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Carport Rental Application

First name*

Last name*

Date of Birth*

Month

Day

Year

Last 4 of Social Security Number*

Picture of Government Issued ID*

Contact Information

Address*

City*

State*

Zip Code*

Phone Number*

Email Address*

Confirm Email Address*

Physical Location

Information pertaining to where the building will be located

Check if Address is the same as above

Address*

City*

State*

Zip Code*

Own or Rent Property*

Alternate Contacts

In the event we cannot reach you, please provide two alternate contacts outside of the home.

First Name*

Last Name*

Relationship*

Phone*

First Name*

Last Name*

Relationship*

Phone*

Employment

Employment Status*

Building Information

Width

Length

Height

Color - Siding

Color - Roof

Color - Trim

‪(314) 632-6840‬

5401 Collinsville Road, Fairmont City, IL 62201

hello@stlsheds.com

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