Rental Application

Rental Application

6440 Olohena Rd. - Kapaa, HI 96746 - 808-652-4305 Every proposed occupant 18 years of age and over must fill out a separate Rental Application.
Desired Move-in Date*

MonthDayYear
How many people would be living in the apartment?
Approximate Length of Rental...
Which Apartment would you like to rent?
Who is renting?

IndividualCoupleCompany
Company Name
Company Phone
Company Contact
Company email contact
Tenant's Full Name (each occupant will need to fill in a separate application)*

First NameMiddle NameLast Name
Tenant E-mail*
example@example.com
Tenant's Phone Number*
888-888-8888
Date of birth

MonthDayYear
mm/dd/yyyy
Driver's License #
What is your situation, why would you like to rent furnished?
Does the applicant or any proposed occupant smoke?

YesNo
Does the applicant have any pets or service animals?

dogcatnoneOther
What is applicant's profession / job / business?
Present Employer Name
Present Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Present Employer Phone
ex. 888-888-8888
Supervisor - Full Name
Supervisor Phone
ex. 888-888-8888
Years of Employment
Monthly Salary
$4,000.00
Additional Monthly Income (explain...)
Notes
If you're moving to Kauai for employment who is your new employer?
Leave blank if this doesn't apply...
What is their contact information
Leave blank if this doesn't apply...
If you're moving to Kauai, please attach a copy of your employment offer.

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If you're moving to Kauai, please take a picture of your driver's license for identification purpose only.

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Financial Information
Total Combined Monthly Income
$6,000.00
Approximate Annual Income
$48,000.00
Approximate Bank Balance
$5,000.00
Approximate Credit Card Debt
$700
Have you ever filed for bankruptcy?

YesNo
Have you been convicted of a felony?

YesNo
Have you been evicted from a rental?

YesNo
Or, defaulted on a lease?

YesNo
Last Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Length of time
Present Landlord - Name
Present Landlord - Phone
888-888-8888
Reason for Leaving
Amount of Rent
Is your present rent up to date?

YesNo
Did you give landlord written notice to leave?

YesNo
Previous Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Length of time
Previous Landlord - Name
Previous Landlord - Phone
888-888-8888
Reason for Leaving
Amount of Rent
Was your previous rent up to date?

YesNo
Did you give landlord written notice to leave?

YesNo
Proposed Occupant #2 Name

First NameLast Name
Proposed Occupant #2 Phone

Area CodePhone Number
Proposed Occupant #2 Relationship
Proposed Occupant #2 Occupation
Proposed Occupant #2 Age
Please fill in a seperate application for Proposed Occupant #2.
First Occupant: Vehicle Informtion: Model/Year/Color/License Plate
ex: Honda Accord / 2015 / Red / KTU 433
How many cars do you have?
By submitting this rental application you agree to provide your credit & tenant report. After you submit this form we'll invite you by email to go to a rental industry website called "MyRental.com" where we can obtain your credit check (no worries, it's quick, only takes a couple of minutes).

We'll also require a copy of your 2 most recent Pay Stubs, OR Form W-2, OR 1099, OR top page (only) of your personal income tax return so we can verify your income, OR top page of yor most recent bank statement.
Upload proof of income: EITHER most recent pay stubs, OR W-2, OR 1099, OR, bank statement(s), and/or personal income tax (top page only).

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Signature*

Clear
Please sign your rental application here and press Submit.
Signature of authorized company representative + title
Should be Empty: