Application for Tenancy
This form must be filled out completely and submitted to be considered for a rental by Kophamer & Blean Realty Property Management Division. Upon reviewing your application, we will contact you with any questions or concerns. Landlord has right to do background check on all applicants.
Email address *
Name *
Current Address *
Phone Number *
Source(s) of Income *
Currently Employed? *
Length of Employment: *
Monthly Take-Home Pay (for all renters) *
Pets: *
Type of Pets (type N/A if not applicable) *
If more than one person is going to be living in this rental, please name them below: *
Any special needs? (ex: handicap accessible) *
Please specify type of rental you are looking for including town and number of bedrooms (property address if applicable) *
Have you ever been convicted of a felony? *
If you answered yes, please explain the circumstances below:
Reference #1: Please include name and phone number: *
Reference #2: Please include name and phone number: *
Reference #3: Please include name and phone number: *
By submitting this application, you affirm that all information provided is accurate. *
Required
A copy of your responses will be emailed to the address you provided.
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