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February 2012

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Want to look at a house?
Call Justin Barker at 402-802-9955

Click Here to View Lease Terms

Lease Entry

This lease shall not be binding to Delta REP until email confirmation is sent to roommate from the property manager.

Step 1 of 3 –

33%

Name*

First
Last
Your Permanent Address

Street Address
City

State
Zip Code
Email*
Phone
Phone Provider

Sometimes we utilize email to sms messaging.
Your "Other" Phone Provider
Emergency Contact Name
Emergency Contact Phone Number
Bio About Yourself*

Property Address (That You'll be Moving Into)

Street Address
City

State
Zip Code
Room Description
Monthly Lease Amount
Move in Fee
Security Deposit
Who Was Your Leasing Person?
Did Someone Refer You to Us?
- Yes
- No
What's Their Name and Number?

Lease Preference
- Month to Month ($25 Extra)
- 3 Months
- 12 Months
Lease Start Date
Payment Type
Name (As Appears on Checking Account)

First
Last
Name of Bank
Routing Number
Account Number
Driver's License Number
Issuing State
Date of Birth

MM

DD

YYYY
Terms and Conditions*
- I have read and agree to the lease terms.

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Company Info

Address:
Delta Real Estate Portfolio, LLC
1410 Park Wild Ave
Omaha, NE 68108

Email:
info (at) deltarep.com

Phone:
(402) 802-9955

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