a ¥ \ Date of Occupancy
KCK PROPERTIES Unit Address
Referred by
RENTAL APPLICATION
‘rst Name Last Name Social Security #
Current Address City State Zip
Landlord Landlord Phone; Rent Lease dates
Other occupants Social Security # Email Phone Relationship
PREVIOUS RESIDENCE HISTORY
Address city State Zip
Landlore Landlord Phone Rent. Lease dates
PERMANENT ADDRESS (if not current address)
Address Gity State Country Zip
EMPLOYMENT INFORMATION (During Lease Term)
Employed (circle) Full-Time Part-Time Unemployed Retired
Employer Supervisor
Employer Address Phone
Position Held Department
If Student (circle) Undergrad Grad Student List Schoo!
(2 EMERGENCY CONTACT or 1 COSIGNER INFORMATION
Name Relationship Phone Email
Address, Gity State Zip
Do you own any pets? (*See Rule #6) LI No LI YES, what kind of pet?
ALL THE FOLLOWING QUESTIONS MUST BE ANSWERED PRIOR TO PROCESSING THIS APPLICATION
Has an eviction action ever been filed against you ? ONO