document.write("DT Properties Rental Application\n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write("
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DT Properties Rental Application

Please fill out the following information and click the submit button. \"*\" indicates mandatory fields. Please note that we run credit and criminal background checks on all applicants. If you have open collections, under a 600 credit score, or issues that will show up on a background check, then you will most likely get denied. All applicants must be at least 18 years old and have a valid social security number. If you do not have a valid social security number, click here to fill out the correct form. This is a secure site.

Personal Information
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*First Name
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Middle Name
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*Last Name
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*Birth Date (mmddyyyy)
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*Social Security #
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*Drivers License #
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*License State
 
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*License Expiration
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*Email Address
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*Verify Email Address
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*Contact Number:
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Current Residence
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*Current Address
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Apt. #
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*City
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*State
 
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*Zip
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*Landlords Name
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*Landlords Phone #
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*Landlords Company Name
\"Type
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*How long at this address
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*Reason for leaving
Previous Residence
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*Previous Address
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Apt. #
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*City
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*State
 
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*Zip
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*Landlords Name
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*Landlords Phone #
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*Landlords Company Name
\"Type
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*How long at this address
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*Reason for leaving
Vehicle Information
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*Auto Year
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*Make
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*Model
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*State:
 
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*License Plate #
Employment
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*Present Employer
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Employer Address
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*City
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*State
 
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*Zip
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*Monthly Income
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Other Income
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*Position
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*How long at job
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*Employer Phone
Financial Information
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*Name of Bank
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*Account Type
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*Name of Bank
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*Account Type
Personal References
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*Name
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*Years Known
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*Relationship
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*Phone #
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Name
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Years Known
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Relationship
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Phone #
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Name
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Years Known
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Relationship
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Phone #
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*Emergency Contact
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*Years Known
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*Relationship
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*Phone #
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*Total number of persons over 18 that will be living with you -
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*Total number of persons under 18 that will be living with you -
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*Names and relations to all other applicants
Other Information
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*Number & type of pets
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*Have you ever filed bankruptcy?
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YesNo
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*Do you Smoke?
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YesNo
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*Have you ever been asked to leave or been evicted from a rental property?
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YesNo
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Billing Information
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*Name as shown on Card
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*Address
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*City
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*State:
 
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*Zip
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*Billing Phone
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*Card Type
 
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*Expiration Month
 
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*Expiration Year
 
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*CVV2
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*Credit Card #
Rental Information\n"); document.write("
*The date you plan to start your rental: *The unit you wish to rent
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision. I understand that the landlord may terminate any rental agreement entered into for any misrepresentation made above. I also authorize a one time non refundable $30.00 fee for screening services to be charged to the credit card entered above. You must accept these terms to proceed with this application. You will be sent an email after your application has been processed.
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*Terms:
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Yes, I agree to the terms and conditions.
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*Date:
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*Contact Number:
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Verify Authentication Code:
 
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