Captain Ron's Rentals and Storage Application Form

1
Welcome!

This application CANNOT be submitted without completing required fields marked with a red star like this: *

Have your most recent housing (current and the prior two housing situations) and employment information (current and one most prior employer) including their contact information ready. Expect the Application to take around fifteen to thirty minutes.

A computer is recommended for ease of use, a tablet or cell-phone can successfully be used.

If you click your browser's 'BACK' button or 'REFRESH' the page, YOUR WORK MAY BE LOST. Please use the '≤PREVIOUS' and 'NEXT≥' buttons at the bottom of the webpage.

You will have an opportunity at the end of the application to review your answers, and upon completion you will be emailed a copy and confirmation.

The unit which you have requested to apply for is named in the ad or email/text/message you have received as a reply to your inquiry.

A free soft-Credit and/or Background Check may apply.

Upon review and acceptance, you will be contacted for a property showing.

Thank you. Click 'NEXT≥' to begin!
2
Apartment Unit(s) which you are applying for:* This field is required.Unit Name/Number as named in the Ad Listing or best description:
UNIT NUMBER:
3
Do you or any other Proposed Occupants smoke?* This field is required.
No
Yes
4
List ALL Proposed Occupants who smoke:* This field is required.
5
You will be required to sign a "No Smoking" agreement upon rental approval:* This field is required.
I AGREE to sign a "No Smoking" agreement.
I do NOT agree. (Your application will be denied and you should not continue further)
6
Do you or any other Proposed Occupants have a MEDICALLY DOCUMENTED and CERTIFIED Service Animal or an Emotional Support Animal with a valid ESA LETTER from a valid Licensed Mental Health Professional? (Documentation MUST be provided at lease signing):* This field is required.
No
Yes
7
Please describe and tell us about your or any other Proposed Occupant's MEDICALLY DOCUMENTED and CERTIFIED Service Animal or Emotional Support Animal with a valid ESA LETTER from a valid Licensed Mental Health Professional:* This field is required.
8
Do you or any other Proposed Occupants have pets of ANY kind?* This field is required.
No
Yes (Your application will be denied and you should not continue further.)
9
You will be required to sign a "No Pets" Agreement upon rental approval:* This field is required.
I AGREE to sign a "No Pets" Agreement.
I do NOT agree. (Your application will be denied and you should not continue further.)
10
Applicant Name:* This field is required.Enter your current FULL LEGAL NAME as on your Birth Certificate, Marriage Certificate, or Change of Name Document:
Mr.
Mr.
Mrs.
Ms.
Miss
Prefer Not to Provide
Prefix
First Name
Middle Name
Last Name
Suffix
11
Other Names, Aliases, Also Known As (AKA's):* This field is required.For the purposes of Background Check, list ANY and ALL other names you have gone by; past, legal, or otherwise in Alaska or elsewhere, if none, type 'none':
12
Date of Birth (necessary for purposes of Background Check only):* This field is required.
Month
Day
Year
13
OPTIONAL: Social Security or Individual Taxpayer Identification Number:For most Alaskans, a SS# or ITIN is not necessary to successfully perform a Background Check. If you have little to no history in Alaska or we have difficulty performing a Background Check we may request it as additional information to this application.
14
Contact Phone Number:* This field is required.
15
Home / Other Phone Number:
16
Email (enter twice to confirm):* This field is required.
example@example.com
Confirm Email
17
Separate Applications:* This field is required.
I acknowledge each adult, anyone 18 or older, MUST complete a separate application from this one.
I acknowledge that upon turning 18 and becoming an Adult, any previously Minor occupant previously under my Lease MUST complete their own Application and sign a Lease.
18
How many TOTAL people will occupy the unit?* This field is required.
REQUIRED
REQUIRED
1
2
3
4
19
Second Proposed Occupant of ANY age:* This field is required.All fields are required (if no phone, enter all zeros):
Enter the FULL LEGAL NAME as on the Birth Certificate, Marriage Certificate, or Change of Name Document: First / Middle / Last / Suffix
List ANY and ALL other names they have gone by; past, legal, maiden, or otherwise in Alaska or elsewhere:
Phone Number (if no phone, enter all zeros):
Relationship to Applicant:
20
Third Proposed Occupant of ANY age:* This field is required.All fields are required (if no phone, enter all zeros):
Enter the FULL LEGAL NAME as on the Birth Certificate, Marriage Certificate, or Change of Name Document: First / Middle / Last / Suffix
List ANY and ALL other names they have gone by; past, legal, maiden, or otherwise in Alaska or elsewhere:
Phone Number (if no phone, enter all zeros):
Relationship to Applicant:
21
Fourth Proposed Occupant of ANY age:* This field is required.All fields are required (if no phone, enter all zeros):
Enter the FULL LEGAL NAME as on the Birth Certificate, Marriage Certificate, or Change of Name Document: First / Middle / Last / Suffix
List ANY and ALL other names they have gone by; past, legal, maiden, or otherwise in Alaska or elsewhere:
Phone Number (if no phone, enter all zeros):
Relationship to Applicant:
22
Explain when you would need/want to move in:* This field is required.
23
How long do you think you would be renting from us?* This field is required.
24
