If there is more then one adult please complete information for First Adult and Second Adult.   First Adult Full Name Telephone Address City Postal Code Date of Birth (mm,dd,yy) E-mail Move in Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day January February March April May June July August September October November December Month         Current Landlord Telephone Employer Telephone Position How long? Current Income         Previous address Previous Town/City Previous Postal Code How Long         Second Adult(if there is one) Full Name Telephone Address City Postal Code Date of Birth (mm,dd,yy) E-mail Move in Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day January February March April May June July August September October November December Month         Current Landlord Telephone Employer Telephone Position How long? Current Income         Previous address Previous Town/City Previous Postal Code How Long         List All Other Persons who Will Occupy the Premises Adults   Child Age Child Age Child Age         Smoker Yes    No  Has applicant or family member rented from Wallace Property Rentals in the past Yes    No          Emergency Contact Telephone Address Cell           Comments