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256 Raceway Dr. Suite #12

Mooresville, NC

By Appointment


1 Step 1
Rental Application
Is there a Co-ApplicantAll Parties (Co-Signers included) intending to sign a lease agreement for this property MUST fill out an Application.
Applicant Information
Are you in the Military?
Do any Occupants Smoke?
Personal Residence

*(If Current Address is less than 2 years Complete the Previous Address Section Below)*​​

Bank Information
Does Applicant have a Bank Account?
References (Please List 3)
Occupants and Pets
Emergency Contact
Additional Information
Acknowledgement and Agreement


Please read the following before submitting your application. Thank you.

The undersigned specifically acknowledge(s) and agree(s) that verification of any information contained in the

application may be made at any time by the Landlord, its agents, successors and assigns, either directly or through a credit reporting
agency, from any source named in this application. Applicant consents to Landlord submitting any information to a Landlord
Verification Service Online or otherwise. It is also hereby agreed that the original copy of this application will be retained securely
by the landlord even if the application is not approved.

By pressing the submit button you acknowledged you have read and agreed with the above and hereby authorize verification of my information, references and credit records. I acknowledge that false information here in may constitute a criminal offence under the laws of this state.

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