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 applicantMax. file size: 5 MB.Date MM slash DD slash YYYY Signature of co-applicantMax. file size: 5 MB.Date MM slash DD slash YYYY Credit Card Number: Δ
