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Rental application

Cedar Commons · 210 Cedar Lane, Riverton, PA 17801

About you

First name

Last name

Phone

Date of birth

Social Security number

Optional. Used only for screening, stored encrypted and visible only to authorized staff.

Desired move-in date

Number of people who will live in the unit, including you

Where you live now

Street address

City

State

ZIP

How long have you lived there? (months)

Current monthly rent

Current landlord or property manager

Landlord phone

Income

Employer or school

Position

Monthly income before taxes

Other income (source and amount)

Emergency contact

Emergency contact name

Relationship

Emergency contact phone

Household

Will you have pets?

Describe your pets (type, breed, weight)

Number of vehicles

Have you ever been evicted or asked to leave a rental?

Anything else we should know?

Authorization and signature

By signing, I confirm that the information in this application is true and complete. I authorize Maple Ridge Property Management, LLC to verify it, including by contacting my landlords, employers and references and by obtaining a consumer credit and background report. I understand that false or missing information may be grounds for denying this application.

I agree

Signature (type your full name)