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Email
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Applicant
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__________________________________
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Date of Birth
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__________________________________
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Spouse
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__________________________________
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Date of Birth
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__________________________________
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Applicant
Present Address
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Phone
#
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Cell Phone #
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Other
#
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Landlord
Name
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Landlord
Address & Phone#
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__________________________________
__________________________________
__________________________________
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Previous
Landlord Name
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Previous
Landlord Address & Phone
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__________________________________
__________________________________
__________________________________
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Dates
of Occupancy (Current)
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__________________________________
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(Previous)
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__________________________________
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Applicant's
Preferences (if any) as to type/location of
apt.
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__________________________________
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1
Bed or 2 Bed
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Employer
Name
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Position
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Approximate
Income
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__________________________________
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Employer
Phone
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__________________________________
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(Spouse)
Employer Name
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__________________________________
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Position
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__________________________________
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Approximate
Income
|
__________________________________
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Employer
Phone
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__________________________________
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Name
of Bank
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Account
Type / Number
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__________________________________
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In
case of emergency contact
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__________________________________
__________________________________
__________________________________
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Emergency
Phone #
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__________________________________
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It
is understood that the landlord has permission
to check any references or information on this
application. There are no pets or water furniture
allowed. No more than two parking permits will be issued for an apartment.
Thanks
for choosing Brandywine!
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