The Lily, A Residential Community - Penacola, Florida
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General Information
All fields are mandatory.
Place N/A in fields that do not apply.
Recall Existing  
Application  
   
 
Registration Date: 2021/09/23        
 
General Information
Applicant Name: SSN:
Applicant Current
Address:
 
Cell Phone:
Home Phone:
Work Phone:
 
Have you ever
been known by
another name?:
Alias used:
 
Co-applicant (s):
 
Name of all
person's who will
occupy unit:
 
Your Current Landlord Information
Name:
Address:
Phone:
How Long
Have You
Been There:
Monthly Rent:
 
Your Previous Landlord Information
Name:
Address:
Phone:
Dates That
You Lived
There:
Monthly Rent:
Unit
Address:
 
Another Previous Landlord Information
Name:
Address:
Phone:
Dates That
You Lived
There:
Monthly Rent:
Unit
Address:
 
 
Eviction Information
Have you ever been issued an eviction notice?:
If yes, were you evicted?:
 
If evicted, please
explain why.:
 
Employment Information
Current Employer:
Addr of Employer:
Employer
Phone:
How long
employed:
Position
Held:
Annual
Gross
Income:
If you have other
regular income,
what is the
source & amount?:
 
Previous Employment
Previous Employer:
Previous Empl Addr:
Empl Ph: How long empl.:
Position
Held:
Annual
Gross
Income:
 
Banking Information
Bank Name:
Bank Addr:
Bank
Phone:
Account Type(s):
 


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