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Peter’s House
Goal: to create and live a Christian successful life with your brothers in Christ.
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Name/signature Date
Residential Rental Application
Emergency Contact
I represent that the information provided in this application is true to the best of my
knowledge. You are hereby authorized to verify my employment in connection with the
processing of this application. I acknowledge receipt of a copy of this application. I have
receive and signed the rules and regulations.
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Applicant Date
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Approved:
Conditions of leave: