KATHY BINNER COMPANIES RENTAL APPLICATION
New Rental Application Needed for Each Person Aged 18 or Older Living in the Household
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Email *
Are you adding an additional adult(s) or are you applying to lease a property we have advertised? *
Required
What property location? Include address below... *
Name *
Cell Phone number *
Email *
▪️ Current Address -- Street, City, State, Zip
▪️ Landlord's Name and Contact Number
▪️ Why are you leaving? 
▪️ We are looking for a (3) year history
 *
▪️ First Previous Address -- Street, City, State, Zip
▪️ Landlord's Name and Contact Number
▪️ Type NONE, if previous is over (3) years
 *
▪️ Second Previous Address -- Street, City, State, Zip
▪️ Landlord's Name and Contact Number
▪️ Type NONE, if previous is over (3) years
 *
▪️ How many persons 18 and over in the household?  
▪️ Name(s)
▪️ Age(s)
 *
▪️ How many children under 18 in the household?  
▪️ Name(s)
▪️ Age(s)
▪️ Type NONE, if none
 *
Does anyone in the household smoke? *
Required
▪️ How many pets do you own? 
▪️ What types/breeds/ages?
▪️ Type NONE, if none
 *
▪️ What move-in date are you looking for? 
▪️ If flexible, type flexible.
 *
What is your date of birth? *
What is your Social Security Number? *
▪️ Who is your current employer? 
▪️ Or your main income source? 
▪️ Include Company or Organization Name 
▪️ CONTACT PERSON'S NAME
▪️ PHONE NUMBER
▪️ MONTHLY amount you receive
 *
▪️ Who is your secondary employer? 
▪️ Or your secondary income source?
 ▪️ Include Company or Organization Name
▪️ CONTACT PERSON'S NAME
▪️ PHONE NUMBER
▪️ MONTHLY amount you receive
▪️ Include any other verifiable monthly income here with same details.
▪️ Type NONE, if none
 *
▪️ List your vehicles...
▪️ Year
▪️ Make
▪️ Model
▪️ Color
▪️ Plate Number/ State
▪️ Is this vehicle covered by liability insurance? 
▪️ Type NONE, if none
 *
▪️ List Vehicle Loan(s) by Lender Name
▪️ Balance(s) Owed
▪️ Monthly Payment(s)
▪️ List all that you are obligated to pay
▪️ Type NONE, if none
 *
▪️ List Credit Card(s) by Credit Card Company Name
▪️ Balance(s) Owed
▪️ Monthly Payment(s)
▪️ List all that you are obligated to pay
▪️ Type NONE, if none
 *
▪️ List Child Support Owed 
▪️ Delinquent Balance(s) Owed
▪️ Monthly Payment(s)
▪️ List all that you are obligated to pay
▪️ Type NONE, if none
 *
▪️ List Bank Account(s) 
▪️ Average Running Balance(s)
▪️ Current Balance(s)
▪️ Type NONE, if none
 *
▪️ First Emergency Contact Information
▪️ Name of Person
▪️ Address of Person
▪️ Phone Number of Person
 *
▪️ Second Emergency Contact Information
▪️ Name of Person
▪️ Address of Person
▪️ Phone Number of Person
 *
▪️ First Personal Reference Information
▪️ Name of Person
▪️ Address of Person
▪️ Phone Number of Person
 *
▪️ Second Personal Reference Information
▪️ Name of Person
▪️ Address of Person
▪️ Phone Number of Person
 *
Have you ever been sued for bills?
 *
Required
Have you ever been locked out of your apartment or unit by the sheriff?
 *
Required
Have you ever filed a bankruptcy?
 *
Required
Have you ever been brought to court by another landlord?
 *
Required
Have you ever been charged with, or guilty of a felony?
 *
Required
Have you ever moved owing rent or damages for an apartment or unit?
 *
Required
Have you ever broken a lease?
 *
Required
Do you have the total move-in amount available (rent and deposit)?
 *
Required
Feel free to share any additional information that could enhance the evaluation of your application. Your insights will assist us in better understanding your candidacy and making an informed decision.
You, the applicant, authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors, and any other sources deemed necessary to investigate you, the applicant. All information is true, accurate, and complete to the best of your knowledge. Landlord reserves the right to disqualify you if information is not as represented.
  
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
 *
Required
By typing your full name and date below, you agree to the above terms and conditions.

If your application is not chosen for any reason, your application and any associated documents will be securely shredded to maintain confidentiality and privacy.
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