Mid-Valley
Management, Inc.,
Application
must be complete. Failure to complete or false information will lead to
immediate denial. You must have two (2) rental references, one at least one year in duration.
Six (6) months on the job. Income
requirement is three (3) times the monthly rent. A background and Credit check will be done.
Name___________________________________________________________________________________
D.O.B.___________________________________SS#_______________________________
Dr Lic#________________State_____ E-Mail
.
Address __________________________________________________________________________________________________
Phone Day_____________________________________Night
_____________________________________
Own or rent?_______________________________Monthly Payment________________________________
Date of
Occupancy: From______________________To__________________________________________
Name of Landlord:_________________________________________________________________________
Address:_______________________________________Phone_____________________________________
Address:_________________________________________________________________________________
________________________________________________________________________________________
Own or rent?_________________________________________________Payment_____________________
Length of
occupancy.
From_______________________To________________________________________
Name of Landlord:_________________________________________________________________________
Address:________________________________________Phone____________________________________
INCOME DESCRIPTION
Employer________________________________Complete Address__________________________________
Phone
#_____________________Net
Income____________________________________________________
Income (Grose/Net)
________________________________________________________________________
Other sources of income:_____________________________________________________________________
Vehicle
Make_____________________Year___________Model___________________________________.
Names
& D.O.B. for all persons to occupy unit.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Do you have pets?______________Type______________________Do
you use a waterbed?_______________
Do you intend to use a piano?___________________Do you
have an aquarium?_________________________
Evictions?________________________Affiliated with gangs or convictions?___________________________
Why are you vacating present
place of residence?__________________________________________________
APPLICANT
CERTIFICATION OR ACCURACY/SIGNATURES
Applicant hereby certify that this information is
true and correct.
Signature of Applicant