KNUTSON & ASSOCIATES

KNUTSON & ASSOCIATES 75-6082 Alii Drive Suite 8, Kailua- Kona, HI96740 (808)329-1010 (808)326-1010

RENTAL APPLICATION

DRIVERS LICENSE INFORMATION (state/province & number):______

Please complete all sections legibly. Separate application must be submitted by each applicant over 18 who will be residing at these premises. There is a $40 application fee per applicant ages 18 or over.

PLEASE ALSO REMEMBER TO INCLUDE PROOF OF TOTAL HOUSEHOLD INCOME WITH APPLICATION!

The following types of documentation below is acceptable. One or more of these may be used.

-Recent Paystubs

-Offer Letter

-1099 income statements

-Most recent Bank Statement showing Account Balance if all income is in savings

Address of premises to be rented: ______

Monthly Rental Amount: $______

Full Legal Name: ______Phone #:______

(Last)(First)(Middle)

Social Security #:______Cell phone:______

Birthday:______

Current Address: ______City:______State:______Zip:______

Current Landlords Name or Mortgage Co:______

Phone:______

How long did you reside at this address:______Monthly Payment Amount:______

Reason for Leaving:______

Previous Address: ______City:______State:______Zip:______

How long did you reside at this address:______Monthly Payment Amount:______

Reason for Leaving:______

Landlord Name or Mortgage Co: ______Phone: ______

If you have lived at the above addresses for less than five years, please list your two previous residences, starting with the most recent:

Previous Address: ______Apt:______Monthly Payment:______

From:______To:______Reason for Leaving:______

Landlord’s name or Mortgage Co:______Phone: ______

Previous Address: ______Apt:______Monthly Payment:______

From:______To:______Reason for Leaving:______

Landlord’s name or Mortgage Co:______Phone: ______

Do you have or intend to have any pets: [ ] No [ ] Yes Type:______

Do you have any water- filled furniture or aquariums? [ ] No [ ] YesType:______

Have you ever been evicted from a rental property? [ ] No [ ] Yes If yes, please explain:

______

Are you currently on parole or probation anywhere? [ ] No [ ] Yes If yes, please explain:

______

Have you ever been convicted of a misdemeanor or felony other than a traffic or parking violation?

[ ] No [ ] Yes If yes, please explain:

______

Present Employer:______Position:______Monthly Income:______

Phone #:______How long at job:______Other income/ source:______

Employers Address:______City:______State:______

Supervisor name: Phone: ______

If you have been with your present employer for less than 5 years, please list your previous employers, starting with your most recent:

Previous Employer:______Position:______Monthly Income:______

Phone #:______How long at job:______Reason for Leaving:______

Employers Address:______City:______State:______

Supervisor name: Phone: ______

Other Professional References:

Name: ______Years Known:____ Relationship:______Phone #:______

Name: ______Years Known:____ Relationship:______Phone #:______

Name: ______Years Known:____ Relationship:______Phone #:______

Please list ALL other applicants who will be living with you. **If additional applicants are the age of 18 or older they each MUST fill out an additional application**

1) Name:______2) Name:______

3) Name:______4) Name:______

5) Name:______6) Name:______

7) Name:______

In Case of an Emergency:

Emergency contact: ______Relationship: ______

Phone: ______Address: ______

Application Fee Paid? [ ] No [ ] Yes Amount Paid: ______

Property Manager Acknowledgment of application fee paid: ______

Authorization:

The unsigned applicant hereby declares that all information provided on this Rental Application is true and correct to the best of his/her knowledge. Applicant hereby authorizes the owner, manager, or his/her agent (hereinafter “landlord”) to verity any information at any time contained in this application, including but not limited to verification of current residency and employment. Applicant understands that this verification process may include obtaining a tenant performance/ credit report form various consumer reporting sources and specifically authorizes the Landlord to obtain such report as allowed by the Fair Credit Reporting Act. This application is for preliminary screening use only and does not obligate Landlord to execute a rental agreement or deliver possession of the premises. Applicant further acknowledges that any false information contained herein will void this application and terminate any rental agreement.

Signature ______Date ______