Application

Landas Management LLC

835 N Tatnall Street

Wilmington, DE, 19801

Phone: 302-652-8696

Fax: 302-652-8233

Applicant Name :
SS#
 
 
Birth Date: (mm/dd/yyyy) Home Phone: Cell:
Present Address:
Previous Address:
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Name of Employer:
Employer Address :
EmployerPhone :
Employer Fax:
  
Date of Employment:
Salary or Hourly Rate:
  
Full Time/Part Time:
Hours Weekly:
 
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Co-Applicant Name:
SS#
      
Birth Date: (mm/dd/yyyy) Home Phone: Cell:
Present Address:
Pevious Address:
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Co-Applicant Employer:
Employer Name:
Employer Phone:
Employer Fax
  
Date of Employment:
Salary or Hourly Rate:
  
Full Time/Part Time:    
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Child Support Received Monthly:
Public Assistance Received Monthly:
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Present Landlord Name:
Current Rent:
  
Address of Landlord:
Landlord Telephone:
Lease Expires:
  
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Number of Occupants for Rental Unit:
Please List all Occupants:      
Name:
Birth Date:
      
Name:
Birth Date:
      
Name:
Birth Date:
      
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In the event of an emergency please list a name of someone whom we may contact on your behalf  
Telephone:
      
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Name of nearest relative, not living with you:  
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Personal References:      
Name:
Phone:
      
Address:
Name:
Phone:
      
Address:
Name:
Phone:
      
Address:
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Do you own a vehicle?
Make:
Model:
 
Color:
 Year:    
License Plate:
Lic# and Exp Date:
 State Issued:    
   
Notes:
   
. By clicking "Submit" below, you (The Applicant and Co-Applicant) certify that the information provided is correct to the best of your knowledge