KPL Select Property Management
RENTAL APPLICATION
Equal Housing Opportunity
The undersigned hereby makes an application to rent unit #______located at: ______.
Desired Move in Date______.
PLEASE TELL US ABOUT YOURSELF
Full Name______Home Phone______
Date of Birth______Social Security #______
Drivers License #______Marital Status______Email Address______
Co-Applicant
Name______Home Phone______
Date of Birth______Social Security #______Drivers License #______Marital Status______Email______
PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)
Current Address______
Month/Year moved in______
Reason for leaving______
Rent $______
Owner/Agent______Phone______
(If less then 2 years)
Previous Address______
Month/Year moved in______
Reason for leaving______Rent $______
Month/Year Vacated______
Owner/Agent______Phone______
(Co-applicant)
Current Address______
Month/Year moved in______
Reason for leaving______
Rent $______
Owner/Agent______Phone______
(If less then 2 years)
Previous Address______
Month/Year moved in______
Reason for leaving______
Rent $______
Month/Year Vacated______
Owner/Agent______Phone______
PLEASE DESCRIBE YOUR CREDIT HISTORY
Have you declared bankruptcy in the past seven (7) years?______
Have you ever been evicted from a rental residence?______
Have you had two or more late rent payments?______
Have you ever willfully or intentionally refused to pay rent when due?______If yes, Reason?______
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your status: ______full time ______part time ______student
Employer______
Date started______Title______
Supervisor Name______Phone______
Salary $______
If employed less than two years, previous employer information:
Employer______
Date started______Title______
Supervisor Name______Phone______
Salary $______
Co Applicant:
Your status: ______full time ______part time ______student
Employer______
Date started______Title______
Supervisor Name______Phone______
Salary $______
If employed less than two years, previous employer information:
Employer______
Date started______Title______
Supervisor Name______Phone______
Salary $______
PLEASE LIST YOUR REFERENCES
Bank Accounts:
Name______Type of Account______
Account Number______
Credit References:
Name______Type of Account______
Account Number______
AUTOMOBILE INFORMATION
Make/Model______Year______
License Plate______
Make/Model______Year______
License Plate______
ADDITIONAL INFORMATION
Names/ages of any additional occupants:______
Pets______
ADDITIONAL INFORMATION
Please give any additional information that might help owner/ management evaluate this application ______
______
______
Emergency Contact:
Name:______
Telephone #______
Where may we reach you to discuss this application?
Day Phone______Night Phone______
I understand that a fee of $ 30.00 per adult applicant will be retained as a non-refundable fee to cover the agent’s cost in processing my application.
I recognize that as a part of your procedure for processing my application, an investigation/consumer report whereby information is obtained through interviews with neighbors, friends and others with whom I have been acquainted. This inquiry includes information as to my character, reputation, and personal mode of living. I understand that I have a right to make a written request within a reasonable period of time to receive additional detailed information regarding the nature and scope of this investigation.
To the best of my knowledge, the foregoing is true and correct.
Signature______Date______
Signature______Date______
FOR OFFICE USE ONLY
Fee of $______Received by______Date______
OFFICE NOTES: