PRDS Application to Rent or Lease

Kate’s Properties
Rental Lease Application

Equal Housing Opportunity

RLAP201305

Applicant Initials:    Co-Applicant Initials:

P.O. Box 186, Farmington, MI 48332   (248) 519-1478

Checklist

Initial at the end of all pages.

Complete the Rental Lease Guarantor application if required.

Verify all information is provided so processing is not delayed.

Sign and date Declaration Page.

Sign, date and write name on Release of Information Page.

A valid state id and a most recent utility bill showing proof of current address in the applicant’s name.

2 most recent Pay Stubs to show income

Make a check for $45 payable to Kate’s Properties.

The undersigned hereby makes an application to rent the following property:

Anticipated move date of at a monthly rent of $ and security deposit of $.

Personal Information

Full Name:

Date of Birth:    Marital Status:

SSN:    Mother’s Maiden Name:

Home Phone:

Work Phone:    Cell Phone:

Country of Citizenship:

Driver's License Number:    State Issued:

Email address (Optional):

Vehicle Make, Model & Year:

Vehicle License Plate:    State Registered:

Co-Applicant’s Full Name:

Date of Birth:    Marital Status:

SSN:    Mother’s Maiden Name:

Work Phone:    Cell Phone:

Country of Citizenship:

Driver's License Number:    State Issued:

Email address (Optional):

Number of dependants:

Names of dependants:

Date of birth of each dependant:

Number of pets:

Breed:

Name(s):

Do you have any outstanding warrants against you? Yes No

Were you ever convicted of a felony? Yes No

State:    Date:    Charge:

Prison time:    Are you on parole: Yes No

Parole Officer & phone:

Residential History

Current Address:

Month & Year move in:    Month & Year moved out:

Monthly Rent:    Reason for leaving:

Owner / Leasing Office:    Contact Number:

Previous Address:

Month & Year move in:    Month & Year moved out:

Monthly Rent:    Reason for leaving:

Owner / Leasing Office:    Contact Number:

Prior Address:

Month & Year move in:    Month & Year moved out:

Monthly Rent:    Reason for leaving:

Owner / Leasing Office:    Contact Number:

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 rental payments in the past year?

Have you ever willfully or intentionally refused to pay rent when due?

Have you had any of your accounts referred to collections in the last year?

Employment History

Current Employer:

Employment Status:

Dates employed:

Designation:    Monthly Gross Income:

Supervisor Name & Number:

Previous Employer:

Employment Status:

Dates employed:

Designation:    Monthly Gross Income:

Supervisor Name & Number:

Other income (monthly gross income):    Source:

Contact Name & Number:

References

Banking Accounts:

Name:    Type of Account:    Account Number:

Personal references or emergency contacts

1. Name:    Phone:    Relationship:

2. Name:    Phone:    Relationship:

Additional information that might help owner/management evaluate this application:

Where may we reach you to discuss this application?

Day Phone #:

Evening Phone #:

Declaration

I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.

I hereby deposit $ as earnest money to be refunded to me if this application is not accepted in three business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit. When so approved and accepted, I agree to execute a lease for months before possession is given and to pay the balance of the security deposit prior to the move in date.

The above information, to the best of my knowledge, is true and correct.

AUTHORIZATION

Release of Information

I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from Kate’s Properties.

Name (please print):

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Deposit of $

Received by

Date

OFFICE NOTES: