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Rental Application
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Full Name
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Today's Date
: Sep 10, 2010
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Rental Unit You Are Applying For
:
***Please Select***
3 Crawford Street
23 South Main Street
25 South Main Street
135 Main Street
190 Main Street
202 Old North Main Street
20 Merrill Street
23 South River Street
27 South River Street
15 Langdon Street
99 Highland Street
Route 3 Thornton
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Apartment #
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A
B
C
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Current Address
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*City:
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State:
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Zip:
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e-Mail
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*Cell Phone
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Phone
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*Who Will Be Responsible For Paying Your Rent, Must Complete One:
Parent
Financial Aid
Self
*Present Landlord & Landlord's Phone #
:
(add none if you do not have one)
*Parent or Permanent Address
:
*City:
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State:
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Zip:
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Phone:
*Student Status:
Check One
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Full Time PSU Student
Part Time PSU Student
Not In School
Anticipated Year of Graduation
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*Are You Employed
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Yes
No
Employer's Name, Address & Phone Number
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Employee Supervisor
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Weekly Take Home Pay
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Length of Employment
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How Did You Hear of This Apartment?
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PSU
Roomate
Past Rental
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Google
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What Advertising Sources Do You Use To Find Rental Apartments?
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38.107.191.108
