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03/10
Flournoy
PROPERTIES
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RENTAL HISTORY YERLFICATION
The applicant listed below has provided your community as a previousplace of residence, Please provide the information requested
and
return to the community listed below.
Thank
youfor
your prompt attention and response!
Date Verified:
Time:
90
Landlord/Community Name:
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Landlord Representative:
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Applicant(s):
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Length of Residency:MoveinDate:
1oveOutDate:
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Rent Amount $______
3
How many times was the resident late?:
N Ci\i t1
1
Does the applicant owe an outstanding balance?: YES 0 NOJ"rnunt $________
Were there any issues with bed bugs
or
other types of pest infestation? YES 0 NO
Did the applicant(s) have lease violations of any kind throughout residency? YES 0 NO
yes what type?;
Were there any extraordinary damages?: YES 0 NO
Was the Deposit refunded? YES 0 NO
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Was a proper notice to Vacate given?. YES lWiO ii
Would you rent
to this
person again?: YES
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Information
p
ovided and verified b
PrhitName
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App1icnntAuthorIznion for Release
of Information
I hereby authorize the
release of information requested on this form in
Apartments.
Signature of applicant
Date____________________
Si
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nature of applicant
Date____________________
Return to:
yg’yi Cintncte.
_Apatments
PhoneNumber:
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Email:rflfQJXjpl( .plournoyurnuthles.com
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