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First Name: *
Last Name: *
Email: *
Phone: *
Sex: *	Male Female
Housing Type Desired: *	5 Bedroom 4 Bedroom 3 Bedroom 2 Bedroom 1 Bedroom Studio

Current Year in School: *	Freshman Sophomore Junior Senior Graduate Student
Major: *
Current Landlord: *	ASU Dorms Fraternity/Sorority Vista del Sol Suites on the Rail Grigio Palms on Scottsdale Quadrangles Villas on Apache San Marbeya Other

Permanent Home Address:

Street: *
City: *
State: *	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code: *

Gaurantor Info

Guarantor Name: *
Phone: *
Relationship To You: *
Address: *
City: *
State: *	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Gaurantor Email: *

How did you hear about us: *

Friend Daily Illini Web Search Booze News Building Signs Family Member Tailgate Facebook Onsite Event Attended a Social Gathering On Campus Event Bus Announcement Other

For the purpose of procuring credit from time to time I furnish the above information as true and accurate statements. I hereby authorize The Roland Realty, Inc. their agent to verify in any manner they deem appropriate any and all items on this application. Statements made herein shall survive execution of any lease agreement and false statements may be grounds for eviction.