RENTAL APPLICATION
NOTICE TO All occupants (adults and minors) must be listed on the application. Every person over the age of 18 must sign the
APPLICANT: application. Only verifiable income will be considered. An incomplete application will not be processed.
FOR RENTAL LOCATED AT: DATE:
APPLICANT NAME SOCIAL SECURITY NUMBER CELL PHONE
E-MAIL WORK PHONE HOME PHONE
CO-APPLICANT NAME SOCIAL SECURITY NUMBER CELL PHONE
PROPOSED
OCCUPANTS E-MAIL WORK PHONE HOME PHONE
OTHER OCCUPANT RELATIONSHIP OTHER OCCUPANT RELATIONSHIP
OTHER OCCUPANT RELATIONSHIP OTHER OCCUPANT RELATIONSHIP
PRESENT ADDRESS FROM: LANDLORD’S NAME LANDLORD’S PHONE NO. RENT PAID
$
CITY STATE ZIP WHY ARE YOU MOVING?
HOUSING
PREVIOUS ADDRESS FROM: TO: RENT PAID
DATA
$
CITY STATE ZIP LANDLORD’S NAME LANDLORD’S PHONE NO.
APPLICANT EMPLOYER ADDRESS HOW LONG AT PRESENT JOB? SALARY
$ PER MO.
POSITION HELD SUPERVISOR PHONE NO.
APPLICANT PREVIOUS EMPLOYER DATE EMPLOYED POSITION HELD SALARY PHONE NO.
$ PER MO.
INCOME
CO-APPLICANT EMPLOYER ADDRESS HOW LONG AT PRESENT JOB? SALARY
$ PER MO.
DATA
POSITION HELD SUPERVISOR PHONE NO.
CO-APPLICANT PREVIOUS EMPLOYER DATE EMPLOYED POSITION HELD SALARY PHONE NO.
$ PER MO.
OTHER INCOME SOURCE. OTHER INCOME SOURCE
$ PER MO. $ PER MO.
PERSONAL REFERENCE RELATIONSHIP ADDRESS PHONE NO.
PERSONAL 1.
REFERENCE
PERSONAL REFERENCE RELATIONSHIP ADDRESS PHONE NO.
AND 2.
EMERGENCY PERSONAL REFERENCE RELATIONSHIP ADDRESS PHONE NO.
3.
CONTACT
I declare that the foregoing is true and correct, and agree that Landlord may terminate any agreement entered into in reliance on any misstatement made
above. I hereby authorize ____________________________ to verify the above information and to obtain a consumer/investigative credit report as well
as conduct a criminal and/or background check. Once all information is submitted, it becomes the property of _________________________________.
nd
**Refer to back/or 2 page for additional instructions**
PROPERTY MANAGER’S SIGNATURE DATE APPLICANT’S SIGNATURE DATE
APPLICANT’S SIGNATURE DATE
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RENTAL APPLICATION
FOR RENTAL LOCATED AT: DATE:
Applicant: Co-Applicant:
Please provide the following information in full for your application to be processed in a timely manner:
ID - Provide a copy of a valid state or government issued picture identification for each applicant 18 years
and older (Driver’s license, State ID, Military ID, and/or Passport).
LANDLORD INFORMATION - Include complete address of rentals, name and telephone number of
landlords, amounts of rent paid, and dates of occupancy. P.O. Boxes are not acceptable. If applicant and
co-applicant have the same present and previous address, one application may be submitted. If they
have different addresses for either present or previous addresses, separate applications must be
submitted. If there are more than two adult applicants, each applicant should submit a separate
application.
INCOME INFORMATION - Include name of supervisor, length of employment, telephone number and, if
requested, a copy of one (1) month’s most recent pay stub(s). Self-employed applicants may provide
copies of their Hawaii State General Excise Tax returns, prior two years Federal Tax Returns, and/or two
years of earning statements prepared by a Certified Public Accountant. Military applicants may provide
a copy of their Leave and Earnings Statement (LES).
OTHER - You may also include any other documentation that may support your application, such as
benefit statements, letter(s) of employment, letter(s) of recommendation, and bank statements.
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