Rental Application

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Properties


Terms of Agreement


Household Members

John Doe Head of Household
Jane Doe Adult
Janet Doe Spouse
Johnathon Doe Youth

John Doe Head of Household

Personal Information

Identity
Full Name John Doe
SSN XXXX-XX-2939
Date of Birth 11/48/2939
Gender Male
Student Status Not a Student
Handicapped/Disabled No
Aliases
John Doe
Reginald Fosterton
The Dark Kinniggit
El Caballero Oscuro
Race and Ethnicity
Race Asian, Black, White, Other
Ethnicity Not Hispanic
Contact Information
Physical Address

293 Wayne Street
Apt 503B
Gotham City, NY 39913-9393
USA

Mailing Address

293 Wayne Street
Apt 503B
Gotham City, NY 39913-9393
USA

Phone 1 382-939-1383 (Home)
Phone 2 383-139-5939 (Cell)
E-mail Address elcaballerooscuro@aol.com

Financial Information

Income Sources
Type Source Address Monthly Amount
Normal Wage Wal-Mart 2345 Super Duper St., Eagleton, IN 18383-3838
(553) 331-3933
$250
Normal Wage Entertainment 720 720 Park Ave., Springfield, IN 18383-3838
(553) 331-3933
$235,050
Pension Pawnee Parks Department 10350 East Southwest Drive Parkway, Pawnee, IN 18383-3838
(553) 331-3933
$250
Monthly Total: $250,750
Expenses
Type Description Creditor Monthly Amount
Child Care Day Care for Lil' Batman Second Pres Dayschool
2345 Super Duper St., Eagleton, IN 18383-3838
(553) 331-3933
$250
Utilities Gas General Gas Co
720 Park Ave., Springfield, IN 18383-3838
(553) 331-3933
$50
Utilities Electric
Payment(s) Past Due
Electrico
720 Park Ave., Springfield, IN 18383-3838
(553) 331-3933
$90
Non-Creditor Expense? Something or other $250
Monthly Total: $250,750
Assets
Description Total Value Monthly Amount
Powerball, baby!!! $25,000,000 $3
So, I found this weird lamp and it was dusty and I rubbed it, and out came this big cloud and a genie thing and it gave me a few wishes, so I wished for some money, and now I get five dollars every day. Infinity $5
Monthly Total: $8
Automobiles
Year Make Model License Plate
2015 Lambo Italianomobile 2SLOW4U
2015 Lambo Italianomobile 2SLOW4U
Monthly Net Income: $2,502

History

Criminal History
Conviction Type Charge Conviction Date Disposition Sentence Fine
Felony Grand Theft Auto 38/20/1303 Guilty 12 Months $1
Felony Grand Theft Auto 38/20/1303 Not Guilty
Federal Housing History
Name Address Date Moved In Date Moved Out
Balboa Towers
Balance Owed: $3500
2345 Super Duper St.
Eagleton, IN 18383-3838
(553) 331-3933
38/20/1303 38/20/1403
Balboa Towers 2345 Super Duper St., Eagleton, IN 18383-3838
(553) 331-3933
38/20/1303 38/20/1403
Housing History
Type Address Date Moved In Date Moved Out
Rent
Rent Amount: $1200
Balance Owed: $3500
2345 Super Duper Uber Duper St.,
Sandy Pines, FL 18383-3838
Landlord Info
Jimmy Moderatename
1234 Landlord St.,
Germantown, TN 38123
38/20/1303 38/20/1403
Own
Still Owned
2345 Super Duper Uber Duper St.,
Sandy Pines, FL 18383-3838
Mortgage
Acme Mortgage Co. - $1200
38/20/1303 38/20/1403

Additional Info


Jane Doe


Emergency Contact

Bill Bobberson
Relationship Amigo
Address

293 Wayne Street
Apartment 505B
Gotham City, NY 39913-9393

Phone 1 382-939-1383 (Home)
Phone 2 383-139-5939 (Cell)
E-mail Address elcaballerooscuro@aol.com

Misc Info

Bedrooms Needed

Preference Questions

Accessibility Options

Misc Questions
Have you or any household members ever been arrested or convicted for the following: violent criminal act, possession, sell or illegal distribution of drugs, alcohol related activity, or manufacturing meth? No
Do you have a pet? Yes
I have a doggie named Sir Worthington Furthingbottom III, Earl of Barkshire Upon Snibblesdon
Do you take any drugs? No
Have you ever lived in public housing? Yes
I frequent a public house for the beers. Some say I practically live there.
How did you hear about us?
Radio - NPR

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