THREE RIVERS
PROPERTY MANAGEMENT, L.L.C.
Please print and Fax this form to:
412-765-2736
Name
________________________________ Home Phone ____________________
Soc.
Sec. No. ____________ Work Phone __________ Driver's license# ____________
Present
Address ___________________________________________ How long at this address?
_______
Rent $ ___________ Reason for Moving ______________________
________________________
Owner/Manager ________________ Phone _________
Previous
Address __________________________________________ How long at this address?
_______
Rent $ ___________ Reason for Moving _______________________
_________________________
Owner/Manager _________________ Phone ________
Name
and relationship of every person to live with you, even if only temporarily
(include names and ages of minors):
________________________________________________
______________________________________________________________________
Any
pets? ______ Describe ________________________________ Waterbed? ______
Occupation
__________________ Employer _____________________ Phone ________
Duration
of Employment _______ Supervisor ______________________
Phone _______
Previous
Occupation _________________ Employer ________________ Phone _______
Duration
_________ Supervisor _______________________________ Phone ________
Current
Gross Income Per Month (before deductions) $ ___________________________
List
sources of income (other than employment listed above ________________________
______________________________________________________________________
Savings
Acct.. _________ Branch ______________ Acct.. No. ______________________
Checking
Acct. ________ Branch ______________ Acct.. No. _____________________
Major
Credit Card __________ Acct. No. ________________________ Expires _______
Credit
Reference ______________________ Acct. no. __________ Balance Owed _____
HAVE
YOU...
ever
filed bankruptcy? ____ ever been evicted? ____ ever been convicted of a felony?
___
Vehicle
Make __________ Model ____________ Year _________ License ___________
Vehicle
Make __________ Model ____________ Year _________ License ___________
Personal
Reference ___________________ Address _____________________________
Phone
________________
Contact
in Emergency _________________ Address _____________________________
Phone
________________
I represent that the
information provided in this application is true to the best of
my knowledge. You are hereby authorized to verify my credit, rental history,
criminal background, and employment references in connection with the processing
of this application. I acknowledge receipt of a copy of this application.
Date _________________
Signed ___________________________________________
APPLICANT
Verification (For Office Use Only)
SSN__DL/ID___CurTenancy___Prev__Credit___Inc___PersRefs___By___
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