Keith Hall Properties

Date

MonthDayYearHourMinutesAM/PM Option

Tenant Name

First NameLast Name

Tenant's Maiden Name

First NameLast Name

Tenant Drivers License Number

Tenant Date of Birth

MonthDayYear

Tenant Social Security Number

Tenant Home Phone Number

Area CodePhone Number

Tenant Cell Phone Number

Area CodePhone Number

Tenant's Employer

Tenant's Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Tenant's Monthly Income Before Deductions

Co-Tenant's Name

First NameLast Name

Co-Tenant's Maiden Name

First NameLast Name

Co-Tenant's Drivers License Number

Co-Tenant's Date of Birth

MonthDayYear

Co-Tenant's Social Security Number

Co-Tenant's Phone Number

Area CodePhone Number

Co-Tenant's Employer

Co-Tenant's Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Co-Tenant's Monthly Income Before Deductions

Other Occupant #1

First NameLast Name

Other Occupant #1 Age

Other Occupant #1 Relation

Other Occupant #2

First NameLast Name

Other Occupant #2 Age

Other Occupant Relation

Other Occupant #3

First NameLast Name

Other Occupant #3 Age

Other Occupant #3 Relation

In Case Of Emergency Contact:

First NameLast Name

Emergency Contact Phone Number

Area CodePhone Number

Personal Reference #1 Name

First NameLast Name

Personal Reference #1 Phone

Area CodePhone Number

Personal Reference #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Personal Reference #2 Name

First NameLast Name

Personal Reference #2 Phone

Area CodePhone Number

Personal Reference #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Personal Reference #3 Name

First NameLast Name

Personal Reference #3 Phone

Area CodePhone Number

Personal Reference #3 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Name of Bank

Bank Account Number

Checking

Savings

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Current Landlord Name

First NameLast Name

Current Landlord Phone Number

Area CodePhone Number

Current Monthly Rent

Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Previous Landlord Name

First NameLast Name

Previous Landlord Phone

Area CodePhone Number

Previous Monthly Rent

Have you or any household member ever applied for housing with Keith Hall Properties, Inc.?

Have you or any household member ever leased from Keith Hall Properties, Inc.?

Have you or any household member ever been evicted, breached or violated your contract while leasing any type of housing?

Have your or any household member been convicted of a felony in the past 5 years?

Have you or any household member ever been convicted of the illegal distribution or manufacture of a controlled substance?

Have you ever filed a petition of bankruptcy or debtors court?

Have you ever been sued for any reason?

If you answered YES to any of the above, please explain.

Title Holder's Name

First NameLast Name

Make of Vehicle

Model of Vehicle

Color of Vehicle

Year of Vehicle

Tag Number of Vehicle

Title Holder's Name

First NameLast Name

Make of Vehicle

Model of Vehicle

Color of Vehicle

Year of Vehicle

Tag Number of Vehicle

I hereby apply to rent the residence at (location)

Applicant has submitted the sum of $26.00 which is a non-refundable payment for a credit check and processing charge of this application. Such sum is not a rental payment or security deposit. I hereby certify that the foregoing information is true and complete to the best of my knowledge. By signing, I hereby authorize Keith Hall Properties, Inc. to make inquiries includig a credit check to verify the statements above. I also authorize Keith Hall Properties, Inc. to contact any references listed herein including previous landlords and hereby aurhorize such references to release information they may have to Keith Hall Properties, Inc. I hereby waive allaction for any consequences resulting from such information. This application is preliminary only and does not obligate Keith Hall properties, Inc. to enter into any contracts or leases with me. I agree that Keith Hall Properties, Inc. has the option of rejecting or nullifying this application and that upon such rejection or nullification Keith Hall Properties, Inc. and I shal be released from all further obligations or liabilities to each other.

If approved for occupancy, I understand that only those persons listed herein will occupy the premises and that this applicatin will become a part of my Lease.

Checking the box below indicates that I agree and serves as my electronic signature.

Applicant Signature

Co-Applicant Signature

Keith Hall Properties, Inc.

Tenant Information

Co-Tenant Information

Other Occupants

Emergency Contact Information

Personal References

Bank Information

Residence History

Please Answer All Questions

Vehicle #1 Information

Vehicle #2 Information