dobbs real estate

GREENBROOK TOWNHOMES & VILLAS / DOBBS REAL ESTATE LLC.
RENTAL APPLICATION

EMAIL TO gbtownhomes@gmail.com / or PRINT & TURN IN @

7400 E. 32ND ST N. #1001 (THE OFFICE), WICHITA,KS , 67226




APPLICATION FEE NON REFUNDABLE FEE

APPLICATION FEE: $40.00 PER SINGLE OR MARRIED COUPLE

DEPOSIT= HOLDING FEE/ SECURITY DEPOSIT- NON REFUNDABLE AFTER 72 HOURS

Applicant Information

Name:

Date of birth:

SSN:

Phone:

Current address:

City:

State:

ZIP Code:

Own         Rent        (Please circle)

Monthly payment or rent:

How long?

Previous address:

City:

State:

ZIP Code:

Owned     Rented     (Please circle)

Monthly payment or rent:

How long?

Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly      Salary     (Please circle)

Bi-Weekly Net Income:

Emergency Contact

Name of a person not residing with you:

Address:

City:

State:

ZIP Code:

Phone:

Relationship:

Co-applicant Information/SPOUSE OR ROOMMATE

Name:

Date of birth:

SSN:

Phone:

Current address:

City:

State:

ZIP Code:

Own         Rent        (Please circle)

Monthly payment or rent:

How long?

Previous address:

City:

State:

ZIP Code:

Owned     Rented     (Please circle)

Monthly payment or rent:

How long?

Co-applicant Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly      Salary     (Please circle)

Bi-Weekly Net Income:

Banking Information

APPLICANT 1:

BANK:

AMOUNT:

CHECKING/SAVINGS/BOTH (circle one)

ACCOUNT #:

 

APPLICANT 2:

BANK:

AMOUNT:

CHECKING/SAVINGS/BOTH (circle one)

ACCOUNT #:

 

 

 

List ALL Persons that will be occupying this unit

Name:

Relation:

Age:

Name:

Relation:

Age:

Name:

Relation:

Age:

Name:

Relation:

Age:

Name:

Relation:

Age:

 

Pet Information:

Do you have pets?

What kind?

How many?

Type:

Breed:

Weight:

Type:

Breed:

Weight:

 

List ALL cars of occupants

Make/Model:

Year:

Plate #:

Make/Model:

Year:

Plate #:

Make/Model:

Year:

Plate #:

Make/Model:

Year:

Plate #:

Proof of Income and/or Financial Status

Pay check stubs/ SSI/ Child Support/ Disability/Bank Account Statement (must include current balance and/ or any other proof of income and/or financial status).

Have you, Tenant and/ or Co-Tenant, ever been convicted of a crime? Describe and date each one:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Have you, Tenant and/or Co-Tenant ever been evicted, declared bankruptcy or had a judgment? Describe and date each one:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Credit Issues Disclosure:

Having credit issues does not necessarily disqualify a Tenant and/or Co-Tenant from approval. Please state any pending credit issues that may show up on your report so they may be understood correctly and considered by Landlord.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Personal References

Name:

Address:

Phone:

Name:

Address:

Phone:

Name:

Address:

Phone:

Name:

Address:

Phone:

______I agree to the following statement

I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission is grounds for eviction.

 

______I agree to the following statement

I authorize Landlord to verify all the information given in this application, including past rental information, personal references and employment information provided. I authorize the Landlord to obtain a current credit and criminal background check.

______I agree to the following statement

I understand that this application is not a rental agreement and that this application does not create and obligation on Landlord. In the event a lease is executed by Tenant and/or Co-Tenant and collections are required, I authorize Landlord and/or Landlord’s collection representatives to contact any person and/or entity listed on this application.

I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application.

Signature of Applicant:

Date:

Signature of Co-applicant:

Date: