Unit Information

Enter the following information about the unit or property you're applying for

Listing address *

$

Rent *

Lease begin date *

Reference

Please tell us how you heard of the apartment or our company *

Rental agent who assisted you *

Info

Name *

Social Security Number*

Birthday*

Phone Number*

Email*

Drivers License Number

State*

Other Tenants

If there will be other tenants on the lease, list them here

Present Address

List your current address

Address 1*

Unit

City*

State*

Zip*

Years occupied*

Monthly Rent (per tenant)*

To whom paid*

Phone of lender*

Present Employer

List your current and past employers

Automobile

List any automobiles you plan on using at your residence

Finance

Checking account bank*

$

Checking account balance*

Savings account bank*

$

Savings account balance*

Background

Have you ever been denied credit or been delinquent with creditors?

Yes

Why?*

Family

Enter the information for your nearest relative or parent

Name

Relationship

Address 1

Unit

City

State

Zip

Phone Number

Photo ID

A copy of the prospective tenants photo ID must be submitted with this application.
The copy must be enlarged and legible

(Or drag and drop)

Finalize
(I/We) will deposit $40 as security with this application. It is understood that in the event (I/We) should decide not to rent this property after placing the deposit on it, the sum shall be forfeted (No Exceptions). If applicant is denied, the security deposit will be returned less any application fee and/or deductions, if applicable. Credit profiles must be compelted in order to process this application (No Exceptions). Tenant expressly authorizes Lessor or Lessors’s agent (including a collection agency) to obtain Tenant’s consumer credit report to attempt to collect past due rent payments, both during the term of the lease and thereafter

If more than one applicant is applying for unit then said applicant must complete a separate application and pay an additional application fee of $40

I have read and fully understand the above and agree to the terms listed by John C. R. Kelly Realty, Inc. In addition by signing below, I acknowledge receipt of the US EPA pamphlet“Protect Your Family From Lead In Your Home”

Name*