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2. Driver's License # State Issued <br />Car Make Color Year Lic. # <br />G. EMERGENCY CONTACT (Please list someone in -the immediate area if possible.) <br />Name <br />Address <br />Phone No. <br />H. SIGNATURE -CLAUSE - <br />I certify that answers given herein are true and complete to -the best of my knowledge. I <br />authorize investigation of all statements contained in- this application for residency as may <br />be necessary. I understand that any misrepresentation "may result in the denial. of my <br />application. I authorize 800 Heinz Associates, its subsidiaries, and its agents to investigate <br />my credit worthiness through any credit bureau or other reasonable means. I have read this <br />application and understand it. <br />This application is not a rental agreement, contract or lease: All applications are subject to the <br />approval of the owner or managing agent. <br />It is our aim to ensure that this community is a drug. free zone. The use and sale of controlled <br />substances will not be tolerated. By singing this application form, I verify my support for this <br />policy. <br />ALL PERSONS DESIGNATED AS HEAD OR CO -HEADS) MUST SIGN BELOW. <br />Signature <br />Co -Heads) Signature <br />Date <br />Date <br />IMPORTANT NOTE: Please include a complete, signed copy of your previous year's* federal tax <br />return with this application. <br />Office Use Only: _____.�.�---_----- ------ . <br />/`nrwwiAl+F 11"mumrsd•a,- O. P-Arnm-mma 1 1 1) ro%rWAN) Ib eWlo% Anwwe i no" S <br />