Rent to Own>

Rent to Own Application

 

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Fill out the following application and submit to North Country Storage Barns. Approval will be completed within 24-48 hours. North Country Storage Barns will call you with the approval, rental fees, and payment amounts. NO APPLICATION FEES.

This web page is secure. Your information will not be shared with third parties.

Building Information


I am interested in renting from North Country Storage Barns
Type ?
Size ?

Renter Information

Name:
Alternate name
Mailing address:
Apt. #
City State: Zip:
Home phone #
Work phone #
Cell phone #

Can we use your cell number for updates about your account?          

E-mail
Can we e-mail the invoice instead of mailing?
Have you spoken to a salesperson about Rent-to-own?
Comments (color preferences, options, and anything else)
Primary date of birth
Primary social security #
Primary drivers licence
Spouse date of birth
Spouse social security #
Spouse drivers licence

Landlord / Mortgage Info 


Landlord or mortgage co.
Landlord/mort. phone #
At current address since
Landlord or mortgage co. address
City State: Zip:
If less than 2 years at current address then fill out previous address info.
Previous address
How long at previous Address? (years)
City State: Zip:

Work Info


Renters work
Position
Work phone
Work address
Supervisor
Started this job (date)
Supervisor phone

Reference


Reference
Phone #
Address
Relationship

Release of Information to Rent a Structure LLC


PLEASE READ THIS STATEMENT BEFORE SIGNING
I promise that the information I have provided on this form is correct. I authorize complete verification of all information I have provided. You may contact any person or company listed above and I fully release all parties from liability for any damage that may result. My (our) signature(s) indicates that for purposes of verification, I (we) have voluntarily waived the protection of all rights to privacy laws. This order may be rejected if any information provided is found to be false.
    
By your (whether one or more applicants) signature below, you also agree to allow Rent A Structure LLC employees to contact the references listed above and your employer to verify your information and to assist Rent A Structure LLC in its collection efforts if you fail to renew the rental agreement or return the merchandise to Rent A Structure LLC on time. This waiver is valid until you revoke it by notifying Rent A Structure LLC in writing by certified mail.

I HAVE READ AND UNDERSTAND THESE STATEMENTS.

Date:

Initial:


WCETAM
Enter the text you see into the text box, then click submit.
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