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Home Application

Application

Name

Name (First,Middle,Last) *

Birthdate *

Driver's License Number *

Social Security Number *

Email *

Are you a Student? *

Yes No

Cell phone *

Current Information

Present Street Address *

City, State, ZIP *

Dates Lived at this address? *

Landlord Name *

Landlord Phone *

Type of Residence *

Previous Information (If Applicable)

Previous Address

Type of Residence

Landlord Name

City, State ZIP

Date of Occupancy

Landlord Phone

Employment

Employer Name *

City, State, ZIP *

Position *

Employer Phone *

Annual Income *

How Long Employed? *

Permanent Address & School Information (If Student)

Permanent Address

Parent Name

School

Major

City, State ZIP

Parent Phone

Current Year

Expected Graduation Date

Emergency Information

Emergency Contact Name *

Address *

Home Phone *

Emergency Contact Relationship *

City, State, ZIP *

Cell Phone *

Survey

Do you have a pet?

Yes No

If Yes, what size and breed?

How did you hear about Tri-County Management?

Newspaper Signage Acquaintance Website Facebook Twitter Search Engine Other

This is required to process your application: I CERTIFY THAT ALL INFORMATION HEREIN IS TRUE AND COMPLETE AND GIVE AUTHORIZATION FOR TCMG TO CONDUCT A CREDIT CHECK, CRIMINAL BACKGROUND CHECK, VERIFY EMPLOYMENT AND CONTACT PRIOR LANDLORDS. False information given shall entitle owner to 1) reject the application, 2) retain the application deposit and 3) terminate the resident's right to occupancy. *

I AGREE

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