PHONE NUMBER WE CAN REACH YOU __________________________

IN CASE OF EMERGENCY NOTIFY: ________________________________________________________________
-----------------------------NAME--------------------ADDRESS----------------------------PHONE

1. OCCUPANTS DESIRED DATE OF OCCUPANCY _________________(LIST ALL PERSONS WHO WILL OCCUPY RESIDENCE)

A)__________________________________________________________________________________
------(HEAD OF HOUSEHOLD) NAME------BIRTHDATE-----------------SOCIAL SECURITY NUMBER

B) SINGLE ___ MARRIED ___ DIVORCED ___ SEPARATED ___ HOW LONG _____

__________________________________________________________________________________
------SPOUSE NAME----BIRTHDATE-------SOCIAL SECURITY NUMBER-------------MAIDEN NAME

C)_______________________________------------------_____________________________________
-------CHILD NAME AND AGE-------------------------------CHILD NAME AND AGE

_________________________________------------------_____________________________________
-------CHILD NAME AND AGE-------------------------------CHILD NAME AND AGE

2. EMPLOYMENT

_________________________________________________________________________________________
OCCUPATION------(HEAD OF HOUSEHOLD)------COMPANY NAME-----ADDRESS/PHONE-----HOW LONG
FORMER OCCUPATION------COMPANY NAME-------------ADDRESS/PHONE--------HOW LONG
MILITARY RANK----ASSIGNMENT------OFFICE PHONE#------HOW LONG EXPECTED TO STAY
ALLIED OFFICER RANK------COUNTRY------SPONSOR NAME---------------SPONSOR PHONE#

_________________________________________________________________________________________

_________________________________________________________________________________________
SPOUSE OCCUPATION------COMPANY NAME------ADDRESS/PHONE------HOW LONG

_________________________________________________________________________________________
MILITARY RANK----COMPANY-----ASSIGNMENT-----OFFICE PHONE #----HOW LONG EXPECTED TO STAY


ALLIED OFFICER------RANK------COUNTRY------SPONSOR NAME------SPONSOR PHONE #

3. MONTHLY INCOME
   --------HEAD OF HOUSEHOLD---------------SPOUSE

   EMPLOYMENT-----$ __________--------$____________

   OTHER(EXPLAIN) $ __________--------$____________

4. REFERENCES PERSONAL

   _________________________________________________________________________________________
   NAME-----------------------OCCUPATION------ADDRESS-------PHONE #-------YEARS KNOWN

   BANK

   _________________________________________________________________________________________
   NAME-----------------------ADDRESS---------PHONE #-----TYPE ACCOUNT-----ACCOUNT #

   LANDLORDS:

   _________________________________________________________________________________________
   CURRENT NAME----------ADDRESS---------PHONE #----CURRENT ADDRESS RENTED---HOW LONG RENT $

   _________________________________________________________________________________________
   PREVIOUS NAME---------ADDRESS---------PHONE #----PREVIOUS ADDRESS RENTED--HOW LONG RENT $

   _________________________________________________________________________________________
   PREVIOUS NAME---------ADDRESS---------PHONE #----PREVIOUS ADDRESS RENTED--HOW LONG RENT $

5. WHY ARE YOU MOVING:

   ____ TRANSFER ____ MAINTENANCE ___ NOISE ___ MANAGEMENT ___ LOCATION ____PARKING

   ____ PRICE ____ OTHER (EXPLAIN)__________________________________________________

6. VEHICLES:

_________________________________________________________________________________________
HOW MANY AND WHAT TYPE-------------LICENSE TAG #--------------------------STATE FOR EACH

7. DRIVER'S LICENSE # AND STATE: ________________________________________
   -----------------------------(HEAD OF HOUSEHOLD-----------------SPOUSE)

8. A. DO YOU KNOW OF ANYTHING THAT MAY INTERUPT YOUR INCOME OR ABILITY TO PAY RENT?

   YES__ NO__

   B. HAVE YOU EVER WILLFULLY AND INTENTIONAL REFUSED TO PAY RENT WHEN DUE?

   YES __ NO__

   C. HAVE YOU BEEN OR ARE YOU CURRENTLY BEING EVICTED FROM ANY TENANCY?

   YES __ NO__

   D. HAVE YOU EVER FILED BANKRUPTUCY?

   YES __ NO __

9. ANY PETS?

YES __ NO __ WE DO NOT ALLOW ANY PETS

10. WATERBED?

YES __ NO ___ F YES, WE REQUIRE WATERBED INSURANCE.

_______________________________________________________________________________

I UNDERSTAND THIS APPLICATION IS SUBJECT TO APPROVAL BY MANAGEMENT/OWNER. ALL INFORMATION MUST BE COMPLETE AND ACCURATE.

APPLICATIONS WITHOUT REFERENCES CANNOT BE PROCESSED.

FULL DEPOSIT IS REQUIRED TO HOLD PROPERTY UNTIL DETERMINATION. IF DENIED, THE DEPOSIT WILL BE RETURNED TO APPLICANT LESS PROCESSING FEE. ANY DEPOSIT GIVEN TO THE LANDLORD TO HOLD/RESERVE THE PROPERTY BY THE TENANT WITH THIS APPLICATION OR AT A LATER DATE WILL BE FORFEITED TO THE LANDLORD IF THE TENANT HAS A CHANGE OF MIND ABOUT THE PROPERTY AND CANCELS THE APPLICATION.

A $25 NON-REFUNDABLE PROCESSING FEE IS REQUIRED TO PROCESS APPLICATION. $25 APPLICATION FEE MUST BE PAID WITH CASH.

I AUTHORIZE VERIFICATION OF ABOVE LISTED INFORMATION AND UNDERSTAND FALSE REPRESENTATION MAY BE GROUNDS FOR DENIAL OR IMMEDIATE CANCELLATION OF LEASE. I (WE) AFFIRM THAT THE INFORMATION GIVEN ABOVE IS TRUE AND CORRECT AND HEREBY AUTHORIZE A CREDIT CHECK. THE APPLICANT IS GIVING HIS/HER PERMISSION TO CONFIRM ALL INFORMATION ON THE APPLICATION. THIS MAY INCLUDE AN EXAMINATION OF TENANT REFERENCE LIST TO CONFIRM TENANCY AS LISTED ON THE APPLICATION.

$___________ DEPOSIT MADE WITH THIS APPLICATION. THIS AMOUNT INCLUDES PROCESSING FEE.

____________________________________________________

APPLICANT SIGNATURE DATE

____________________________________________________

APPLICANT SIGNATURE DATE

_________________________________________________________________________________________

OFFICE USE ONLY

APPROVED BY: ________________________ DATE: _______________________

DEPOSIT AMOUNT :____________________

CREDIT REPORT ______________________

LANDLORD CHECK _____________________



A downloadable copy of this agreement can be obtained in one of the formats below. Click on the link in the appropriate format needed:if unable to download may use and mail or e-mail above copy.

Application Form (Text format)

Application Form (WordPad format)

Application Form (Microsoft Word format)



Use this link to return to A&K Rental Information Page
A&K Rental Information