PLEASE FILL OUT THE FORM , PRINT AND RETURN IT TO:

AMERICAN RENTALS LLC.

PO BOX 248 DOUSMAN WISCONSIN 53118

 1ST APPLICANT INFORMATION

NAME:___________________________________

ADDRESS:_______________________________

CITY:___________________________________

STATE/ZIP:______________________________

SOC. SEC#______________________________

HOME PHONE:___________________________

CELL PHONE:____________________________

VERIFIED_________ DATE_________

NUMBER OF CHILDREN TO BE LIVING WITH YOU_____________________________________

1) CHILDREN'S AGES_____________

2) CHILDREN'S AGES______________

MAXIMUM OF 2 ADULTS AND 2 CHILDREN ARE PERMITTED TO LIVE IN EACH UNIT

2 ND APPLICANT INFORMATION

NAME:____________________________________

ADDRESS:________________________________

CITY:____________________________________

STATE/ZIP:_______________________________

SOC. SEC# _______________________________

HOME PHONE:____________________________

CELL PHONE:_____________________________

VERIFIED__________ DATE________

NUMBER OF CHILDREN TO BE LIVING WITH YOU_____________________________________

1) CHILDREN'S AGES______________

2) CHILDREN'S AGES _____________

MAXIMUM OF 2 ADULTS AND 2 CHILDREN ARE PERMITTED TO LIVE IN EACH UNIT

EMPLOYMENT INFORMATION

EMPLOYER:_______________________________

ADDRESS:________________________________

CITY_____________________________________

STATE/ZIP:_______________________________

WORK PHONE:____________________________

 

SUPERVISOR :____________________________

LENGTH OF EMPLOYMENT:__________________

VERIFIED_________ DATE_________

 

EMPLOYMENT INFORMATION

EMPLOYER:_______________________________

ADDRESS:________________________________

CITY_____________________________________

STATE/ZIP:_______________________________

WORK PHONE:____________________________

 

SUPERVISOR :____________________________

LENGTH OF EMPLOYMENT:_________________

VERIFIED_________ DATE_________

 

CREDIT HISTORY

BANKING INSTITUTION____________________

_________________________________________

CITY/STATE:_____________________________

ACCOUNT#______________________________

VERIFIED_________ DATE_________

HAVE YOU EVER DECLARED BANKRUPTCY_____________________________

HAVE YOU EVER HAD A CONVECTION

YES/NO  IF YES EXPLAIN

_________________________________________

 

CREDIT HISTORY

BANKING INSTITUTION____________________

_________________________________________

CITY/STATE:_____________________________

ACCOUNT#_______________________________

VERIFIED_________ DATE_________

HAVE YOU EVER DECLARED BANKRUPTCY_____________________________

 HAVE YOU EVER HAD A CONVECTION

YES/ NO  IF YES EXPLAIN

_________________________________________

 

I HAVE REVIEWED ALL THE INFORMATION PROVIDED ABOVE AND FIND IT TO BE CURRENT AND CORRECT AND AGREEABLE TO ME,

___________________________

CUSTOMERS SIGNATURE

DATE_________________

 

I HAVE REVIEWED ALL THE INFORMATION PROVIDED ABOVE AND FIND IT TO BE CURRENT AND CORRECT AND AGREEABLE TO ME,

____________________________________

CUSTOMERS SIGNATURE

DATE_________________

 

 

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