Acme Properties
Rental Application

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Properties

• Buena Vista Vieja Village
• Eagleton Acres of Smakorkiee
• Super Low Rent Waiting List

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Terms of Agreement

• I agree that information I submit in this form is true to the best of knowledge.
• I agree that I have checked the first checkbox before checking this checkbox.
• I agree that this form is a lot easier to fill out than most other online applications. It's my pleasure to do so.

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Household Members

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

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John Doe Head of Household

Personal Information

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

• I agree that information I submit in this form is true to the best of knowledge.
• I agree that I have checked the first checkbox before checking this checkbox.

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Jane Doe

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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

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Misc Info

Bedrooms Needed

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