RESIDENTIAL CUSTOMER INFORMATION Date MM slash DD slash YYYY APPLICANT NAME: CURRENT ADDRESS: Social Security Number:PHONE NUMBER:FAX NUMBER:OWNED OR RENTED (Please select) Owned Rented BILLING ADDRESS (If different)Monthly Payment or Rent:HOW LONG? EMAIL ADDRESS (TO RECEIVE ELECTRONIC INVOICES CURRENT EMPLOYER: HOW LONG? EMPLOYER PHONE:POSITION: ANNUAL INCOME:EMPLOYER ADDRESS:CO-APPLICANT INFORMATION, IF FOR A JOINT ACCOUNTCO-APPLICANT NAME: CURRENT ADDRESS: Social Security Number:PHONE NUMBER:FAX NUMBER:OWNED OR RENTED (Please select) Owned Rented Monthly Payment or Rent:HOW LONG? BILLING ADDRESS (If different)EMAIL ADDRESS (TO RECEIVE ELECTRONIC INVOICES CURRENT EMPLOYER: HOW LONG? ANNUAL INCOME:EMPLOYER PHONE:POSITION: EMPLOYER ADDRESS:I authorize Hugg and Hall Mobile Storage to verify the information provided on this form as to my credit and employment history.Signature of applicant Type your name hereDate MM slash DD slash YYYY Signature of co-applicant Type your name hereDate MM slash DD slash YYYY Δ
