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Application

Rental Application

822 Main Property Management

822 Main Street, Suite 6 - Shelbyville, KY 40065

Applicant Information
Applicant First Name: *
Applicant Last Name: *
Applicant's Social Security #: *
Applicant's Date of Birth: *
Applicant's Drivers License #: *
Applicant's Daytime Phone: *
Applicant's Evening Phone: *
Applicant's Email Address: *
Applicant's Current Physical Address (include Apt. #): *
Applicant's Current City: *
Applicant's Current State: *
Applicant's Current Zip: * (5 digits)
Applicant's Current Landlord/Mortgage Holder: *
Applicant's Current Landlord/Mortgage/phone#: *
Applicant: How Long at Current Residence?: *
Applicant: What year did you start living at current address?: *
Applicant's Current Rental Rate: *
Applicant's Current Employer: *
Applicant's Current Employer phone # *
Applicant's Current Position: *
Applicant: How long at current position?: *
Applicant's Current Hourly Wage/Salary: *
Applicant's Previous Physical Address (Include Apt. #): *
Applicant's Previous City: *
Applicant's Previous State: *
Applicant's Previous Zip: *
Applicant's Previous Landlord/Mortgage Holder:
Applicant's Previous Landlord/Mortgage Holder phone #:
Applicant: How long at Previous Residence?
Applicant: What year was it when you started living at this previous address?:
Applicant's Previous Rental Rate:
Applicant's Previous Employer:
Applicant's Previous Employer phone #:
Applicant's Previous Position:
Applicant: How long at Previous Position?:
Applicant's Previous Hourly Wage/Salary:
Applicant: Have you ever been evicted?: *
Applicant: Have you ever been convicted of a felony?: *
Co-Applicant Information
Co-Applicant First Name:
Co-Applicant Last Name:
Co-Applicant's Social Security #:
Co-Applicant's Date of Birth:
Co-Applicant's Drivers License #:
Co-Applicant's Daytime Phone:
Co-Applicant's Evening Phone:
Co-Applicant's Email Address:
Co-Applicant's Current Physical Address (include Apt.#):
Co-Applicant's Current City:
Co-Applicant's Current State:
Co-Applicant's Current Zip:
Co-Applicant's Current Landlord/Mortgage Holder:
Co-Applicant's Current Landlord/Mortgage Holder phone #:
Co-Applicant: How long at current residence?:
Co-Applicant: What year was it when you started living at this current address?:
Co-Applicant's Current Rental Rate:
Co-Applicant's Current Employer:
Co-Applicant's Current Employer phone #
Co-Applicant's Current Position
Co-Applicant: How long at Current Position?
Co-Applicant's Current Hourly Wage/Salary
Co-Applicant's Previous Physical Address (include Apt. #):
Co-Applicant's Previous City:
Co-Applicant's Previous State:
Co-Applicant's Previous Zip:
Co-Applicant's Previous Landlord/Mortgage Holder:
Co-Applicant's Previous Landlord/Mortgage Holder phone #:
Co-Applicant: How long at Previous residence?:
Co-Applicant: What year was it when you started living at this previous address?:
Co-Applicant's Previous Rental Rate
Co-Applicant's Previous Employer:
Co-Applicant's Previous Employer phone #:
Co-Applicant's Previous Position:
Co-Applicant: How long at Previous Position?:
Co-Applicant's Previous Hourly Wage/Salary:
Co-Applicant: Have you ever been evicted?:
Co-Applicant: Have you ever been convicted of a felony?:
Names of all Occupants
Please list all names and ages of occupants including Applicant and Co-Applicant:
Questions/References
What property or properties are you interested in?: *
Do you / are you going to have any Pets?: *
Local Reference #1: *
Reference #1 phone number *
Local Reference #2: *
Reference #2 phone number *
Comments:
Electronic Signature -
(If no co-applicant for this application type NA in co-applicant signature line for first & last name)
Applicant's Electronic Signature (Please enter full name): *
Co-Applicant's Electronic Signature (Please enter full name): *
Today's Date:
By entering my Electronic Signature on this application, I authorize 822 Main Property Management to verify my credit, employment, rental history as well as any other necessary information needed to determine my eligibility to rent from 822 Main Property Management: *