Have YOU or ANY other Proposed Occupant EVER had a Civil Protective, No Contact, or Restraining Order issued against you or them in Alaska or any other place?* This field is required.
No
Yes
25
Explain the times, situations, and in which City and State when YOU or ANY other Proposed Occupant EVER had a Civil Protective, No Contact, or Restraining Order issued against you or them:* This field is required.
26
Have YOU or ANY other Proposed Occupant EVER been convicted of possessing, dealing, transporting, or manufacturing illicit drugs in Alaska or any other place?* This field is required.
No
Yes
27
Explain YOUR or ANY other Proposed Occupant's convictions of possessing, dealing, transporting, or manufacturing illicit drugs and in which City and State it occurred:* This field is required.
28
Have YOU or ANY other Proposed Occupant been convicted of Criminal Misdemeanors or Felonies (particularly Arson, Theft, Fraud or Larceny, Trespass, Domestic or other Violence/Assault) or been the Defendant in a Civil Lawsuit in Alaska or any other place?* This field is required.
No
Yes
29
Explain all convictions of Criminal Misdemeanors or Felonies (particularly Arson, Theft, Fraud or Larceny, Domestic or other Violence/Assault) of YOU or ANY other Proposed Occupant or when have been the Defendant in a Civil Lawsuit and in which City and State it occurred:* This field is required.
30
Have you ever willfully or intentionally refused to pay rent when due in Alaska or any other place?* This field is required.
No
Yes
31
Explain the reasons you willfully or intentionally refused to pay rent when due in Alaska or any other place:* This field is required.
32
Have you ever broken a lease in Alaska or any other place?* This field is required.
No
Yes
33
Explain the times and reasons you have broken a lease in Alaska or any other place:* This field is required.
34
Have you ever left a tenancy owing money in Alaska or any other place?* This field is required.
No
Yes
35
Explain the times and reasons you have left a tenancy owing money in Alaska or any other place:* This field is required.
36
Have YOU or ANY other Proposed Occupant EVER been served an Eviction Notice, Notice to Vacate, or had Eviction Proceedings taken against you or them (whether successful or not) in Alaska or any other place?* This field is required.
No
Yes
37
Explain the times and reasons YOU or ANY other Proposed Occupant have been served an Eviction Notice, Notice to Vacate, or had Eviction Proceedings taken against YOU or THEM (whether successful or not) in Alaska or any other place:* This field is required.
38
Other States you have lived in (list all, most recent to least recent) if none, type "none":* This field is required.
39
Do you have a lawyer or legal representation? If so, who?:* This field is required.
40
Credit Score if known. This can be obtained from your bank or websites like creditkarma.com:
41
Have you ever filed for Bankruptcy or had a Tax Lien placed against you?* This field is required.
No
Yes
42
When and in which State(s) have you filed for Bankruptcy and what Chapter type was it or had a Tax Lien placed against you?* This field is required.
43
Current Address:* This field is required.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
44
Move-in date at current address:* This field is required. If exact date is unknown, please enter the approximate date you began living at your current address:
Month - Date - Year
Month
Day
Year
45
Owner or Manager Name: * This field is required.
46
Owner or Manager Phone:* This field is required.
47
Are You or ANY other Proposed Occupant related in any way to the Owner or Manager of your current rental?* This field is required.
Yes
No
48
Explain YOUR or ANY other Proposed Occupant's family relationship with the Owner or Manager of your current address:* This field is required.
49
Who pays your Municipal Utilities (Sewer/Water/Garbage/Electricity) at this location?* This field is required.
I do.
My Landlord.
Not Applicable
Other
50
Have you given legal notice to vacate where you live now?* This field is required.
Yes
No
Not Applicable
51
Are you presently current on your rent?* This field is required.
Yes
No
Not Applicable
52
Explain why you are not current on your rent:* This field is required.
53
Do you expect to receive any portion of your Damage/Security Deposit back?* This field is required.
Yes
No
Not Applicable
54
Why do you not expect to receive any portion of your Damage/Security Deposit back?* This field is required.
55
Do you expect to receive most if not all of your Damage/Security Deposit back?* This field is required.
Yes
No
Not Applicable
56
Why do you not expect to receive most if not all of your Damage/Security Deposit back?* This field is required.
57
Have you ever received a late rent notice at this or any other property in the last two years?* This field is required.
Yes
No
Not Applicable
58
How many times, and why have you received a late rent notice at this or any other property in the last two years?* This field is required.
59
Have you had any recurring problems with your current Rental or Landlord? If yes, please explain:* This field is required.
60
Were you asked to move?* This field is required.
Yes
No
61
Were or are you being evicted?* This field is required.
Yes
No
62
List all reasons why you are moving from your current address, (including the reasons you were asked to move or evicted if applicable):* This field is required.
63
Previous Address (Your Address ONE property before your current one):* This field is required.If your current address is the only one you have ever had, enter the same information as before:
