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E s First Name Home Home Work Last Name Work E-mail Driver License State Phone Number Cell Cell Home Work Cell Social Security Number Expiration Date Middle Initial Driver License Number Date of Birth Phone Number Middle Initial Social Security Number Expiration Date E-mail PRIMARY APPLICANT S RENTAL HISTORY INFORMATION Current Address Since City Landlord s Phone Number Previous Address Move In Date Landlord s Name Rent Payment Period Rent Amount Landlord s N.

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