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  University Place Online Lease Application
 NAME: SSN:
 I heard about University Place from Internet search via:
Google Yahoo Mizzou.com Uplace.com
 Or from:
Maneater Yellow Pages Someone who lives here Referred by University Office
 I am interested in a:
Single 3 BR 2 BR / 2 Person 2 BR / 4 Person
 I expect to move in on the following date:
 Expected Lease term: Year   9 1/2 months 
 I need a roommate (s): Yes    No
 If NO, my roommate (s) are:
 If YES, I graduate(d) in:       I am:      Any Preferences:   
 Current Address:
 City:   State:   Zip Code:   Country: 
 Current Phone: Email Address:
 Reason for Leaving: 
 Landlord's Phone:  Landlord's Name:
 Parent's Name: Parent's Phone:
 Parents's Address:
 City:  State:  ZipCode:  Country:
 In case of emergency notify :  Phone:
 Employer's Name:  Phone:
 How Long Employed:    Monthly Income:
 Bank:  Account #:
By submitting, I declare the statements above are true and correct and I hereby authorize verification of information given and a credit check. I understand providing false information shall cause immediate termination of my Lease Agreement. 




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