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Real Estate1, Jerry Walsh & Co. LLC
Direct: 307.742.7048
Fax: 307.745.7000
157 North 5th Street
Laramie WY 82072




Renters Application


 
RENTAL SCREENING
Date          # of bedrooms  
Name         Phone     
Email    
Do you have any pets?   Yes   No       kind  
Do you smoke?   Yes   No
Are you students?   Yes   No       If yes, where  
What year in school are you?   
Are you employed?   Yes   No       where  
How many adults will be in the apt.?   
How many children?   
Names of other tenants:
1.    Phone  
2.    Phone  
3.    Phone  
4.    Phone  
Is a year lease a problem?   Yes   No
RENTAL HISTORY
Who have you rented from in the past?   
Tenant #1 Name
 Phone   
Address of rental
  
Landlord Name
  
Tenant #2 Name
 Phone   
Address of rental
  
Landlord Name
  
Tenant #3 Name
 Phone   
Address of rental
  
Landlord Name
  
Tenant #4 Name
 Phone   
Address of rental
  
Landlord Name
  
 I hereby give permission to Real Estate 1 to contact any former Landlords, and for those Landlords to release any information about my rental history to Real Estate 1, including but not limited to payments/late payments, conduct problems and/or other issues, if any.
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