Preferred Store

I promise that the information I have provided on this rental order form is correct. I authorize Mike's Rent-to-Own to completely verify all of the information that I have provided. Mike's Rent-to-Own has my express authorization to contact by phone, text message, or social media any person, landlord, or employer listed on the rental form to discuss my account. This form is an application to rent and may be rejected if I fail to qualify or if any information if found to be false.

Personal References

Please submit at least two references. We may ask for a few more when you come into the store.

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