SEX OR
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At Heme Property Fax: sei gey-0124
Phone: $0) WlY~ 729Jun 14 06 0S:15p Tiffany Begum 801-804-0129
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SAVINGS ACCOUNT NLNER i TEAR ANG BRANCH { TELEPHONE MRAMOER
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derstand that the above information is given for the purpose of obtaining crevit, criminal and other infermaticn in order ‘0
termine the qualification for rental of an apartment home. The information given above may also be used to collect any and all,
‘bis incurred in connection with my tenancy. All of the information provided herein is true and correct to the best of my
owledge. | understand that omissions or misrepresentations may be cause for rejection, or if approved, may result in
“Tnination of my lease.
ave deposited the sum of $ ‘(Application Deposit’ in consideration for the landlord taking the dwelling unit
the market while considering approval of this application. If iam approved and a lease is entered into, the Application Deposit
5s redecoration fees shall be credited ta the security deposit requirement. The Application Deposit will be refunded in full if
plication is not approved. { understand that { have 24 hours to withdraw, and my deposit will be refunded to me in full.
‘Tore than 24 hours have lapsed and ! choose not to rent an apartment, | understand that my deposit is forfeited. 1
derstand that keys will not be issued to me untlt rental documents have been signed by all parties and security deposits have
en paid. J also understanc that the application fee of $0.06
1s application will be processed without regard to race, religion, national origin, sex, familiat status, color, or handicap.
‘plicant Signature Date Spouse Signature Date
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At Home Property
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