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RENTAL APPLICATION FOR INDIVIDUALS

Delivery address:_________________________________________________Unit #:___________________

Apartment Community (if applicable):_________________________________________________________

City:________________________________________Zip:_________________________________________

Personal Information Employment
Name:__________________________________

Spouses name:___________________________

Current address:__________________________

City:________________State:_____Zip:_______

Current phone #:___________________________

Other phone #:____________________________

Social Security #: __________________________

Date of Birth:______________________________

Drivers license #:___________________________

Email address:_____________________________

Current employer:___________________________

Number of years employed:___________________

Employer address:__________________________

Employer contact:__________________________

Employer phone:___________________________

Monthly income:____________________________

Comments:________________________________

_________________________________________

_________________________________________

The information provided is to obtain credit for the rental of furniture and accessories and I certify that this information is accurate with no intentional omissions.

I authorize Advantage Furniture Rentals to check my credit and authorize Advantage Furniture Rentals to verify my employment. Rentals are subject to satisfactory credit and employment.

Signature:________________________________________________          Date:____________________

Its: (please print name)____________________________________________________________________

Please fax to 801-943-3694 or scan and Email to armand@afrents.com