Application for Lease

                                                          Fax to: 816-228-6621

  • 6 month lease    12 month lease

 

Applicant

 

Name_____________________________SS#_________________________DOB______________Cell #_____________

 

Current Address____________________________City,State,Zip________________________How Long_____________

 

Home Phone_________________Landlord Name_____________________________Phone________________________

 

Current Employer & Address______________________________Person to Contact________________Phone_________

 

Yrs Service__________Position________________________________Weekly Gross Earnings_____________________

 

Previous Employer__________________Person to Contact__________________Phone___________Yrs Service_______

 

Weekly Gross Earnings________________Additional Income $_______________Explain_________________________

Spouse

 

Name_____________________________SS#_________________________DOB___________Cell#________________

 

Current Employer& Address____________________Person to Contact_______________________Phone____________

 

Position______________________Yrs Service_______Weekly Gross Earnings___________Add’l Income $__________

Credit

 

1.____________________#_________________________2.____________________#____________________________

 

Checking Acct at:   _________________________      #____________________________          How Long___________

 

Savings Acct at:   __________________________      #____________________________           How Long___________

Miscellaneous

 

How many people will occupy this house?   ______________      Adults     _____________     Children        ___________

 

Children:   Name:_________________________Age______Name________________________________Age_________

 

                 Name:_________________________Age______Name________________________________Age_________

 

Do you have any pets?__________How many?___________Type___________________Weight____________________

 

Emergency Notification:___________________________________Relationship_________________________________

 

Address__________________________________________________Phone____________________________________

 

I represent to you that I have read this entry application and that all of the above information hereon is true and correct.  I further represent that my rental and credit records are in good standing with no judgments or liens against me. I understand that this application is subject to your approval and if my application is not accepted, my deposit will be returned in full.   If accepted, the application fee will be applied to the first months rent.

 

APPLICANT___________________________________________________Date________________________

 

APPLICANT___________________________________________________Date________________________

Both Signatures Required