Open House 420 Kentucky St
Sunday, June 19th, 2020
12:00 to 14:00
Don't miss out our Open House
And get the best deal on this property.
Apply Now!
Application form
Please fill in this form to apply for this property. One application per adult.
Applicant info
Name
Email
Date of Birth
Social Security #
Drivers Licence #
Cell Phone #
Home Phone #
Work Phone #
Are you applying by yourself or with somebody else? If so, please provide name:
Dependents
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Name
Relationship
Date of Birth
Animals
Assistive
Yes
No
Name
Type/Breed
Weight
Age
Nuttered/Spayed
Yes
No
Name
Type/Breed
Weight
Age
Nuttered/Spayed
Yes
No
Name
Type/Breed
Weight
Age
Nuttered/Spayed
Yes
No
Vehicles
Make
Model
Color
License #
Year
Make
Model
Color
License #
Year
Make
Model
Color
License #
Year
Emergency Contact
Name
Relationship
Phone #
Name
Relationship
Phone #
References
Name
Relationship
Phone #
Name
Relationship
Phone #
Residential History
Current Address
Monthly Rent
Occupancy From
To
Manager/Landlord Name
Contact info
Reason for leaving
Previous Address
Monthly Rent
Occupancy From
To
Manager/Landlord Name
Contact info
Reason for leaving
Employment Details
Employer Name
Address
Phone Number
Montlhy Income
Position Held
Years Worked
Supervisor Name
Supervisor Title
Additional Income
Monthly Income
Source
Does anyone in your household smoke?
Yes
No
Does anyone in your household use or sell drugs?
Yes
No
Have you ever been evicted or sued by a Landlord?
Yes
No
Have you or anyone in your house hold ever been convicted of a crime in the last 7 years?
Yes
No
Do you have Renters Insurance? If yes, please list the insurance company providing coverage
How did you hear about us? Please provide answer in space below:
Are there any contingencies with your offer? If yes, please explain in space below:
Is there any additional information you would like us to know before we process your application? If yes, please explain below:
Verifications
As an applicant, I authorize Casas Real Estate to make inquires on all statements made in this application through a consumer credit reporting agency, my employer, public records, landlords or any other references that I have provided in the application.
I certify to have viewed this property in person.
THIS APPLICATION & OFFER TO RENT IS SUBJECT TO ACCEPTANCE BY THE LANDLORD. THE PROPERTY IS OFFERED REGARDLESS RACE, COLOR, RELIGION, SEX, HANDICAP, FAMILIAL STATUS (HAVING ONE OR MORE CHILDREN), OR NATIONAL ORIGIN.
The facts set forth in my Application and Offer to Rent are true and complete. I understand that if my Application and Offer to Rent is approved, misstatements or omissions of facts on this application shall be considered sufficient cause for denial or termination of the Rental Agreement. I have read and understand the forgoing statements and accept the same as conditions for approval of my Application and Offer to Rent. I have received a copy of the Application and Offer to Rent that I have submitted to Casas Real Estate.
To submit this application a 50USD fee must be covered. Please choose your preferred payment option from the buttons below. Once the payment is done, you can proceed to click the "Submit Application" button.
Your PayPal order has been approved. Please submit the form to complete this payment.
SUBMIT APPLICATION
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