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Rocky Acres - Rental Application


               

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Word and PDF applications will be available shortly. Please check back with us soon!



To use this application, simply print out and complete.  The mail the application, along with the $35.00 non-refundable application fee (check or money order) to :

Rocky Acres
P.O. Box 399
Blacksburg, VA 24063

Name: __________________________________________________________________

Current
Address
: ________________________________________________________________

Previous
Address
: ________________________________________________________________

Current
Employer
: _______________________________________________________________

Phone
Number: Work
: __________________ Home: _______________________

Email Address: __________________________________________________________

SSN: ____________________________

Date of Birth (MM/DD/YYYY): ____________________________

Have you ever defaulted on a lease? __________________________________________

Current Landlord and telephone number: ______________________________________

Do you have pets? ________________________________________________________

What house have you applied for? ____________________________________________

           ___________________________________________________ ___________________
                                     Signature                                                                                              Date

There is a $35.00 non-refundable application fee for each individual applying for the lease.

Make Checks Payable to Rocky Acres, LTD.


Office Use Only

On File since: ________________________________________

Accounts Number: ____________________________________

Rating: _____________________________________________

Public Records: