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First name

Last name

Date of Birth

Month

Day

Year

Phone

Current Address:

How Long at this Address

Landlord Name

Landlord Phone Number

Current Monthly Rent Amount

Number of Occupants Including Children

Pets (Type/Breed/Weight)

Smokers:

Desired Move In Date

Month

Day

Year

Previous Address

Duration at this Address

Previous Landlord Name

Previous Landlord Phone Number

Annual Household Income (Before Taxes)

Monthly Household Income

Employer (Applicant) Company Name

Employer Duration (Applicant)

Employer (Co-Applicant if Applicable) Company Name

Employer Duration (Co-Applicant if Applicable)

Can you provide Proof of Income?

What monthly price range are you most comfortable with?

Preferred area to live in (city, neighborhood, or general location)

Are you open to nearby areas if the right home becomes available?

Yes

Possibly

Estimated Credit Score Range

How much do you have available for a down payment?

Have you ever been convicted of a felony?

If yes, please provide a brief explanation

Is there any additional information you would like to include to support your application?

Application Screening Disclosure: This application screening process may include, but is not limited to, verifying income, reviewing public civil records, and contacting current and previous landlords. I understand that all information provided must be true and accurate, and that this application is evaluated in strict compliance with all Federal, Nebraska, and Iowa Fair Housing Laws.

I have read, understand, and agree to the application screening disclosure and certify all information is true and accurate.

info@justinopropertiesllc.com