HIDDEN VALLEY APARTMENTS
133 HIDDEN VALLEY DRIVE
HIGHLAND HEIGHTS, KY 41076
859-781-4200
859-781-7142-FAX
Notice:
Co-Applicant must complete a separate Rental Application Form.
The
undersigned hereby makes application to rent unit number _______________, at a
monthly rental of $_____________________.
PLEASE TELL US ABOUT
YOURSELF:
FULL NAME___________________________________________PHONE________________________
Date of birth_______________ Social Security no._______________ Driver’s License #______________
Name of Co-Applicant______________________________________Relationship___________________
Names of all other occupants____________________________________________Total #____________
Do you have a pet? _____________ If so, how many and what kind? ______________________________
GIVE YOUR RESIDENCE
HISTORY FOR THE PAST 3 YEARS (begin with most recent)
CURRENT ADDRESS__________________________________________________________________
Month & yr. moved in ____________________ Reason for leaving ______________________________
Owner or agent_________________________________Phone __________________________________
PREVIOUS ADDRESS (if within 3 yr.)____________________________________________________
Month & yr. Moved in____________________Reason for leaving________________________________
Owner or agent_________________________________Phone___________________________________
Your status: __ full time __part-time __student __Retired __not employed
CURRENT EMPLOYER (or most recent)___________________________________________________
Address___________________________________________________Phone______________________
Dates employed from__________ to______________ Position__________________________________
Supervisor____________________Gross Monthly Salary $________ Household monthly inc._________
PREVIOUS EMPLOYER _______________________________________________________________
Address __________________________________________________Phone______________________
Dates employed from_________ to ______________ Position __________________________________
Is there any other sources of income you would like us to consider, please list income, source and person (banker, employer) who we would contact for information. You do not have to reveal alimony, child support, or spouse’s income unless you want us to consider it in this application. AMOUNT $ ___________________________ SOURCE ______________________________________________
BANK & CREDIT
REFERENCES:
Bank: City-State
Branch Acct. # &
type Telephone
1.
2.
YOUR
CREDIT REFERENCES City-State
Branch Acct. # type Telephone
1.
2.
3.
TOTAL NUMBER OF VEHICLES: ___________
Make/Model
_____________________________ Year _________ Color ________________ Tag
No./State _____________
Make/Model
_____________________________ Year _________ Color ________________ Tag
No./State _____________
Other car, Motorcycle, etc,
_______________________________________________________________________________
HAVE YOU OR OTHER APPLICANT EVER: Been sued for
non-payment of rent? _____yes ____ no
Been evicted or asked to move out? ____yes ____ no
Broken a rental agreement or lease? ____yes ____ no
Been sued for damage to rental property?
____yes ____ no Declared bankruptcy? ____yes
____ no
Please give additional information that might help management evaluate your application:
How did you hear about our property: _______________________________________________________
If management has questions about your application, please give Phone Numbers where you can be located
Day Phone _____________________________________ Evening _______________________________
FULL ADDRESS:_____________________________________________________________________
HOME
PHONE:______________________________WORK PHONE:__________________________
I hereby apply to lease the above described premises for the term and upon the conditions above set forth and agree that the rental is to be payable on the __________ day of the month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, $ ________ of the deposit will be retained to offset the agent’s cost, time and effort in processing my application.
I hereby deposit $__________ as earnest money to be
refunded to me if this application is not accepted within ________ business
banking days. Upon acceptance of this
application, this deposit shall be retained as part of the security
deposit. When so approved and accepted I
agree to execute a lease for ________________ months before possession is given
and to pay the balance of the security deposit within ________ business banking
days after being notified of acceptance, or the deposit will be forfeited as
liquidated damages in payment for the agent’s time and effort in processing my
inquiry and application, including making necessary investigation of the
applicant thereby waiving any claim for damages by reason of nonacceptance which the owner or his agent may reject
without stating any reason for doing.
I RECOGNIZE THAT AS A PART OF YOUR PROCEDURE FOR
PROCESSING MY APPLICATION, AN INVESTIGATIVE COSUMER REPORT MAY BE PREPARED
WHEREBY INFORMATION IS OBTAINED THROUGH PERSONAL INTERVIEW
WITH MY NEIGHBORS, FRIENDS AND OTHERS WITH WHOM I
MAY BE ACQUAINTED. THIS INQUIRY INCLUDES IN-
FORMATION AS TO MY CHARACTER, GENERAL REPUTATION,
PERSONAL CHARACTERISTICE, AND MODE OF LIV-
ING. I
UNDERSTAND THAT I MAY HAVE THE RIGHT TO MAKE A WRITTEN REQUEST WITHIN A
REASONABLE PER-IOD OF TIME TO RECEIVE ADDITIONAL, DETAILED INFORMATION ABOUT
THE NATURE AND SCOPE OF THIS INVESTICATION.
THE ABOVE INFORMATION, TO THE BEST OF MY KNOWLEDGE,
IS TRUE AND CORRECT.
SIGNATURE OF APPLICANT
__________________________________________________ DATE SIGNED________________
APPROVED:_______ NOT
APPROVED __________ MANAGEMENT
SIGNATURE___________________________