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
64
Previous Address - BEGINNING of tenancy:* This field is required.If exact date is unknown, please enter approximate date:
Date
Month
Day
Year
65
Previous Address - ENDING of tenancy:* This field is required.If exact date is unknown, please enter approximate date:
Date
Month
Day
Year
66
Previous Address - Approximate date range of tenancy:
67
Previous Address - Owner or Manager Name:* This field is required.If your current address is the only one you have ever had, enter the same information as before:
68
Previous Address - Owner or Manager Phone:* This field is required.If your current address is the only one you have ever had, enter the same information as before:
69
Previous Address - Are YOU or ANY other Proposed Occupant related in any way to the Owner or Manager of you previous address?* This field is required.If your current address is the only one you have ever had, enter the same information as before:
Yes
No
Not Applicable
70
Previous Address - Explain YOUR or ANY other Proposed Occupant's family relationship with Owner or Manager of your previous address:* This field is required.If your current address is the only one you have ever had, enter the same information as before:
71
Previous Address - Did you receive most if not all of your Damage/Security Deposit back?* This field is required.If your current address is the only one you have ever had, enter the same information as before:
Yes
No
Not Applicable
72
Previous Address - Why did you not receive most if not all of your Damage/Security Deposit back?* This field is required.If your current address is the only one you have ever had, simply type "See above".
73
Previous Address - Were you asked to move?* This field is required.If your current address is the only one you have ever had, enter the same information as before:
Yes
No
74
Previous Address - Were you evicted?* This field is required.If your current address is the only one you have ever had, enter the same information as before:
Yes
No
75
Previous Address - Why you moved from this address (including the reasons you were asked to move or evicted if applicable):* This field is required.If your current address is the only one you have ever had, simply type "See above".
76
Prior to Previous Address (Your Address TWO properties before your current one):* This field is required.If you have no Prior to Previous Address enter the same information as before:
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
77
Prior to Previous Address - Approximate BEGINNING of tenancy:* This field is required.If you have no Prior to Previous Address enter the same information as before:
Date
Month
Day
Year
78
Prior to Previous Address - Approximate ENDING of tenancy:* This field is required.If you have no Prior to Previous Address enter the same information as before:
Date
Month
Day
Year
79
Prior To Previous Address - Date range of tenancy:
80
Prior to Previous Address - Owner or Manager Name of Prior to Previous Address:* This field is required.If you have no Prior to Previous Address enter the same information as before:
81
Prior To Previous Address - Owner or Manager Phone of Prior to Previous Address:* This field is required.If you have no Prior to Previous Address enter the same information as before:
82
Prior To Previous Address - Are YOU or ANY other Proposed Occupant related in any way to the Owner or Manager of Prior to Previous Address?:* This field is required.If you have no Prior to Previous Address enter the same information as before:
Yes
No
Not Applicable
83
Prior To Previous Address - Explain YOUR or ANY other Proposed Occupant's family relationship with Owner or Manager of Prior to Previous Address:* This field is required.If you have no Prior to Previous Address enter 'See above':
84
Prior To Previous Address - Did you receive most if not all of your Damage/Security Deposit back?* This field is required.If you have no Prior to Previous Address enter the same information as before:
Yes
No
Not Applicable
85
Prior To Previous Address - Why did you not receive most if not all of your Damage/Security Deposit back?* This field is required.If you have no Prior to Previous Address enter "See above".
86
Prior To Previous Address - Were you asked to move?* This field is required.
Yes
No
87
Prior To Previous Address - Were you evicted?* This field is required.
Yes
No
88
Prior To Previous Address - Why you moved from this address (including the reasons you were asked to move or evicted if applicable):* This field is required.If you have no Prior to Previous Address enter "See above":
89
Are You Currently Employed?* This field is required.
Yes, Full Time or near-Full Time, whether one or multiple jobs.
Yes, Part Time, whether one or more jobs, and seeking more employment.
Yes, Part Time, and NOT seeking more employment.
No, and seeking employment.
NO, and NOT seeking employment.
Other
90
Current or Upcoming Primary Occupation / Job Title:* This field is required.
91
Current or Upcoming Primary Employer:* This field is required.
92
Current or Upcoming Primary Employer Phone:* This field is required.
93
Current or Upcoming Primary Employer Manager or Supervisor Name and Job Title:* This field is required.
94
Current or Upcoming Primary Estimated Monthly Gross Employment Income:* This field is required.
95
Length of Time With Current Primary Employer or Expected Employment Duration With Upcoming Employer:* This field is required.Specify Years or Months, Specify Current or Upcoming Employer:
