Online Application

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Thank you for using the Online Request Form.

As soon as Rent MN receives your information
Mr. Bob Portugue will be contacting you
within the next 24 hours.

Having trouble submitting this form?
email us at rentmn@gmail.com

First Name*:

Last Name*:

Phone #*:

e-mail Address*:

Need to move-in by*:

How long would you like your lease to be?*:
One Year
Two Years
Three Years or more
Not sure

Reason for moving*:

# of People moving in and Relationship to you*:

Are you currently employed?*:
Yes
No

Are you a smoker?*:
Yes
No

Do you have pets?*:
Yes
No

Are you part of a Government Assistance Program?*:
Yes
No

Is it OK if we run a Background / Credit Check*:
Yes
No

Do you have Landloard References*:
Yes
No

Additional Comments:

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