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Rental Application Form Applicants name______Killisha Lott____________ Phone number_ 312 217-8405_ 312 915-6992 work for foster

mothers Killishas payee Current address__2030 W. Maypole______ Reason for moving____Family Moving_____ How long at this address______13 Years___ Landlords name and number___none__________ Previous address____________none____________ Reason for moving________Family Moving_______ Landlords name and number___________________ Total number of adults___1___Children _______ Have you ever been a party to an eviction( ) yes ( x) no Present Employer not working__ receives SSI monthly every first of month Employer address and phone no._______________