96
Is This a Seasonal or Temporary Position, and If So, When Does Your Season or Position Start and End?:* This field is required.Approximate dates:
97
Do You Currently Have Additional Secondary or Self-Employment Income?:* This field is required.
Yes
No
No, but am currently seeking
98
Current Secondary Employment Occupation / Job Title:* This field is required.
99
Current Secondary Employer:* This field is required.
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Current Secondary Employer Phone:* This field is required.
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Current Secondary Employer Manager or Supervisor Name and Job Title:* This field is required.
102
Current Secondary Estimated Monthly Gross Employment Income:* This field is required.
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Length of Time With Current Secondary Employer:* This field is required.Specify Years or Months
104
Is This a Seasonal or Temporary Position, and If So, When Does Your Season or Position Start and End?* This field is required.Approximate dates:
105
Optional: Rental Assistance:Captain Ron's Rentals and Storage endeavors to be an inclusive Fair Housing provider, and accepts all forms of Rental Assistance (Alaska Housing, WISH, KIC, VA, etc.). If you or any other Proposed Occupants jointly or individually have or are planning to utilize Rental Assistance and would like it considered for purposes of income consideration and verification for this Rental, please enter the information below. Any information you choose to provide will not in any way disqualify you, and may help expedite your application and acceptance.
Please Select
Please Select
NO
YES
UNSURE
PREFER NOT TO SAY
Are you currently or expecting or planning to utilize a Rental Assistance Grant or Program? Please choose: YES, NO, UNSURE, PREFER NOT TO SAY:
OPTIONAL: If YES or UNSURE, please best describe the terms or duration of your eligibility:
OPTIONAL: YES or UNSURE, please name which Agency and which Program (if known) you will/may be utilizing:
OPTIONAL: If YES or UNSURE, please provide your Case Worker or Contact's name and contact phone number if available::
106
Optional: Non-Employment or Other Income: If you have other sources of income you would likes us to consider, please list income, source, and person (Trustee, Guardian, etc.) or source (Account Statement, etc.) which could provide verification if necessary. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. Details:
107
Previous Occupation / Job Title:* This field is required.
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Previous Employer:* This field is required.
109
Previous Employer Phone:* This field is required.
110
Previous Manager Name and Job Title:* This field is required.
111
Previous Employment Monthly Gross Employment Income:* This field is required.
112
Length of Time With Previous Employer:* This field is required.Specify Approximate Years / Months:
113
Nearest Living Relative Contact:* This field is required.All fields are required:
Name:
Address:
Phone Number (if no phone, enter all zeros):
Relationship to Applicant:
114
Preferred Emergency Contact:* This field is required.All fields are required:
Name:
Phone Number (if no phone, enter all zeros):
Relationship to Applicant:
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* This field is required.
Mr.
Mr.
Mrs.
Miss
Ms.
Other
Prefer Not to Say
Prefix
First Name
Middle Name
Last Name
Suffix
116
Preferred Emergency Contact Phone Number:* This field is required.
117
Nearest Living Relative Contact:
Mr.
Mr.
Mrs.
Miss
Ms.
Other
Prefer Not to Say
Prefix
First Name
Middle Name
Last Name
Suffix
118
Nearest Living Relative Contact Phone Number:
119
I would like my application held open for sixty days should another unit become available:* This field is required.
Yes, please keep my application open for 60 days should another unit become available.
No, I only want to apply for this unit. Dispose of my application when unit is rented.
120
Confirm Acceptance:* This field is required.I, {applicantName3}, understand the above information is provided in order for you to inquire upon and determine my rental, employment, criminal/legal, and credit histories/standing in consideration of Application for Rental. I grant permission to my past and present Landlords, Employers, Lawyer, Courts, Case Managers, Contacts, as well as any Co-Applicants to this Property to speak to the Owner or Agent about all phases of my residencies, employment, legal status, and credit histories/standing in consideration of Application for Rental. I acknowledge that if approved by the Owner or Agent, the above named Proposed Occupants are the only occupants to maintain Tenancy without prior approval and alteration or Addendum to Contract. I understand that if I lie, give misleading answers, or omit facts I will not be approved to Tenancy. I certify that the forgoing information is true and accurate.
I acknowledge and understand.
121
Signature Confirmation:* This field is required.Sign and click the "REVIEW AND SUBMIT" button to review and submit your application to accept the terms of this Application and prove you're not a robot. If you need to correct your signature, click the "Clear" button at the bottom-right of the Signature pane and start your signature again. A copy/confirmation of this completed Application will be automatically emailed to you. Thank you for your interest and application!
Clear
Should be Empty: