Combs’ Properties
512 W. Commercial
Portales, New Mexico 88130
Phone:        800-898-3043
Fax:             575-356-4437

Name: SS#:
Date of Birth:
Co-Renter: SS#:
Date of Birth:
Current Address: Phone:
City: State: Zip:
Place of Employment:
Work Phone:
Supervisor: Salary:
(If not employed, name source of income to pay rent):
Co-Renters Employment:
Supervisor: Salary:
Number of Children and ages:
Preferred Date of Move in:
Number of bedrooms desired:
Any Pets?: If yes, what and how many:
Previous Address
Address: City/State:
Landlord: Phone:
Move-in Date: Move-out Date:
Personal References (Name/Telephone/Relationship):

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