Schroeder  Apartment LLC
Application Form
(Renting Duplex Apt.)

Welcome to our On-Line Application Form......

Your FULL Name: Your Email:
Your Current Address: (street) (city) (state) (zip) How long has you resided at your current address?:
Are you currently renting: Name of current landlord:
Landlord's telephone number: Your current telephone number:
Your Employer: Length of Employment:
Your Salary: _ _/mo.
Number of people anticipated to live in the apartment:
Nearest relative's Name: Your Relationship:
Their Address: Their Telephone:
Are you a smoker?: Yes No Do you have pets? Yes No
Type of animal:
                (1st Reference)  
Name Address
Relationship Telephone
                    (2nd Reference)  
Name Address
Relationship Telephone
Send me email of your:  
Please send me a copy of this application back to my email address for confirmation? No Yes QUICK SURVEY:
Do you like using the internet to apply on-line?
Overall Rating:
[ Yes] [ No] [ Undecided]
Request additional information on:
Damage Deposit
Inspections of Apartment.
Renters responsibilities.
Landlord responsibilities.

General Comments

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