Keeton Hanks Properties, LLC
P.O. Box 74
Auburn, KY 42206
Phone: 270-847-7664
Fax: 270-542-6893
PERSONAL INFORMATION
Name of Applicant: ___________________________________________
Gender: ______________
Current Address: _____________________________________________________________________
City: _______________________________
State: _________________
Zip: _________________
Phone (Work/Home): ________________________________
(Cell) __________________________
Social Security Number: ______________________________
Date of Birth: ___________________
Drivers License Number: _____________________________
State Issued: ___________________
Email: ______________________________________________________________________________
School Attending, if applicable: __________________________________________________________
Please list ALL prospective occupants, including children, to reside in your apartment.
Name: _______________________________ Age: _________ Relationship: __________________
Name: _______________________________ Age: _________ Relationship: __________________
Name: _______________________________ Age: _________ Relationship: __________________
EMPLOYMENT INFORMATION
Present Employer: ____________________________ Address: ______________________________
City: ____________________ State: _________ Zip: ___________ Phone: _________________
Length of Employment: ________________________ Position: ______________________________
Monthly Income: ______________________________ Take Home Pay: _______________________
RENTAL HISTORY
Current Landlord: ____________________________________ Phone: ________________________
How Long? ___________________________________
Monthly Rent: ________________________
Reason for Leaving: ___________________________________________________________________
Previous Landlord: ___________________________________ Phone: ________________________
Previous Address: _____________________________________________________________________
City: _____________________________ State: __________________ Zip: ___________________
How Long? ____________________________________ Monthly Rent: ________________________
Reason for Leaving: ___________________________________________________________________
EMERGENCY CONTACT INFORMATION
Name: ___________________________________________ Relationship: _____________________
Address: ____________________________________________________________________________
City: _____________________________ State: _________________ Zip: ____________________
Phone: ___________________________
Name: ___________________________________________ Relationship: _____________________
Address: ____________________________________________________________________________
City: _____________________________ State: _________________ Zip: ____________________
Phone: ___________________________
BANK INFORMATION
Bank Name: _________________________________________________________________________
Checking Account Number: ___________________ Savings Account Number: __________________
Other Income Not Listed: ____________________________ Source: __________________________
VEHICLE INFORMATION
Please list ALL prospective vehicles to be parked on property. Maximum two vehicles per unit.
Make: _____________________________________ Model: _________________________________
Color: _____________________ Year: ___________ License: _______________________
Make: _____________________________________ Model: _________________________________
Color: _____________________ Year: ___________ License: _______________________
BACKGROUND INFORMATION
Have you ever been convicted; plead guilty; plead no contest; received probation, deferred
adjudication, court-ordered community supervision or pre-trial diversion for a felony (whether or not
resulting in a conviction)? If yes, please explain.
_____________________________________________________________________________________
_____________________________________________________________________________________
Have you ever been convicted; plead guilty; plead no contest; received probation, deferred
adjudication, court-ordered community supervision or pre-trial diversion for a misdemeanor involving
violence or sexual misconduct (whether or not resulting in conviction)? If yes, please explain.
_____________________________________________________________________________________
_____________________________________________________________________________________
Have you ever been evicted or asked to move out from a previous landlord? _____________________
Do you currently owe any outstanding balance (s) to a previous landlord? _______________________
Do you currently owe any past due balance(s) to a utility company? ____________________________
Would you be capable of transferring all necessary utilities into your name immediately? __________
Have you ever broken a lease agreement? _________________________________________________
Do you smoke? If so, would you be smoking indoors? ________________________________________
When are you looking to move in? ________________________________________________________
Would you be capable of transferring all necessary utilities into your name immediately? __________
How long are you planning to reside in the apartment? _______________________________________
I certify all of the above information is true and complete. I acknowledge that false information herein
may constitute grounds for rejection for this Application, termination of right of occupancy and nonreturn of fees and deposits.
I hereby authorize Owner to use reasonable and necessary means, including any consumer reporting
agency, current and previous employer, current and former landlord, law enforcement agency, any
check authorization agency, and state employment security agency, to release all information any of
them may have about me and my Guarantor. I hereby release all of these parties, including but not
limited to the Owner and any agency designated by Owner, from any liability in connection with release
of such information. I hereby authorize Owner to obtain and hereby instruct any consumer reporting
agency designated by Owner to furnish a consumer report under The Fair Credit Reporting Act to Owner
to use such consumer report in attempting to collect any amounts due and owing under the Housing
Contract or the Guaranty of Resident Obligations or for any other permissible purpose.
Signature: ___________________________________________________ Date: __________________
Printed Name: _______________________________________________
GENERAL POLICIES & RESTRICTIONS
One year minimum lease. No pets, fish aquariums, or animals of any kind allowed. No smoking indoors.
No unnecessary loud noises. No outside storage. No signs, banners, flags, or stickers without prior
approval. No painting, cutting, or drilling to modify unit. No fastening to walls allowed including screws,
nails, or tape. No vehicles allowed on grass. No sub-leasing or unauthorized residents. Outdoor
furniture is limited and must remain aesthetically pleasing. Children must have adult supervision at all
times on premises. Utilities must remain active at all times. All late payments have a 10% penalty.
Completed applications can be returned to Keeton Hanks Properties, LLC by any of the following;
(a) Email: keetonhanks@yahoo.com
(b) Fax: 270-542-6893
(c) Mail: Keeton Hanks Properties, LLC
P.O. Box 74
Auburn, KY 42206
