This is a sample contract for informational purposes only.

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Name:_________________________________________________ SSN#______-_______-_______

Drivers License#___________________________________________

Employer: _________________________________________Address:______________________________________

Phone#________________________Position:_______________________________________________________

How long:_____________________________

Supervisor: _____________________________________________Business Phone: __________________________

Monthly Income:  _______________ Child support/Alimony $______________Gov’t assistance $__________

Have you ever been party to an eviction? [  ] yes [  ] No

Have you ever been convicted of a felony? YES / NO If yes, explain conviction:

 ____________________________________________________________________________________________________

Personal References:

Name __________________________ Yrs. Known _____ Relationship ________________Phone#_____________________

Name __________________________ Yrs. Known _____ Relationship ________________Phone#_____________________

Name __________________________ Yrs. Known _____ Relationship ________________Phone#_____________________

I represent that the information provided in this Application is true and correct to the best of my knowledge.  Blue Rose Properties, LLC, and their employees, associates, and partners, is authorized to verify the references and employment information given in this application.  If Blue Rose Properties, LLC decides to rent you the apartment, or house, please understand that the rent is due on or before the first day of the month.  There are no exceptions to this rule.  If the first falls on either a Sunday or a Holiday; your  rent is due the day before the first day of the month.  If the rent is not paid by the first of the month, there will be a 3-day eviction notice issued on the second day of the month.

_______________________________________                                     __________________

Applicant’s Signature                                                                              Date

_______________________________________                                     __________________

Co-Applicant’s Signature                                                                         Date

IT IS AGAINST THE LAW TO DISCRIMINATE AGAINST PROSPECTIVE TENANTS ON THE BASIS OF RACE, RELIGION, NATIONAL ORIGIN, AGE, OR DISABILITY.  LOCAL OR STATE LAWS MAY INCLUDE

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