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COLORADO APPLICATION FOR RENTAL
Notice: All adult applicants (18 years or older) must complete a separate application for rental.
APARTMENT
RENT
START DATE
AGENT
APPLICANT INFORMATION
LAST NAMEFIRST NAMEM.I.
SSN
DRIVER'S LICENSE #
BIRTH DATE
HOME PHONE
( )
WORK PHONE
( )
CELL PHONE
( )
EMAIL
CURRENT ADDRESS
STREET ADDRESSCITYSTATEZIP
DATE IN
DATE OUT
LANDLORD NAME
LANDLORD PHONE
( )
MONTHLY RENT
$
REASON FOR LEAVING
PREVIOUS ADDRESS
STREET ADDRESSCITYSTATEZIP
DATE IN
DATE OUT
LANDLORD NAME
LANDLORD PHONE
( )
MONTHLY RENT
$
REASON FOR LEAVING
OTHER OCCUPANTS
LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR OLDER
LIST NAMES AND BIRTH DATES OF ALL DEPENDANTS 18 YEARS OR YOUNGER