Application

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RENTAL APPLICATION
Please provide all of the information requested below. Incomplete applications may take longer to process. PLEASE allow us at least 12 hours to contact you after completing your application.
When would you like to see the apartment?
Day and Time
What property are you interested in?
When are you looking to move in?
Enter a date
OCCUPANT(S)
Name (Primary)*
First Last
SS#
DL#
Date of Birth*
Phone
Work
Phone
Home
Email
Co-Applicant?
- Yes
- No
Name (Co-Applicant)
First Last
SS#
DL#
Date of Birth
Phone
Work
Phone
Home
Email
Any other occupants?
- Yes
- No

Other Occupants

Name	Age	Relationship

Employment History
Current Employer (Primary Occupant)*
Address
Street Address Address Line 2 City State ZIP Code
Phone*
Supervisor
Position
How long?
Salary
Total Household Monthly Income*
Please include income from other sources if applicable
Current Employer (Co Occupant)
Address
Street Address Address Line 2 City State ZIP Code
Phone
Supervisor
Position
How long?
Salary
Total Monthly Income
Please include income from other sources if applicable

RENTAL HISTORY
No less than two years
Present Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you rent or own?
Amount Paid Monthly
Reasons for leaving
Landlord or Mortgage Company Name*
Phone*
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you rent or own?
Amount Paid Monthly
Reasons for leaving
Landlord or Mortgage Company Name
Phone

Personal References
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship
Phone
Add another reference?
- Yes
- No
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship
Phone

Pets (describe)
Water-filled furniture (describe)
Vehicles/boats to be parked on premises
make model year license #
In the past, have you been delinquent in paying rent or other financial obligations? If yes, please explain:
In the past, have you failed to perform any obligations of a rental been a defendant in an eviction lawsuit? If yes, please explain:
ALL APPLICANTS MUST SIGN BELOW:
The information on this application is true and correct to the best of my knowledge. I hereby authorize KRDJ Properties LLC or agents to verify the above information and obtain consumer or investigative credit report, criminal background report, and/or eviction records from E-Renter USA. I understand that the $40 fee for verifying this rental application is not a deposit, will not be applied to any rent, or refunded even if the application to rent is declined.
Signature
Date
Signature
Date
Please Note
Once you click submit we will receive your application. We will reach out to you shortly to schedule a time for you to see the apartment. If you like the apartment and want to move forward let us know and we can collect the $40 for the background check then. If you want to pay for the background check now, after hitting submit, the web page will be redirected to PayPal.com, where you can pay for it there.
Background Check Fee
Price: $40.00
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Step 1 of 5

RENTAL APPLICATION

OCCUPANT(S)

Employment History

RENTAL HISTORY

Personal References

ALL APPLICANTS MUST SIGN BELOW:

Please Note

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