Park Lake View Apartments
584 S. 10th St.
Santa Rosa, NM 88435
(505) 270-2872
plvapts@outlook.com
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The Rental Application can be downloaded below. Complete one for every person over 18 years old who will be living in the apartment and email it to plvapts@outlook.com.
rental_application.pdf
File Size:
114 kb
File Type:
pdf
Download File
Application
*
Indicates required field
Name
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First
Last
Email
*
Phone
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Drivers Licence No. / State
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Licence Plate No. / State
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Vehicle Make
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Model
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Color
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Additional Occupants
*
List everyone, including children, who will live with you and their relationship to you.
Current Address
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Line 1
Line 2
City
State
Zip Code
Country
Landlord
*
Landlord Phone
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Dates lived at address
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Reason for leaving
*
Previous Address
*
Line 1
Line 2
City
State
Zip Code
Country
Landlord
*
Landlord Phone
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Dates lived at address
*
Current Employer
*
Current Position
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Current Employer Address
*
Phone
*
Supervisor
*
Dates worked at job
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Previous Employer
*
Previous Position
*
Previous Employer Address
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[object Object]
Phone
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Supervisor
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Dates employed at this job
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Gross monthly income from job
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Gross monthly income from other sources
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Total monthly income
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Do you smoke?
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Yes
No
Have you ever filed for bankruptcy?
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Yes
No
Have ever been convicted of a crime?
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Yes
No
Have you ever been sued?
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Yes
No
Have you ever been evicted?
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Yes
No
Explain any items listed as yes above
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Do you have any pets?
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Yes
No
If yes, describe
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Personal Reference
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Relationship
*
Phone
*
Personal Reference 2
*
Relationship
*
[object Object]
Phone
*
Submit