Baltic Properties Application Form

Baltic Properties Rental Application

Each blank requires information. If a question does not apply to you, type in "NA"
Baltic Email Address
Address or type of home you are interested in renting.
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Phone Number

Area CodePhone Number
E-mail
All other proposed occupants*
Include First/Middle/Last, Date of Birth and Relationship to Applicant
How many pets do you have? Include type, breed, weight and age.*
Include Type, Breed, approx Weight & Age
Do you have an outstanding balance with LG&E or the Water Company?*

NoYes
We require proof of all income sources (recent paystubs, SSI statements, etc) prior to lease signing. Will you be able to bring us proof of all household income sources when you are shown the property?*

NoYes
Current Address Information
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Does your driver’s license or government issued ID match the address provided? If no, provide an explanation.
Dates of Residency - From/To
Rent
How many times did you pay the rent late?
Landlord Name and Phone Number
Reason for Leaving
What will they tell us when we call for a reference?
Name(s) in which your utilities are now billed:
Previous Address Information
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dates of Residency - From/To
Rent
How many times did you pay the rent late?
Landlord Name and Phone Number
What will they tell us when we call for a reference?
Current Employment Information
Employer
Employer Address
Occupation
Supervisor Name & Number
Monthly Take Home Pay
Note: We will require last month's paystubs to verify your monthly take home pay prior to lease signing.
Dates of Employement
Previous Employment Information
Employer
Employer Address
Occupation
Monthly Take Home Pay
Dates of Employement
Other Income Sources
Tips and Commissions (Example: $300 per month)
Unemployment (Example: $900 per month)
Child Support (Example: $450 per month)
Social security (Example: $700 per month)
Disability (Example: $700 per month)
Retirement and/or pension (Example: $600 per month)
Savings
Cash
Checking Account Balance
Savings Account Balance
Monthly Expenses
Car payments per month
Child care expenses per month
Support payments paid out per month
Other monthly expenses such as judgements, garnishments, back taxes, debts, etc.
General Questions
Are you on housing assistance? If so, provide detailed voucher information.
When would you be able to move in?
Note: Preference is given to approved applicants who can move in the soonest.
Can you pay first month's rent now? If not, specify date
Note: We will not hold a property without collecting first month's rent.
Can you pay the security deposit or last month's rent now? If not, specify date
Have you ever been served a late rent notice?
Have you ever been served an eviction notice? If so, when?
Have you had any reoccuring problems with your current apartment/home or landlord? If yes, please explain:
Have you been a party to a lawsuit in the past? If yes, please explain why:
We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?
How did you hear about this apartment or home?
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment or house and does not constitute a rental or lease agreement in whole or part. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.
Should be Empty:

Baltic Properties Rental Application

Current Address Information

Previous Address Information

Current Employment Information

Previous Employment Information

Other Income Sources

Savings

Monthly Expenses

General Questions