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For inquiries about the rental property,

  • Rental Application

    Notice: All adult applicants (18 year or older) must complete a separate application for rental.
  • APPLICANT INFORMATION

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  • CURRENT ADDRESS

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  • PREVIOUS ADDRESS

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  • OTHER OCCUPANTS

  • PETS

    The Landlord allows pets for 25$ per month, per pet fee. No reptiles.
  • EMPLOYMENT & INCOME

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  • EMERGENCY CONTACT

  • PERSONAL REFERENCES

  • BACKGROUND INFORMATION

  • Filed for bankruptcy?
  • VEHICLE INFORMATION

  • SMOKING

    The Landlord does not allow smoking in the rental property.
  • OTHER INFORMATION

  • PROOF OF INCOME

  • Drop files here or
    Max. file size: 300 MB.
      Pay stubsEmployer's letter/certificateBank statementCopy of previous year's tax return
    • AUTHORIZATION

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    PHONE

    (308) 304-3580

    ADDRESS

     2621 W Hwy 30, Grand Island, NE 68803

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