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Kamiakin North Apartments

Residential Rental Application

TO THE APPLICANT : We sincerely thank you for your application. Please help us promptly process this application by clearly completing all of the required information.

Apartment Size/Type Desired
Desired Move In Date
Applicant's Information
All Required		 Co-Applicant Information
Name
Social Security #
Birthdate
Drivers License #
Employed By
Position
How Long?
Employer's
Address
Employer Phone
Your Supervisor
Gross Monthly Income
Other Income
(Amount/Source)
Previous Employer
How Long?

CURRENT ADDRESS INFORMATION
All Required
Current Address Phone #
City State Zip Code
Length Of Time At This Address Amount Of Rent Paid
Landlord Landlord's Phone
Reason For Leaving

IF LESS THAN ONE YEAR
Previous Address Phone #
City State Zip Code
Length Of Time At This Address Amount Of Rent Paid
Landlord Landlord's Phone
Reason For Leaving


Name & Ages Of Children: (Everyone living in the apartment must be named on Lease.)
Name Age
Name Age
Name Age
Name Age
EMERGENCY CONTACT Phone


CLOSEST RELATIVE

Name Address Phone #
City State Zip Code Relationship


Personal Reference

Name Address Phone #
City State Zip Code


AUTO

Year Color Make
License State



Additional Comments:

Thank you for filling out this form. Press 'submit now' to send form.

ALL APPLICANTS WILL BE PROCESSED THROUGH THE YAKIMA CREDIT BUREAU.
I AGREE THAT OWNER MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENT MADE ABOVE. I HEREBY GRANT PERMISSION TO OBTAIN A CREDIT REPORT FROM A CREDIT BUREAU.

THIS APPLICATION AND THE CONTENTS THEREOF ARE CONSIDERED PART OF MY RENTAL AGREEMENT AND ARE SUBJECT TO APPROVAL BY THE OWNER OR HIS AGENT. All application fees are non-refundable.


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