Rental Date:
First Name:
Present Address:
Present City:
Present State:
Present Zip:
Phone Number:
Email:
Car Make:
Car Model:
Car Year:
Car Color:
Emergency Contact:
Relationship:
Phone:
Address:
City:
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Today's Date:
Signature (Print name):
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We Do Business in Accordance with the Federal, State, and Local Fair Housing Law
(Title VIII of the Civil Rights Act of 1968, as Amended by the Housing and Community Development Act of 1974)
IT IS ILLEGAL TO DISCRIMINATE AGAINST ANY PERSON BECAUSE OF RACE, COLOR, CREED, RELIGION, SEX, NATIONAL ORIGIN, FAMILIAL OR HANDICAP STATUS
Sommer Property Management, LLC
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