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Name *Cell Phone *Email *Birth Date *Employment / Source of Income*Adult Residents *Children residents *Does Anyone Smoke? *Does Anyone Have Any Pets?At this time West Family Properties will NOT be allowing petsCurrent Address Current RentCurrent Landlord NameCurrent Landlord NumberFormer Address #1 *Former Address #2 Co-Sign *Rental History *Vehicle Information *Current Employer / Source of Income*Daily Schedule *Previous Employer (if applicable)Have you ever been convicted of a felony?*Emergency Contact Name *Emergency Contact Address *Emergency Contact Phone *How Did You Hear About Us? *I warrant that the information supplied is true and correct, and that I am at least 18 years of age. I further authorized the owner/manager or West Family Properties, LLC to contact my references and previous employers. I give my previous landlord, employment references, and any entity providing income or benefits to me permission to release my personal information to West Family Properties, LLC. Owner warrants that any verification required are for the purpose of entering into a Rental/Lease Agreement, and further warrants that any information derived from Credit / Criminal reports or other sources will be kept confidential and not revealed to any other outside party. I understand 2916 Shelburne Road, VT is located above a fully operational carpet & rug cleaning business, and industrial noise should be expected. I agree to these terms.I agree *The ESIGN Act is a federal law passed in 2000. It grants legal recognition to electronic signatures and records if all parties to a contract choose to use electronic documents and to sign them electronically. No contract, signature, or record shall be denied legal effect solely because it is in electronic form.
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