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Application

Apartments &Acquisitions, LLC
P.O. Box 151
Mount Carmel, Pa. 17851-0151


Name of Tenant(s)____________________________________________________________


                        _______________________________________________________________

Ages of all tenants___________________________________________________________


Phone Numbers of Tenant(s)___________________________________________________


Current Address:_____________________________________________________________

Previous Landlord: Name______________________________________________________


Address _________________________________________How long at this address______


Phone Number_______________________________________________________________



Present Employer: Name______________________________________________________


Address ____________________________________________________________________


Phone Number____________________________________________________________

Income type: SSI___ Hud _____Disability ____Pension _____Military ___Support ____

Pay Frequency: Weekly _____Bi-weekly _____Monthly _____



Personal References: Name, Address & phone Number

Make Model  and license # of each vehicle parked at  property_______________________

____________________________________________________________________________

Driver’s license#_______________________________________

Social Security Number_________________________________

Please provide copy of Driver’s license or Identification card and proof of income

when returning application

Signature of Applicant_____________________________________
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