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Rental Application

Rental Application

Lively Properties, Inc.
Rental Application
P.O. Box 20446
White Hall, AR 71612
______________________________________________________________________________
Please fill out separate form for each adult.


    Landlord:


    Current Employer:

    How often? (Check one):
    weeklymonthlyyearly


    Previous Employer:


    Name, age, and relation to you of all people who will live at rented property (include all adults and children):



    Name, address, and phone of nearest relative not living with you:

  • The property or rental unit you are interested in may be a property personally owned by Lively Properties, Inc. or an agent thereof. If you have any questions or concerns please ask.
  • Write any additional information you think we need to know on back of this application.
    I certify that all of the above information is correct and I authorize Lively Properties, Inc. to run a credit check and verify my employment and landlord references.


  • *Once application and fee of $25.00 is turned in, the application fee is NONREFUNDABLE.
    *Application is only good for 30 DAYS; after 30 days you have to fill out a new application and a new fee will be charged.



    Card Information:

    *If you want to pay by Credit Card, you must provide a valid email to receive a receipt.