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Online Rental Application


NWI2RENT.COM
c/o Willems Realtors
27 W. Joliet Street
Schererville, IN 46375
(219) 322-4024
(866) 267-0649 [fax]

*Required
Property Address:
Desired Occupancy Date:
Length of Lease:
*Applicant Name:
*Applicant DOB:
Co-Applicant Name:
Co-Applicant DOB:
Name(s) of Other Occupants:
Pets: (Please specify type. If cats or dogs, include ages and weights.)
*Do any of the applicants or other occupants smoke?
Yes   No
*Present Address:
*Present City:
*Present State:
*Present Zip:
*How Long At Present Address:
*Home Phone:
Work Phone:
Cell Phone:
*Email Address:
*Present Landlord/Mortgage Company:
*Address:
*Phone:
*Monthly Rent/Mortgage Payment:
Previous Address (if less than 2 years ago):
Previous Landlord/Mortgage Company:
Applicant's Employer:
Co-Applicant's Employer:
 


 
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Disclaimer: All information furnished regarding property for sale, rental or financing is from sources deemed reliable, but no warranty or representation is made as to the accuracy thereof and same is submitted subject to errors, omissions, change of price, rental or other conditions, lease or withdrawal without notice. All dimensions and all square footage are approximate.
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