Casa Loca Rental Application

 

Name:
EMAIL:
DOB
Phone
Address
Since

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Current Housing

Landlord Name
Landlord Phone
Landlord Address

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Previous Housing

Occupied From
Until
Previous Landlord
Previous Landlord Phone
Entry Date
Previous Address

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Employment

Employer
Supervisor
Telephone
Start Date

History

Have you ever been arrested? If so explain:

Have you ever been evicted? If so explain.

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