ROOMS FOR RENT

              TO START THE APPLICATION PROCESS, PLEASE FOLLOW THE LINK BELOW.

                >>>>>> ONLINE APPLICATION  <<<<<<<

            CLICK ABOVE

ROOM RENTAL APPLICATION

___  Anderson Inn LLC             ___ 288 State LLC                ___ A & A Tile LLC

       221 Anderson Street                288 state Street                    271 Union Street

APPLICANT

Name_________________________  D.O.B.____________Phone_ ________________

Driver’s Licence # ___________________________State ________________________

Social Sec. No.   ____________________Desired length of stay___________________ 

Current Residence ________________________________________________________

How Long There_______ Name Of Landlord______________ Phone_______________

Reason For Moving out____________________________________________________

Prior Residence __________________________________________________________

How Long There_______ Name Of Landlord______________ Phone_______________

Vehicle: Year_____ Make_________ Model________ Color________ Plate#_________

Do You Smoke __________

Have you ever been served an eviction notice or been asked to vacate a property you were renting? ______Explain________________________________________________

EMPLOYMENT

Position______________ Employer_______________ How Long Employed*_________

Address______________________________________Phone______________________ Supervisor’s Name___________________ Salary (Week, Month, Year)______________

*If less than two years give prior employment information below

Position_____________ Employer________________ How Long employed__________

Address___________________________________ Phone________________________

Supervisor’s Name___________________ Salary (Week, Month, Year)______________

NEAREST RELATIVES

                 Name         Phone  Relationship

1)_______________________    ____________________    _______________________

2)_______________________    ____________________    _______________________

I/We offer the foregoing information as inducement to you to rent or lease Me/Us your rental unit.  UNDER PENALTY OF PERJURY, I/We declare said foregoing information to be true and correct and do hereby authorized you to conduct an employment and credit check and to verify our references.



SIGNATURE_________________________________DATE_____________________

We will reach out to you when your application is reviewed and decided upon.