<%@LANGUAGE="VBSCRIPT" CODEPAGE="65001"%> Kabien Properties - Rental Agreement <% if request.querystring("ID")>"" then set rs=objConn.execute("select * from agreement where ID=" & request.querystring("ID")) if not rs.eof then response.write "" response.write "" %>
PERSONAL INFORMATION
First Name">Middle Name">Last Name">Social Security #">
DOB">MaritalStatus">Driver's License #">State">
Home Phone">Cell Phone">Work Phone">Email">
Present Home Address">City/State/Zip">Present Landlord">Present Landlord Phone">
Length of Time">Reason for leaving">Present Amount of Rent">Is your rent up to date?">
Previous Home Address">Previous City/State/Zip">Previous Landlord">Previous Landlord Phone">
Reason for leaving"> Length of time"> Previous Rent Amount"> Was your rent up to date? ">
Next Previous Home Address "> City/State/Zip"> Next Previous Landlord"> Next Previous Landlord Phone">
Reason for leaving">Length of time">Next Previous Rent Amount">Was your rent up to date?">
PROPOSED OCCUPANTS
Occupant 1">Occupation">Relationship">Age">
Occupant 2">Occupation">Relationship">Age">
Occupant 3">Occupation">Relationship">Age">
Occupant 4">Occupation">Relationship">Age">
Occupant 5">Occupation">Relationship">Age">
PROPOSED PET(S)
Pet 1">Breed">indoor/outdoor">Age">
Pet 2">Breed">indoor/outdoor">Age">
Pet 3">Breed">indoor/outdoor">Age">
VEHICLE(S) INFORMATION
Year 1">Make">Model">Color" size="7">Plate" size="7">State">
Year 2" size="7" />Make">Model">Color" size="7">Plate" size="7">State" size="7">
EMPLOYMENT
Employer">Occupation">Hours per week">
Supervisor">Phone">Ext.">
Address">City/State/Zip">Years Employed">
Employer">Occupation">Hours Per Week">
Supervisor">Phone">Ext.">
Address">City/State/Zip">Years Employed">
INCOME
Current Income">Source">Proof of Income">
Current Income">Source">Proof of Income">
Current Income">Source">Proof of Income">
CREDIT CARD/FINANCIAL INFORMATION
Car Loan Lienholder">Balance Owed" size="7">Monthly Payment">Creditor's Phone Number">
Credit Card Company">Balance Owed" size="7">Monthly Payment">Creditor's Phone Number">
Credit Card Company">Balance Owed" size="7">Monthly Payment">Creditor's Phone Number">
Credit Card Company">Balance Owed" size="7">Monthly Payment">Creditor's Phone Number">
Child Support
/Other Credit Owed		">Balance Owed" size="7">Monthly Payment">Other Creditor's Phone Number">
Bank Name">Balance" size="7">Monthly Payment">Account Number">
EMERGENCY/PERSONAL REFERENCE INFORMATION
Emergency Contact">Phone">Phone">
Relation">Address">City/State/Zip">
Emergency Contact">Phone">Phone">
Relation">Address">City/State/Zip">
Personal Reference">Phone">Phone">
Relation">Address"> City/State/Zip">
Personal Reference">Phone">Phone">
Relation">Address">City/State/Zip">
APPLICANT QUESTIONNAIRE/AUTHORIZATION
Has applicant ever been sued for bills?">Has applicant ever been locked out of their apartment by the sheriff?">
Has applicant ever been bankrupt?">Has applicant ever been brought to court by another landlord?">
Has applicant ever been guilty of a felony?">Has applicant ever moved owing rent or damaged an apartment?">
Has applicant ever broken a lease?">Is the total move-in amount available (rent and deposit)?">
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors, and any other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM AT ANY TIME.
 
Applicant Signature (type full name) " size="40"> Signature Date ">
NOTES" size="80">

If you have any questions about the interpretation or legality of this form, please consult and attorney or other qualified person.

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