BARN RENTAL APPLICATION
Kindly fill in the form below, please note that the information provided herein will be used for
administration purposes; no one will be discriminated based on age, sex, race, or their beliefs.
Full Name: DOB:
Phone Number: SSN#
Current Address: Driver’s License No:
Employer: Job Position:
Monthly salary: Additional source (s) of income and amount:
Total monthly expense: The type of animal to be kept in the ban:
Number of animal(s): Daily timeframe for caring for the subject
animal:
I hereby give my authorization to a have a background check done on me. The background check
includes checking relevant databases such as my credit records, and criminal record. I understand
that depending on the results of the background check, my ability to rent the barn may be limited
or refused.
I declare under penalties of perjury that to the best of my knowledge and belief, the information
and statements contained herein are true, correct, and complete.
By signing below, you agree to be bound by this agreement
Signature: …………………………………….
Name: …………………………………………
Date: …………………………………………….
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